veegeern

veegeern BSN, RN

Internal Medicine Unit

Member
  • Content

    179
  • Visitors

    4,135
  • Followers

    0
  • Likes

    2

All Content by veegeern

  1. 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?

    Pain or sedation resulting in shallow breathing or slowed respiration rate? I've seen it with other
  3. 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. :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. 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

    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?

    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?

    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)

    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

    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)

    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?

    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. 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?

    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?

    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?

    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. 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

    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

    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

    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?

    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

    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

    :yeahthat:
  24. Patient Flow / Medication Reconcilliation

    Are you just referring to reconciliation at admission, or reconciliation b/t units
  25. IV Push Meds Question

    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."...