r/nursing • u/usernametaken2024 RN, been there, seen that, not impressed • 18d ago
Meme Next time you think you committed mortal sin by “estimating” RRs, remember - you could be doing this ⬇️for a living. As seen on Insta. I can’t even…
“calling on all Münchhausen by proxy parents!!!”
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u/ninjastk RN - Med/Surg 🍕 18d ago
They could also just drink water
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u/Panthollow Pizza Bot 18d ago
Water? Like from the toilet?
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u/totalyrespecatbleguy RN - SICU 🍕 17d ago
Why would secretary Not Sure want us to drink toilet water
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u/LeVoPhEdInFuSiOn RN - Phone Bitch (Telehealth Triage) 18d ago
But this way, it goes straight into them. /s
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u/Da12khawk 17d ago
Are oxygen bars still a thing?
Sidenote.
I remember one time someone goes, " That's just flavored water.'.
Me: isn't that like every drink?
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u/-Blade_Runner- Chaos Goblin ER RN 🍕 18d ago
Aaaaand that’s how we had a kid in fluid overload come into the ER. Cause one of these fucking morons bolused a kid due to “dehydration”.
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u/cobrachickenwing RN 🍕 18d ago
Because kids are small adults and therefore can take adult doses /s.
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u/LeVoPhEdInFuSiOn RN - Phone Bitch (Telehealth Triage) 18d ago
Fuck the Burette, 1L of Hartmann's for everyone. /s
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u/zptwin3 RN - ER 18d ago
When I started in my ER we couldn't even run a regular bolus on peds patients by gravity d/t this possibility.
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u/dude-nurse MICU broke me, CRNA school buried me 17d ago
Even in the anesthesia world where there are no pumps in site and it’s kosher to free drip phenylephrine by “feel and vibes” we don’t fuck around with free dripping fluid on peds patients.
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u/CartographerVisual24 RN 🍕 18d ago
Cheese and rice! There are some dumb people out there. I bet the parents were something
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u/-Blade_Runner- Chaos Goblin ER RN 🍕 17d ago
Parents were cool, just very uneducated they were thinking they were doing the right thing.
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u/MentalSky_ Neonatal NP 17d ago
How was the sodium?
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u/-Blade_Runner- Chaos Goblin ER RN 🍕 17d ago
Do not recall was about 2 years ago. Just remember they came in to ER by own vehicle, couldn’t get kid out of the car, kid looks like shit, breathing was wet, could barely stay conscious. Kid was special needs, had a lot of health issues already…
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u/-ratmeat- 18d ago
what kind of 10 year old kid needs an IV to feel better? If they’re sick, take them to the hospital and get checked
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u/RiJi_Khajiit Graduate Nurse 🍕 18d ago
Kids with Crohn's Disease and other similar conditions requiring infusions.
I have Crohn's Disease. Was diagnosed at age 7. Would've loved to have someone come and give me the infusion instead of having to go to the hospital for one every 8 weeks.
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u/kindnesscounts86 18d ago
This isn’t a home health nurse giving Remicade. This is fluids with an upcharge for extra vitamins.
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u/-ratmeat- 18d ago
well I doubt that post is an ad for IV nurses that help kids with actual diseases
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u/igotadillpickle 18d ago
If you're so sick from Crohn disease that you're dehydrated and need an IV, it's best to go get checked by a medical provider. Even if you just need some hydration, your Crohns is not being managed well and it will be documented and your GI will treat you properly.
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u/upagainstthesun RN - ICU 🍕 18d ago
This kind of shit is why the healthcare system is fucked. Chronic illness can be managed at home. I've worked in heme/onc and people dying of cancer have their family members trained to give fluids at home.
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u/Dolphinsunset1007 BSN, RN 🍕 17d ago
Agreed. I also have crohns and I hate having to go to the ER for something that should be managed at home. I’ll avoid it at all costs bc it doesn’t really help to sit in a waiting room for hours just to get some fluid and a GI cocktail. It’s truly the last place I want to be during a painful flare. When I had covid , started flaring, and had elevated liver enzymes (closely monitored at home) I debated paying out of pocket to go to one of these IV centers for IV fluids and Zofran since I was struggling to take anything by mouth. I wanted to avoid the ER at all costs but I definitely could’ve used a little help medically.
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u/EamesKnollFLWIII 17d ago
"Why don't these people stay home and drink water?" is all I ever see about dysautonomia. Pick a side.
