veegeern

veegeern BSN, RN

Internal Medicine Unit

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All Content by veegeern

  1. Combining Adult Med Unit with Peds Unit

    veegeern posted a topic in General Nursing

    Long story short here...Census has been low on our adult medical unit for around 1 year. Pediatric's census is up and down, so they've been bumped from floor to floor. Now, they're with us, and...

  2. low o2 sats after ORIF?

    veegeern replied to crissrn27's topic in General Nursing

    Pain or sedation resulting in shallow breathing or slowed respiration rate? I've seen it with other

  3. Time allowed for medication administration changing.

    veegeern posted a topic in General Nursing

    An e-mail went out today from the Pharmacy head stating that a (hospital) corporate wide change went into effect today. Until today, a medication could be given up to 1 hour before or as much as 1...

  4. Time allowed for medication administration changing.

    veegeern replied to veegeern's topic in General Nursing

    :yeahthat: Most of ours have multiple tablets, and many take them 1 at a time. A couple of our nurses will crush meds for these to save time, but I really hate to do this if the patient can swallow....

  5. Time allowed for medication administration changing.

    veegeern replied to veegeern's topic in General Nursing

    Thanks to all who have already responded. I see that there a those who have either always been held to the 1 hour standard, or have gone to the 1 hour standard. As an entire floor, it is a challenge...

  6. Blood in the IV

    veegeern replied to sunshineonleith's topic in Emergency

    I have seen this with gravity flow, especially with INTs in the upper arm or when a patient is gettiing out of bed. Have only seen this happen with a pump when the MD ordered a rate of 20 ml/h, and...

  7. CDiff Smell?

    veegeern replied to student456's topic in General Nursing

    My husband had a "different" odor to his breath before his thyroid cancer was diagnosed and treated. Don't know if it was the cancer or the impaired metabolism that gave off the odor. My grandfather...

  8. Anyone see tonights "ER" Episode?

    veegeern replied to RNstudentBrian's topic in Men in Nursing

    I took a quick count of nurses who also happen to be male in my rather small, rural, southern facility. I counted 13 without even trying. If any of them are gay, then their wives and children are in...

  9. Enraged (venting)

    veegeern replied to andhow5's topic in Emergency

    Funny how we never see things like this in the national news. As opposed to nurses that kill their

  10. What part of pt care gets overlooked most often

    veegeern replied to chenoaspirit's topic in General Nursing

    Definitely oral care. Changing any tubing including feeding tubing runs a close 2nd. Usually gets done by certain nurses consistently, and not done by others consistently. Our assessment screen...

  11. Enraged (venting)

    veegeern replied to andhow5's topic in Emergency

    To the OP: I am so sorry that you found yourself in this situation. You say that you lost your cool, but I say that you kept it. You did what you had to do to protect yourself and to make the pt...

  12. Destruction at work: What have YOU broken?

    veegeern replied to Ruby Vee's topic in General Nursing

    as a new grad, i did both of these!:trout: i was in a hurry and failed to note that i had incorrectly connected the tubing to the cannister. fortunately, our wall suction has a one way valve, so the...

  13. How to maintain/preserve an IV site?

    veegeern posted a topic in General Nursing

    Our facility protocol is to flush IV sites q 8 hrs with 3 ml NS if the site is not being used. We also flush with 3 ml NS before and after IV med admin. Had a patient receiving multiple IV...

  14. How to maintain/preserve an IV site?

    veegeern replied to veegeern's topic in General Nursing

    KVO fluids makes sense. Just had never heard of flushing with 50 ml saline. I have chosen to use 10 ml for certain abx and after phenergan. Thanks to everyone who

  15. How to maintain/preserve an IV site?

    veegeern replied to veegeern's topic in General Nursing

    I'm in Georgia. Hep flush is only used for central lines in our facility. Saline flush only for peripheral

  16. Is It Possible To Get Back Into Med/surg?

    veegeern replied to cat123's topic in Medical-Surgical

    I personally can't imagine coming back into nursing after that many years, and I'm basing my opinion on the volume of new information that I've had to assimilate since I became a nurse almost 3 years...

  17. What have other nurses done that have freaked you out?

    veegeern replied to texas_lvn's topic in General Nursing

    Have gotten a few chuckles...and a cringe...out of these! A newly hired RN with many years experience was providing patient care one shift. Our PCAs will often place used thermometer covers in a tray...

  18. Combining Adult Med Unit with Peds Unit

    veegeern replied to veegeern's topic in General Nursing

    As for me, I don't know if I would like peds or not. It was okay in nursing school, but I've never actually taken care of them as a

  19. Combining Adult Med Unit with Peds Unit

    veegeern replied to veegeern's topic in General Nursing

    This was my point exactly. What do peds nurses know about all of the adult cardiac rhythms, meds and dosages...and all the other dxs that we have on our internal medicine floor. What do we know...

  20. Combining Adult Med Unit with Peds Unit

    veegeern replied to veegeern's topic in General Nursing

    Thanks to all who replied. You all are voicing what I'm thinking. Even though I'm a very independent person, it's nice to have validation at times. From what I've seen so far (almost 3 years with...

  21. input- Most common nursing skills on med-surg?

    veegeern replied to ncriverrat's topic in Medical-Surgical

    FairlyThere has it right. I'd only add that you need good communication skills and LOTS of patience! Oh, and everything that you see the nursing assistant do...become as quick and proficient at it...

  22. New RN's helping them

    veegeern replied to bradleau's topic in General Nursing

    I was the new med-surg (also BSN) nurse almost 3 years ago. Where is she with her organizational skills at this point? When she receives report, does she know where to begin? Forgetting for a...

  23. ways to improve in-patient satisfaction

    veegeern replied to evans_c1's topic in General Nursing

    :yeahthat:

  24. Patient Flow / Medication Reconcilliation

    veegeern replied to bbbbbbbb's topic in General Nursing

    Are you just referring to reconciliation at admission, or reconciliation b/t units

  25. IV Push Meds Question

    veegeern replied to Carla25's topic in General Nursing

    After our latest inspection this became our policy, also. For instance, we nurses were mixing large dose of Zofran and putting them on a pump instead of standing there and pushing them "forever."...