MedSurgLPN2005

MedSurgLPN2005 LPN

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About MedSurgLPN2005

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  1. IV fluids to gravity, infiltration?

    I've always known to run Kcl as 10 mEq per hour and its our hospital policy that its always on a pump.. Yes, you can use the roller clamp to adjust the flow rate, but anybody could come mess with it, like the patient or family members.. I try to reme...
  2. Intellidot

    I dont know one single person that actually LIKES the Intellidot... and if you ask me, its setting us up for more error than ever.. The worksheets are a horrible system to depend on. (They get thrown out after 24 hours) Things are always getting mis...
  3. Ativan...ETOH History...7mg IV last night? Too much?

    Im sitting here shaking my head at the nurses referring to Ativan as a chemical restraint and too scared to use it.. You think you're advocating for the patient by not "restraining" them.. by allowing them to be anxious, agitated and confused, puttin...
  4. Returning nurse needs help with documentation

    The way I was taught, less is more... Once you get into detail, you better make sure you include every last detail or else they'll wonder why you didnt write everything... Example: You could say (a) safety precautions maintained (which covers everyth...
  5. Young adults and MI

    I found this article about collateral circulation helpful: http://www.google.com/imgres?imgurl=http://www.thehealthculture.com/img/collateral-circulation.gif&imgrefurl=http://www.thehealthculture.com/2009/08/collateral-circulation-and-the-cat-con...
  6. Ativan...ETOH History...7mg IV last night? Too much?

    First of all, it was pretty crappy for those dumb nurses to try to make you feel bad about a decision you made... And 7 mg of ativan for a detoxer is NOTHING!! Ive seen a guy get 30 once, and it still didnt touch him. I was taught that 2 mg of Ativa...
  7. med-surg questions...

    Lots of pockets!!!!
  8. PICCs

    At our hospital we flush unused PICC ports Qshift with 20 ml of NS and 5 ml of Heplock flush. We scrub them with alcohol before attaching the syringes so it's not necessary to used different syringes. And of course we always flush with NS before and ...
  9. Help this Tele/CICU nurse floating to Med/Surg...

    LOL anytime our ICU nurses float to the floor they drown! You should try to get some kind of orientation and learn the ropes before you know what you're getting into. Some shifts are worse than others but there's just no messing around. You gotta get...
  10. dressing changes

    Well first of all NEVER EVER touch the surgical dressing! The surgeon wants that to stay on a few days because its the sterile surgical dressing and once it comes off the incision is contaminated. However, if it leaks through, a lot of surgeons consi...
  11. Ahh! New grad starting on a med/surg floor!

    Dont worry, you will remember more than you think! It will come to you as you face different situations. Its all about having confidence (or faking it), willing to admit you dont know everything and wanting to learn
  12. infusing k-rider ivpb

    It seems like lidocaine would mask the irritation and possibly allow the potassium to blow the vein. One md I know just tells us to dilute the k-rider in 250 ns and that always works great, even if you run it faster...
  13. Cna challenge lpn boards

    Well I must say that I'm not very offended by this comment coming from somebody that doesn't know how to spell "allowed".... But I'd just like to say I am an LPN on a med-surg unit and I do just about everything the RNs do minus pushing cardiac drugs...
  14. Good Aspects Of Med-Surg Nursing?

    Med surg is the boot-camp of nursing. Everybody should have to do their time here and get the training before they specialize. (If they dont decide to stay in med surg, that is). These days I'm seeing nurses starting out in ICU, ER, L & D etc st...
  15. Typical duties (and not so typical) of a med-surg nurse?

    AMEN!!!!!!!!!!