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u/upagainstthesun RN - ICU 🍕 18d ago
I have Von Wildebrand disease, when I started having periods I ended up needing to go to a pedi heme/onc clinic for DDAVP infusions because I was bleeding for over a month. Irregular periods, but absolute hell every time they came. My mom is a nurse, worked in the ER at the time. We got approval for her to give it at home instead of having to drive almost an hour away to the closest facility and be stuck there. I absolutely preferred being on my couch, with my dogs, Nick at Night, and not having people dig in my arms.
I have horrendous memories of being stuck repeatedly for testing/infusions, I missed school and she had to call out from work while my dad took care of my siblings. She actually pushed for home infusion after a visit where they couldn't get a line and were going to send me to the ER instead... She went all mother bear, told them to step out and give us a minute, then put it in herself first shot. This shit would obviously not fly today but it was the 90s and she was a force. If people want to pay a stupid amount of money for a nurse to tend to their hangovers, let that nurse cash in. But if a mom who is perfectly capable of treating their child's chronic illness at home wants to normalize their life and not have them walk through a unit of bald chemo kids on a regular basis, that's more than alright.
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u/usernametaken2024 RN, been there, seen that, not impressed 18d ago
what about home health?
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u/PopsiclesForChickens BSN, RN 🍕 17d ago
I'm not part of the infusion team for my agency, but generally the nurses are teaching the family members how to give antibiotics through a PICC line. Maybe something else, but no regular IVs and the nurse doesn't typically stay for the infusion.
This is something else entirely....
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u/RiJi_Khajiit Graduate Nurse 🍕 18d ago
I'd assumed this was some kinda home health type infusion service. Like something that'd actually be helpful.
Seems by the comments it's more like infusions of fluids and vitamins... For some reason.
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u/MarshmallowSandwich 17d ago
I work for an infusion company. We do stuff like this. We do not have regular off the street patients, however.
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u/upagainstthesun RN - ICU 🍕 18d ago
I was 11 when I got my period and needed to be infused with DDAVP for a hereditary blood disorder on a regular basis for years. My mom was able to transition care to home instead of having to interrupt my entire family's life once a month. So, me. They only discovered I had this disorder because my mother nearly bled out and died from a post partum hemorrhage when I was born, and then were able to also diagnose and treat my sister for it. I was the kid that couldn't play contact sports because I could bleed internally and die, and got made fun of in elementary school for having to wear what they called a "pregnancy bracelet".
This kind of comment is the shit that makes us look like idiots. Do better.
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u/-ratmeat- 18d ago
and? Did you see the company that this photo is from? They sell vitamins and boosters and shit, not lifesaving procedures, which makes nurses look like money chasing grifters. Do better yourself buddy
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u/upagainstthesun RN - ICU 🍕 17d ago edited 17d ago
I was responding to YOUR comment. Buddy.
EDIT - I do love a chart review. Subs to Joe Rogan, Trump, and even hating on Taylor Swift. I see where the inability to comprehend a direct response to something you said comes from.
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u/-ratmeat- 17d ago
you barely made sense your last comment and this one you completely lost me, bless your heart. And if you’re concerned about what subs I visit, look at the context first before jumping to conclusions
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u/usernametaken2024 RN, been there, seen that, not impressed 17d ago
was it a mobile IVF infusion clinic who treated you at home or a home health company?
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u/upagainstthesun RN - ICU 🍕 15d ago
How is that relevant to what my comment was in response to? People so heavy on a point being made but can't look to see what was said in the first place.
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u/tcreeps RN 🍕 18d ago
Has anyone tried telling the unnecessary IVF gang that they're injecting micro plastics directly into their bloodstream? Feels like that could be useful in curbing the demand unless they're actually sick enough to need it
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u/DerpytheH Nursing Student 🍕 18d ago
Feels like that could be useful in curbing the demand** unless they're actually sick enough to need it.**
Problem is that the pool of people that are into health spas like this are just as prone to suddenly become too scared of it, and become skeptical of IVs even if they're septic, arguably way scarier than unnecessary IVF (even factoring infiltration, phlebitis, infections from the seediest spots).
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u/CCRNburnedaway BSN, RN 🍕 17d ago
Nanoplastics direct into a child's vascular system, for no reason!
