SilleLu

SilleLu has 3 years experience.

Latest Activity

1. Are Big City Hospitals Really Getting Hit With COVID-19 Pts?

   SilleLu replied to EPS's topic in COVID

   400+ beds, SE michigan but not Detroit. 3 ICU units, a makeshift ICU in an unused area, 2 out of 3 med/surg units, 1 large tele unit were ALL made into Covid units and ALL had a good number of covid and/or r/o patients. BiPaps made into vents because...

2. Accused of not giving dilaudid

   SilleLu replied to KMULL002's topic in General Nursing

   I'm wondering if you pushed the medication slowly, which of course is correct, while other nurses had been pushing it faster, giving her the quick buzz. Might explain why she is accusing you of not giving it.

3. Iv antibiotic running as primary?

   SilleLu replied to SquatsNScrubs's topic in General Nursing

   How is the abx ordered? Our are all ordered IVPB, so to me that means if I run it as primary I'm not following the order as written. I would hang it piggyback even if I had a choice, for the reason many others have noted, and so that I can back flush...

4. Doctors Say the Darnedest Things - WIN $250! Nurses Week Contest 2018

   SilleLu replied to Brian S.'s topic in General Nursing

   Patient in respiratory distress, lungs sounded horrible, RR in the 50s, accessory muscle use, shallow, sat ok on just nasal canula however. Lasix given but patient getting worse by the minute. Resident comes to me and asks for STAT Flonase and saline...

5. I think I might hate nursing

   SilleLu replied to Lexi256's topic in General Nursing

   I too was a CNA before I was an RN... The work of RN is more mental than physical, although I still do a fair amount of the physical care as well. So what is an RN doing while sitting at the computer or on the phone, other than charting? Reviewing l...

6. Patients Say the Darnedest Things - WIN $250! Nurses Week Contest 2018

   SilleLu replied to Brian S.'s topic in General Nursing

   Sweet little couple both mid 90s, both sharp as tacks. Wife recovering from hip fx. I was helping her off the bedpan and pulling up her undies and pj pants. Husband pipes up, "I would have helped her, but I'm much better at taking them off...I've had...

7. What is your Nursing Super Power?

   SilleLu replied to adventure_rn's topic in General Nursing

   Getting complicated discharges done. The patient that has been medically stable for weeks, doctor are willing to write discharge orders, but difficulty getting patient placed somewhere? Gone on my shift. The challenging patient that keeps coming up ...

8. New Grad & Scheduling Difficulties

   SilleLu replied to 02468's topic in New Nurse

   Sounds like a hard decision if they won't change your preceptor. I recently accepted a new 12 hour position at my hospital and at no time did they bother to mention that during the three months of orientation I would be asked to work 5 8 hour shifts ...

9. Assertiveness Training Needed

   SilleLu replied to Emergent's topic in General Nursing

   , THIS!!! In two years in a hospital with over 1,000 RNs (granted I've only been on a handful of units), I've seen plenty of 'normal bad behavior'. I've called out a few of them on it when it has affected me personally, but going into my third year o...

10. New at Charge, HELP!

    SilleLu replied to JcorbinRN's topic in General Nursing

    I was asked by my manager to do charge after 1 year, was new grad to boot. This was in a 40+ bed med-surg unit. I told her I didn't know enough yet and I still went to my seniors with questions. Her reply was that I would learn a lot as charge, so I ...

11. Questioning a doctors order

    SilleLu replied to MrsJt's topic in Relations

    Not questioning doctors orders can be dangerous. Dr. ordered toradol for my patient just last week. Patient's chart clearly states allergy with anaphylactic reaction. Doctor missed it, pharmacy missed it. Nursing didn't miss it luckily. It is so comm...

12. Orders from hell...

    SilleLu replied to Leonardo Del Toro's topic in General Nursing

    "Walk this patient in the hallway without oxygen and then figure out how much oxygen he needs and record it to satisfy hoop-jumping to get patient what he needs."

13. Alternative to shouting a name

    SilleLu replied to heavydmg's topic in Emergency

    I don't work in ER. However, having been on the other side, I wonder if a system like the OR waiting room would work? The patient is given a number/letter code which can be shared with family as the patient wishes. The board is color coded with the p...

14. 4th semester nursing student and feeling doubtful

    SilleLu replied to ns808's topic in Student Assist

    to OP...we've all made mistakes. Yes, your nurse should have checked. Yes, you should have clarified. Learn from this mistake, and from the next one (yes, you will make another one). If every nurse that made a mistake quit, there wouldn't be any nurs...

15. 4th semester nursing student and feeling doubtful

    SilleLu replied to ns808's topic in Student Assist

    Some pumps don't...we have Alaris and if the drug is piggybacked, it will draw from the primary without alarming. That is assuming the primary is already running and it's the secondary clamp that wasn't opened.