LouisVRN RN

LouisVRN is a RN and specializes in Med/Surg.

Latest Activity

1. Standing up to MDs - consequences?

   LouisVRN replied to fyrestar's topic in Relations

   i don't think so. Although this has several answers. First of all imo you have to develop a good relationship with the doctors, and also deliver good quality care to their patients. Second you have to be willing to explain your thinking to the doctor...

2. Becoming an ICU nurse

   LouisVRN posted a topic in General Nursing

   I have worked med-surg for the past 4 years, and have loved it. I am currently a med-surg charge nurse and getting to the point where i need a change. I feel like the unit i have been on, while home, and I are going in different directions. The push ...

3. Diagnoses you never thought you'd see?

   LouisVRN replied to KarafromPhilly's topic in General Nursing

   SJS, Serotonin Syndrome, and Werncike-Korsakoff's Encephalopathy, as well as 2 cases of Adrenal insufficiency/

4. Where would I be a good fit?

   LouisVRN posted a topic in Career Support

   I've done Med/Surg for almost 4 years and have been a charge nurse for about 6 months. I don't have any intent on leaving my unit for at least another couple of years, we are in that time going to get trained on Telemetry as they are going to start d...

5. How did you *know* your specialty and when?

   LouisVRN replied to misscherie's topic in General Nursing

   I always wanted to work OB in school, but was offered a med/surg job and took it out of school. I've been there for 4 years this September and am now a charge nurse and love it. Every now and then I wonder if I'd like anything else as much.

6. Rapid Response - primary RN

   LouisVRN replied to LouisVRN's topic in Safety

   Oh yeah as charge its super annoying to have the icu charge rn, house sup and swat nurse there asking questions about the pt and have to pretty much run after the primary nurse who is trying to leave to go chart or when their questions are met with s...

7. Rapid Response - primary RN

   LouisVRN posted a topic in Safety

   In a Rapid Response what is the primary RN's responsibility at your facility? I am working on this as a project as during several of our recent RR on the floor the primary RN has left the charge nurse to conduct the RR while they see the rest of thei...

8. Tips for a new nurse going into ICU

   LouisVRN replied to MedSurger's topic in Critical

   I don't work ICU. I'm a Med/Surg Charge nurse. But we get to see the intensivists/ICU charge nurses whenever there is a rapid response/code. And what I've learned is this...ask a lot of questions. Most of them have been doing it for years and welcome...

9. Stopping patient care for another patient

   LouisVRN replied to sAssy_NurSe's topic in Relations

   I agree with this. Pt A wanted pain medication. Once they received that they probably would not have minded if you reassessed their vitals, repositioned them, etc when you went back to reassess your pain after medicating patient B. I have had one pa...

10. What NOT to do as a new RN.

    LouisVRN replied to roser13's topic in General Nursing

    On a related note, as a new grad I once was taking care of a pt with an AKA and on a heparin gtt. My shift was over, pt and I had a good night and developed a good relationship, so when he said he'd like to get back to bed during bedside report i tol...

11. A question to nurses with children

    LouisVRN replied to taramade's topic in General Nursing

    Having 2 young children, I work nights so I can spend all the holidays at home. Even if sometimes it means staying up 36+ hours. We all sacrifice somewhere. But nights works well for me. The only nights I try to get off are Halloween, usually not a p...

12. Eating on the Night Shift

    LouisVRN replied to westieluv's topic in Med-Surg

    My usual eating schedule on days I work: drink coffee when I get up around 9am, eat a light lunch around 2pm, take a nap around 330pm, snack before work at 530 with another coffee, dinner at 1-2 am, then light breakfast around 8 when I get off, if I'...

13. What can I expect while working at an Orthopedic Department?

    LouisVRN replied to avianale's topic in Orthopaedic

    A lot of it will be ambulating/helping pt's with ADLs. Regardless of the type of ortho surgery few of them are independent post-op whether it be due to inability to move, pain, or fear. So expect a lot of helping set up trays, helping pt's turn in be...

14. Is this considered patient abandonment?

    LouisVRN replied to lindsmith88's topic in Safety

    I'm assuming that would depend on the policy at the facility where you work. Are you required to get a verbal/written SBAR of the patient, or is that information available in the computer and you are supposed to see it when you are assigned the patie...

15. Grossest thing that you've experienced?

    LouisVRN replied to dirtyhippiegirl's topic in General Nursing

    Bostonterrier - having delivered a baby and a placenta, I can say the placenta was pretty gross from that aspect too. With my second child, who was 9.5lbs and natural I dreaded the placenta more than anything else. The eye story would have to be the...