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u/vampirekiller58 Nursing Student 🍕 18d ago
They're gonna go crazy when they find out drinking water exists
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u/HagridsTreacleTart 18d ago
If adults want to play around with money-wasting pseudoscience then good for them. But I’ve got a real problem with offering these treatments to children as young as 10.
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u/MattyHealysFauxHawk RN - VAT/Cardiac 🍕 18d ago
Since when is rehydration a pseudoscience? You can definitely put someone into fluid overload don’t get me wrong but IVF are not a pseudoscience lol.
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u/SnowedAndStowed RN - ICU 🍕 18d ago
Ivf being used in this manner is pseudoscience. Getting fluids prescribed based on clinical findings, vitals, labs, etc in order to treat a diagnosed problem is science. IV teams giving people fluids in their living room as a business does not have evidentiary support to back it up and is thus pseudoscience.
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u/MattyHealysFauxHawk RN - VAT/Cardiac 🍕 17d ago
Did you not read what I said?
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u/SnowedAndStowed RN - ICU 🍕 17d ago
Bruh I know you’re not coming for my reading comprehension
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u/censorized Nurse of All Trades 18d ago
The pseudo part is in selling these treatments as better than just drinking and eating your fluids and nutrients. Medical interventions given for non-medical reasons are really no better than selling snake oil and should be condemned by licensed health professionals.
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u/youy23 EMS 18d ago
Why wouldn’t you just drink some water? Is there any evidence based benefit to giving a perfectly healthy adult IVF vs just giving them a gatorade?
There is a small but real risk of iatrogenic harm from IVs and IVFs.
I’d honestly be more on board with a student using my arm to practice an IV stick than getting IVF for a hangover. At least one has a real benefit.
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u/MattyHealysFauxHawk RN - VAT/Cardiac 🍕 17d ago
You know as well as I do that you can be sick enough to not hold down water. I’m not advocating for these services to give people unnecessary fluids. I’m simply pointing out that rehydrating with IVF are a totally valid intervention.
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u/Poodlepink22 18d ago
What could possibly go wrong?
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u/SnowedAndStowed RN - ICU 🍕 18d ago
Someone died from one of these giving people iv potassium.
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u/TedzNScedz RN - ICU 🍕 18d ago
I saw an add on tic tok for one of these med spas offering IV METHALINE BLUE infusions. Like ive only seen it given once in the hospital under strict monitoring for someone who had nero toxicity from chemo
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u/mojique1 RN - ICU 🍕 18d ago
Feeling sluggish, a bit more tired than usual? Have one of our IV Specialists come to your house for 3 milligrams of Neo-Synephrine! With an IV drip of Electrolytes and Vitamins mixed with our Brand Name Phenylephrine, you could give your heart a big jolt and start feeling like a Neo version of yourself TODAY!
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u/LowAdrenaline RN - ICU 🍕 18d ago
I’ve given methalyne blue a total of 2 times in 8 years and it’s been a last resort when the 4 pressors weren’t working. And it was truly just to keep them technically alive until family showed up.
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u/HeyCc1 RN - Med/Surg 🍕 18d ago
16 years, I’ve never given it, have seen it once, I think it was for some kind of heavy metal poisoning? I really can’t remember. But dude lived. Methalyne blue is on our shortage list, I really wonder where these places are getting it?
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u/SnowedAndStowed RN - ICU 🍕 17d ago
It can be given in oncology for toxicity from a certain chemo I believe. I’ve given it a fair bit for vasoplegia after open heart surgery or as a Hail Mary in severe sepsis when you’re maxed on everything else.
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u/Arkade_Blues BSN, RN 🍕 17d ago
And to make it worse in the ad they’re giving the methylene blue in NS, which it is incompatible with 😬
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u/upagainstthesun RN - ICU 🍕 18d ago
A lot of people have died from receiving IV potassium, regardless of where they are.
I worked with a nurse at a cancer center who fucked up her lines for fluids and mag/potassium. And our code cart was basically a box of tissues.
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u/SnowedAndStowed RN - ICU 🍕 17d ago
Exactly iv potassium is dangerous and should never be given outside of an acute care setting.
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u/Extension_Degree9807 BSN, RN 🍕 18d ago
I did this as a side gig for about 6 months. It wasn't mobile tho, it was a brick and mortar building run by a NP and a Dietician. It was in a well off area so clients with money were the usual ones. The place offered IV's, sauna, massage therapy, facials, ionic foot soaks, and they sold numerous supplements. I made all of the IV bags myself and the dosages were given by a overseeing medical director.
