Re: Learning Thread: Med/Surg

Each patient and seizure is different. Assessment and documentation of each stage, specific symptoms, length, must be documented. A pt is asked questions to determine postical LOC to assess/monitor length of each stage and may be asked question during seizure to determine - real seizure or not

Re: Learning Thread: Med/Surg

Originally Posted by RN28MD

Wow I can't believe this post didn't continue, well here is another.
When taking a pts pulse ox, and it shows a 98% saturation but patient looks blue what do you thing this means?

And what do u do when a Doctor orders a walking spo2 assessment on a pt with chronic afib, chf and copd prior to discharge?

Re: Learning Thread: Med/Surg

I am still just a RN student but I work as a tech. . I have been wondering if anyone had a great responses to the question, "When will the Doctor get here?" . . . . the responses I am using aren't always well recieved and I end up with a frustrated patient.

Re: Learning Thread: Med/Surg

Originally Posted by leximast1

I am still just a RN student but I work as a tech. . I have been wondering if anyone had a great responses to the question, "When will the Doctor get here?" . . . . the responses I am using aren't always well recieved and I end up with a frustrated patient.

I usually tell them that they can come anytime throughout the day - they can easily get stuck on another floor or with another patient for a while so we don't know an exact time that the doctor will be seeing them. I also reassure them that a doctor will be seeing them every day.

Re: Learning Thread: Med/Surg

I just learned a neat trick for removing tape easily from skin. I was trying to remove a saline lock from an elderly gentleman with VERY hairy arms. It was such a struggle to get all the tape off and it was very painful for him to have so much hair get pulled off (though I was as careful as possible), it caused him almost more pain that starting the IV in the first place. The Tegaderm was easier to get off, but all the "reinforcing" tape was a nightmare. Anyway another nurse told me his trick. Smear the tape with petroleum jelly and let sit for a minute or so. It sinks right through (this was the plastic micro pore type tape but would probably also work on others if they were somewhat porous). The tape came right off, leaving the hair intact and the patient pain free. The petroleum dissolves the adhesive completely. Wow, what an easy solution, but I had never heard that before!

Re: Learning Thread: Med/Surg

That sounds like such a great tool! I can't wait to use it. Thanks for sharing