Lisbeth

Latest Activity

1. Med/Surg to ICU

   Lisbeth replied to KayceeLeeRN's topic in MICU

   I transferred from med surg after several years of experience, hoping to be able to use my skills and be able to really focus on my patients. My orientation in ICU was 3 months, but was so intense that I was exhausted every day. I am still stressed...

2. Why is the valve on the nonrebreather mask covered sometimes?

   Lisbeth replied to Shell5's topic in Med-Surg

   Our non rebreather masks have a rubber valve that looks like a washer that closes when the pts breathe in so they don't get outside air, just the oxygen. Then, when they exhale, the valve opens to let the exhaled air out so they don't rebreathe it. ...

3. Heparin or lovenox

   Lisbeth replied to Toothbrushx2's topic in Med-Surg

   I've given heparin SQ in the anterior thigh also, when there were large abdominal dressings from surgery and I couldn't use the abdomen. I thought it could be injected in any subcutaneous fatty area.

4. Transfers from ICU

   Lisbeth replied to AKav8trix's topic in Med-Surg

   I'm on the med-surg end of the transfers, and I the date of the last BM is missed a lot in our reports. It takes a lot of time to research the chart once the patient gets to our floor, and the ICU charting is different than ours. Also, the med she...

5. Am I a hospital secretary?

   Lisbeth replied to moliuchick's topic in Med-Surg

   Is internship like orientation? Who is precepting or mentoring you while you are still new? This person should be helping you to adjust to the reality of your floor. Many new nurses feel intimidated by doctors who yell, the key is to not take it p...

6. making assignments

   Lisbeth replied to Lisbeth's topic in Med-Surg

   Thanks for the great responses. We don't use "teams", I'm not even sure how they work. We try to take acuity into account, and we can do that at the start of the shift based on patients already on the floor. Unfortunately, we get so many admission...

7. making assignments

   Lisbeth posted a topic in Med-Surg

   I work as a charge nurse on a med-surg floor and we are currently having discussions regarding patient assignments. We usually have the charge nurse on the previous shift make our assignments so we can all start work when our shift begins. Our floo...

8. How long was new grad orientation?

   Lisbeth replied to DUCKGIRL's topic in Med-Surg

   When I was a new grad in med-surg, I our hospital had a ten week orientation program. Currently, the program is six to ten weeks, depending on your experience (some RNs were LVNs first). The program is run by the education department of the hospita...

9. my spinal fusion story

   Lisbeth replied to pediatriclpn's topic in General Nursing

   At our hospital, all post-op patients are offered pain medication every 4 hours for the first 24 hours after surgery. Fusion patients are turned/"logrolled" every 2 hours. We have "pathways" where the Dr orders are preprinted on the order sheet, an...

10. Med-Surg Roll Call

    Lisbeth replied to RNPATL's topic in Med-Surg

    I have been a med-surg nurse for 6 years, and started here because the nursing schools were still advising new grads to go into med-surg for their first one to two years. I always figured I could change/cross-train somewhere else when I got tired of...

11. Completely innaccurate report!

    Lisbeth replied to Rocknurse's topic in General Nursing

    I agree that you handled it correctly. I would have talked to the nurse who gave me an incorrect report, and then I would have written it up (especially if she didn't have a good explanation or if she didn't seem conscientious about it). If it is a...

12. Judge Backs Law to Increase Nursing Staffs

    Lisbeth replied to pickledpepperRN's topic in California

    I am curious if anyone is having problems at work related to the new ratios. Is it happening, and if so, is patient care better, or are hospitals cutting staff elsewhere?

13. Most dreaded Dr.'s orders

    Lisbeth replied to BBFRN's topic in General Nursing

    We used to give our patients a pink enema that was called "Pink Lady Enema" and that's how the MD's would order it. The pharmacy would make it up with a mixture of things, like mineral oil, but I don't know what made it pink!

14. Most dreaded Dr.'s orders

    Lisbeth replied to BBFRN's topic in General Nursing

    I once had orders on an eye surgery pt for 3 different eye gtts, five minutes apart, q 30 minutes.