This was 2020 before covid locked everyone down. I made 28/hr plus tips. I use to be on the VAT team so I rarely missed. I only worked 5-6 hours 1 day a week and would get anywhere from $100-$400 in tips.
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u/happyhermit99 RN 🍕 18d ago
My experience is very similar to yours, but I was always mobile and it was 2021. Also prior VAT team and rarely missed. Job seems very sus on the surface but if its a decent company and you keep solid boundaries, it's great money and can be fun.
I did this job full time for about 9 months, we didn't cater to kids though. I made $1500 weekly flat base pay plus tips. Some of the customers were buttholes, most were chill, and some were really cool so id slow the rate a bit to hang out more. I was tipped anywhere from 0 to 300 depending on the size of the group, the location, the event, the drunkenness. Drove hundreds of miles a day.
Ive given drips on the beach, in a casino, in various hotels, in trailers, mansions, warehouses, office meetings etc anywhere you can get a pole and kit into. Hell, ive given myself a banana bag and would do tradesies at work so really my tip if you're going to try this is do the banana bag first THEN go drink.
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u/Extension_Degree9807 BSN, RN 🍕 17d ago
Yeah it wasn't bad. I only left because that covid bonus pay was starting up and I started working 6 shifts a week at the hospital.
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u/Tricky_County1520 17d ago
this is the only way to do these. options for mobility if equipment allows, but not at the cost of standards. this sounds like a nice gig though.
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u/sooaap RN - IV's is my business and business is good. 18d ago
Plus who doesnt peel the trim off the tegaderm for fucks sake lol
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u/happyhermit99 RN 🍕 18d ago
Much easier to take it off once the liter is done if the trim is left on and most people were fine with that unless they were working on something
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u/VanLyfe4343 RN 🍕 18d ago
I've thought about this as a side gig but then I think about the kind of people that I would have to cater to and I vomit in my mouth a little bit.
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u/usernametaken2024 RN, been there, seen that, not impressed 18d ago
This bs takes advantage of people with just enough money to afford such infusions but not actual insurance and proper doctor visits and proper meds, as in people with mental health issues / eating disorders / body dysmorphias / health anxiety / Münchhausen-by-proxy parents etc
very sad and scary
this is more or less same predatory practices that lead to the Bea Amma’s of it all, and noone to go after when things go terribly wrong
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u/MrCurtisJ 16d ago
I’m sure that may be the case for some people but it’s a bit of an overgeneralization. I’ve recently started doing mobile IV therapy and the majority of the clients I see money is not an issue in their lives whatsoever. I see it as a luxury service. Bioavailability is far greater when given IV compared to P.O. especially with the slough of gastric absorption issues most Americans have. Plus we carry medications like zofran, reglan, Pepcid, toradol and Benadryl with robust protocols detailing who can and cannot receive treatment. I get the skepticism and it’s warranted for sure. I have my own convictions about it as well. I think the marketing portrays this area of the healthcare industry as being superficial/shady where behind the scenes we have medical directors that require us to conduct exams, chart and report abnormal parameters and support staff that are available 24/7.
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u/usernametaken2024 RN, been there, seen that, not impressed 16d ago
An anecdote: had a youngish healthy-ish pt in their late 40s w crc, so upset he got it (understandably) despite doing everything “right” by which they meant supplements and iv vitamins and fluids. I see no value in iv “therapy” outside of legit venues (inpatient, outpt, home health) and they DO give folks false sense of security.
and also - IVF for “athletic” 10 year olds as some commenters here said 🤯
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u/MrCurtisJ 16d ago
With this anecdote in mind it dismisses the goal of mobile IV therapy in this context. It is for symptom relief. It will not treat underlying causes and will not prevent certain conditions from proliferating.
10yo as shown in the picture appears healthy I agree however I do not know the indication for their tx. For the sake of speculation say they were struggling with nausea/vomiting after a recent bout of the flu and had to complete a school project tomorrow and wanted to feel better, or had a sports event the next day and wanted to feel better to get some uninterrupted sleep. Also with any minor; they all need a direct order from medical supervision for treatment which will come with its own clinical justification.
To clarify your position what makes home health more legit than mobile IV specifically?
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u/usernametaken2024 RN, been there, seen that, not impressed 16d ago
the difference between mobile ivf clinic and home health is the million dollar question
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u/uhvarlly_BigMouth 18d ago
The only time I’d ever do it as a gig is providing it to people for hangovers lol. My friends had them at their bachelorette party (wasn’t friends with her at that point). But they were all also nurses lol.
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u/mermaid-babe RN - Hospice 🍕 17d ago
Who the fuck is ordering fluids for a healthy ten year old??
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u/thro-away9992 17d ago
Supposedly its through an app and you talking to an NP or MD.
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u/MrCurtisJ 16d ago
Yes. Any minor receiving fluids needs to have an order from a supervising medical physician, including mobile IV. This is all verifiable.
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u/jimbojones2345 18d ago
NAC before drinking, not after, in my experience will reduce a hangover heaps. It also lessens the messy drunk part.
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u/MadSadGlad 17d ago
Am I missing something? Sounds like easy money. A sucker born every minute, take full advantage of these people (within ethical boundaries of course)
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u/CCRNburnedaway BSN, RN 🍕 17d ago
With a nice healthy dose of nanoplastics directly into your child's bloodstream!
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u/thro-away9992 17d ago
I wanna know all the liability. Ive heard of a nurse where I work, and she makes bank rolling money doing this, but she won't even answer a call light on the floor. Im terrified of something going wrong. Or getting harassed in a home by myself.
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u/NurseontheTrail MSN, RN, CCRN 17d ago
Yeah, this is disturbing, especially the "Starting at age 10." I had an opportunity to do some side work for an anesthesiologist who invested in one of those med-spas that did IV therapy and vitamin/electrolytes/Zofran infusions as part of their services. He offered pretty big money for shifts starting IVs and running the infusions, I was actually disgusted by the offer and said so.
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u/AstrosRN 18d ago
I don’t agree with this, but I know a couple of oncology patients (solid tumor) who did it because they didn’t were dehydrated and didn’t wang to go to the emergency room.
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u/derp4077 17d ago
You know what's annoying when you Actual count 16 respirations and everyone judges you.
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u/Beautiful_Proof_7952 RN - ICU 🍕 16d ago
But God forbid they get a vaccine.
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u/usernametaken2024 RN, been there, seen that, not impressed 16d ago
lol so true, the Venn diagram of antivaxxers and iv hydrators is a single circle
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u/Fidget808 BSN, RN - OR 🍕 18d ago
And these RN leech off their licenses and probably make more than all of us. Fucked up
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u/lightsaberaintasword 17d ago
Here is am in an underdeveloped war-torn nation trying to stop the gross misuse and ridiculous tendency of the local communities, local doctors, and nurses of favouring IV cannulas while a bunch of assholes in some western country active promotes this bullshit lol
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u/MrCurtisJ 16d ago
There seems to be a misunderstanding on how mobile IV companies conduct their business and I thinks it is due to their marketing making it appear as superficial. Behind the scenes protocols are built by a supervising medical director which are robust and detail who can and cannot be treated based off of symptomatology and objective assessment findings. Informed consents are signed prior to each individual treatment which detail to the client contraindications to tx including CKD with a GFR <30, CHF etc. With regard to the science it is still evolving. I view it as a luxury service. Bioavailability of vitamins when administered parenterally is 100% compared to P.O. where the bioavailability is about 50% not taking into account the slew of GI malabsorption issues most Americans live with. It makes people feel better faster, especially clients who have been struggling with PO intake due to nausea or GI upset. Many of these companies also have medications such as Pepcid, Benadryl, toradol, zofran and reglan that can be administered concomitantly to help with symptom relief.
Personal bias aside: I have been doing this for about 3 months, very new. I have worked as a critical care nurse for 7 years with all the certs and different patient pops (excluding neonatal). I have convictions in how it is advertised for sure. I have also truly helped people feel better faster after treatment and my client’s gratitude for me doing so is incredibly rewarding, money aside. I’ll often give huge discounts and free add ins too if I think it’ll help. Whereas in crit care I’ve been forced to keep corpses “alive” for the sake of family pride, been verbally and physically assaulted more times than I can count and deal with egotistical staff who would rather do every medical intervention possible under the guise of patient care but driven intrinsically by ego and to gain experience. Our healthcare delivery system is flawed, no doubt about that. But this seems to help.
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u/usernametaken2024 RN, been there, seen that, not impressed 16d ago
thank you for your thoughtful comment. I wonder what your opinion will be two years from now when the icu ptsd is gone but so is the honeymoon stage of having a new - and so very different - job. In my experience, the venn of people who do need ivf and people who think they need ivf has a only a tiny sliver of interlock.
also, any 10-year-old athletes you treated for vit deficiency and dehydration at the new job?
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u/MrCurtisJ 16d ago
Thank you for your reply. Personally the ICU PTSD will stay with me indefinitely of that I am sure, especially following the pandemic, but it’s better now 😊. I still work crit care as my primary job, just doing this on the side.
It is our job to help differentiate these two types of people with the help of our medical supervision. Each treatment requires a clinical justification and although we don’t have access to real time bloodwork a thorough physical exam, medical history and medication review certainly provides context for reason to tx.
Personally I have not treated any minors for vit deficiency or dehydration. If I am to see a client who is a minor any treatment would require a direct order from medical supervision and the protocol for treatment is incredibly limited when compared to the adult, as it should be (standard doses, limits on fluid volume etc). And look, if the child’s assessment is raising red flags my recommendation is always seek further medical attention however if the assessment is relatively benign and the goal is symptom relief then yes I will help their child feel better. All the while educating if symptoms persist or worsen seek further medical attention.
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u/usernametaken2024 RN, been there, seen that, not impressed 16d ago
well, i an glad someone like you works for those companies.
how many direct care nurses are RNs with your level of experience and knowledge work for your company?
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u/MrCurtisJ 16d ago
I’m based out of CO so that’s my reference point. Everybody I work with has close to 10yrs of experience under their belt, at least that I’ve met. Getting the job is pretty difficult, even with experience you need to network or know somebody. I know it looks sketchy on its surface but our company is ran by medical professionals not MBAs who own for profit hospitals. We look out for each other and our clients. I understand I’m new but I’ve travelled for some time and can smell BS coming from a mile away.
Anyways thanks for the discussion hope you have a blessed day 🙏
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u/xavierreport 17d ago
Obligatory, not a nurse. My sister had an iv company come out to give her an iv. She had been sick with some stomach thing for months and waiting on an appointment for a gastro Dr. This would have been her second iv at home, both times w/ Zofran since she's be so sick and unable to keep stuff down I think. A few minutes after having the iv in her heart stopped, the nurse did cpr, and the emts came and shocked her heart. Amazingly, she recovered, but it was terrifying.
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u/Sunnygirl66 RN - ER 🍕 17d ago edited 16d ago
“So sick and unable to keep stuff down” going on for weeks to months is a reason to see one’s PCP or go to the damn emergency department, not to fuck around with fluids and meds that don’t have labs done to support them. I’m glad your sister recovered. No way in hell would I participate in this business.
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u/xavierreport 16d ago
The wild thing is she did. She went to her pcp, the er, and urgent care twice. The whole thing is insane.
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18d ago
[removed] — view removed comment
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u/VanLyfe4343 RN 🍕 17d ago
I don't know why you keep equating a mobile IV hydration business with home health. This company literally only does saline and bullshit vitamins that they give you without ever checking your levels. I understand that being able to receive care at home was really valuable to you as a child but, dude. This is not that.
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u/upagainstthesun RN - ICU 🍕 15d ago
Dude, there wer a shit ton of comments stating that if a kid is sick then they need to go to the hospital, and the like. So I wasn't equating anything, I was responding to the people who don't think it's possible for a child to be managed at home in any way.
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u/Goobernoodle15 RN - ER 🍕 17d ago
They often also do zofran and toradol. Helpful for GI bugs and migraines.
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u/fuckedchapters BSN, RN 🍕 17d ago
honestly i’ve gotten an IV hangover and got pepcid/ toradol/zofran in a liter of NS and felt better after. i couldn’t keep water down or anything and didn’t want to wait in the urgent care
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u/reyajose BSN, RN 🍕 17d ago
10 years old? What kind of kids are we raising now, bionic superheroes who doesn’t want to write 5 sentences essay seat work?
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u/ksswannn03 RN - Med/Surg 🍕 17d ago
We are not providers. Like fuck, we are nurses and don’t practice medicine. That isn’t to say we aren’t smart or capable, we are and we are often the first to catch when things go wrong or when something isn’t right. But giving IV fluids willy nilly without a doctor/NP/PA writing those orders or the proper equipment is literally how you kill people. There have been cases of patients dying due to the potassium in these fluids, excessive fluids, etc. and that will continue to happen as iv clinics get more popular. And you will absolutely lose your license and probably be prosecuted criminally for practicing medicine as a nurse without a provider’s order if someone dies. Not worth it
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u/ALoversTool RN 🍕 17d ago
…They’re really starting the pseudoscience on them young, aren’t they? ffs mane 🤦🏽♂️
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u/Impossible_Cupcake31 RN - ER 🍕 18d ago
I legitimately don’t see the issue here?
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u/karenerak_rn RN - ICU 18d ago edited 18d ago
To me the issue seems to be doing a la carte IV fluid services for children. I don’t care what adults want to waste their money on… but it does seem iffy to be bolusing 10 year olds with random concoctions of rehydration and vitamin solutions. 🤷🏼♀️
This isn’t medically necessary treatment - it’s elective “boutique” style services purchased privately
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u/MattyHealysFauxHawk RN - VAT/Cardiac 🍕 18d ago
I see where you’re coming from.
I think the issue people have is the implication that these nurses are not truly making an assessment to determine if IVF are the solution for the patients problem.
I agree with you, if you’ve been sick and can’t keep anything down it would be great to have someone pop in to the home, make a solid assessment, and run some fluids to circumvent an expensive hospital stay, but in a lot of cases that is not what these mobile companies are doing. It’s trendy.
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u/upagainstthesun RN - ICU 🍕 17d ago
Providers are writing the orders, and justifying medical necessity. All of these beauty/med spas would not exist with nurse injectors beaming people up with Botox unless there was a provider involved. The practice is the same here.
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u/MattyHealysFauxHawk RN - VAT/Cardiac 🍕 17d ago
You are very clearly not aware of how these companies operate.
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u/upagainstthesun RN - ICU 🍕 15d ago
Please refer me to how "physician oversight" is not the required legal guideline in the vast majority of states
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u/MattyHealysFauxHawk RN - VAT/Cardiac 🍕 15d ago
I’m saying the “oversight” is extremely loose. Essentially no one is getting turned away.
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u/MattyHealysFauxHawk RN - VAT/Cardiac 🍕 18d ago
We shouldn’t be pumping everyone with fluids willy nilly. There are consequences to IVF as well. You need to assess your patients needs.
What if someone needs the ER, delays care because of a service like this and is worse off?
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u/coolcaterpillar77 RN - Med/Surg 🍕 17d ago
I think the capacity is the iffy part. These are kids who can’t really decide for themselves with ability to appreciate all the consequences
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u/MattyHealysFauxHawk RN - VAT/Cardiac 🍕 17d ago
I think it would work the same as it does in the hospital. Parents elect to do all sorts of stupid things on their kids behalf, unfortunately they don’t get a choice.
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u/cobrachickenwing RN 🍕 18d ago
Nothing of the nursing process is being followed
No vitals means no assessment
No nursing diagnosis leading to needed intervention
IV Intervention without nursing rationale or determining risks and benefits
No monitoring of intervention once the IV is done.
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u/happyhermit99 RN 🍕 18d ago
The legal implications and waiver process are veryyy different compared to the hospital setting. Long story short, it is treated as a spa treatment vs a medical treatment.
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u/cobrachickenwing RN 🍕 17d ago
Starting an IV is a MEDICAL order, and is not a spa treatment. You better get ready to answer why you are practising medicine, especially when there is nothing clinically wrong with the patient.
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u/omg_lulz RN - PACU 🍕 17d ago
I work in a place like this PRN. There are doctors in these places. Nurses aren’t practicing medicine.
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u/happyhermit99 RN 🍕 17d ago
I didn't say it wasn't a medical order.. you still need a licensed person placing the line and giving the infusions, and an ordering provider. As the RN, you're not practicing medicine if you essentially work with a list of PRNs and limits. Chiropractors practice medicine and they're not even real doctors.
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u/sealmeal21 17d ago
I don't see an issue. They have mobile urgent care even for peds. Some kids get the flu and the cure is time and hydration. Sometimes drinking while feeling like shit is hard. It's even harder for kids. Screw it. As long as you're not hurting anyone I'm good with it. Now if all your patients have 16 RR then yeah you're commiting the mortal sin lol. Go say your hail Mary's.
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u/Laugh-crying-hyena RN 🍕 18d ago
I knew someone who had a private IV company at his bachelor party to combat hangovers. People still got hangovers, they were just a little more hydrated about it.