TigerGalLE BSN, RN

NICU

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All Content by TigerGalLE

  1. TigerGalLE

    Nurses' Christmas

    nurses' christmas t'was the night before christmas, and all thru the floor lasix was given, filling foleys galore. stockings were worn to prevent emboli, they came in two sizes, knee and thigh...
  2. TigerGalLE

    things you wish you could tell the doctor

    Why are you using the patient's restroom? And why didn't you wash your hands
  3. TigerGalLE

    3rd shift always leaves on time... I never do

    I'm really not trying to start a shift war with my post. This job is just frustrating and it is like no other job out there. I don't think anyone truly understands what goes on during the other shift...
  4. TigerGalLE

    Dialysis

    are you working in a dialysis unit? or on a renal
  5. Ok at the end of my shift something very strange happened with my patient. My patient was a young guy who had been an alcoholic for quite some time. Was admitted with DT's and pancreatitis. He has...
  6. TigerGalLE

    Need help figuring out what happened to this guy!?!?

    hmmm I'm not sure when his last ammonia level was.. I'm off until monday... but that is something to think about.... and yea his blood sugar was
  7. TigerGalLE

    didcharge nsg note

    I usually say something like this... D/C instructions, Medlist, Rx, f/u appointments given to and reviewed with patient. Pt. verbalized understanding. 20g IV gelco removed from R hand; tip intact. No...
  8. TigerGalLE

    Is it just me?

    Thanks y'all... A few days off have helped some. Maybe when I go back it will be better... However they have called me every day on my day off at 5:30am to see if I could come in and help... And I...
  9. TigerGalLE

    Is it just me?

    So I need some advice as to whether the problems I am having are because of the floor I work on or is it just me? The past few days I have been extremely frustrated/overwhelmed at work. Monday was my...
  10. I love A&O elderly patients. Esp the ones who are so grateful for your care. They understand how hard we work and they actually appreciate the care we give them. They also have great stories to...
  11. TigerGalLE

    Is this considered exposure?

    I had an HIV patient who's new dialysis catheter bled out all afternoon. We held pressure for 2 hours until we could get FFP's in him.. Well anyways one of the nurses got some blood on her shirt and a...
  12. TigerGalLE

    Is this considered exposure?

    The tunneled catheter had been placed earlier in the day. From radiology he went to dialysis where they gave him heparin. He was bleeding around the insertion site. Developed a huge hematoma right up...
  13. TigerGalLE

    I talking to yourself a prerequisite to nursing?!?!

    I think it is because we have so many things on our mind. We have to multi-task constantly. When I talk out loud I am usually trying to prioritize or think through something. Maybe hearing yourself...
  14. TigerGalLE

    Young Nurses?

    Haha! I'm 23 and I look very young too. Just last week my 97yr old male patient asked me if i was in middle school!! YES MIDDLE SCHOOL!! haha.. It was very cute. I just said.. Middle school? Why thank...
  15. TigerGalLE

    vasovagal response????

    Don't feel like an idiot for calling a code. Maybe more a Rapid Response type situation... But if my patient did that you'd better believe I'd be calling someone. A sudden change in status is serious...
  16. TigerGalLE

    A message to new grads: NEVER....

    ALWAYS check on your dialysis patient as soon as they get back from dialysis. Don't go to lunch when you pt's status is changing... The nurse you left in charge of your patients will not appreciate...
  17. TigerGalLE

    IV Piggybacks

    I'm pretty sure you can run pepcid through TPN... I think you can run some electrolytes too.... Always call and ask pharmacy though!! And another tip... When piggybacking antibiotics with fluids (such...
  18. TigerGalLE

    IV Piggybacks

    Just put the "piggyback" on a pump... it will beep when it is done and you can stop it and flush the
  19. TigerGalLE

    Examples Of Good Nursing Notes

    We use flow sheet to chart as well. I'm a new nurse and I usually write a narrative note as well. Esp if there is a lot going on with the patient. I'll chart my assessment on the flow sheet and then...
  20. TigerGalLE

    Kardex ?

    On my floor we have mini chart type notebooks that each nurse uses. In the chart we keep all of the mars and kardex for each patient. Each nurse keeps up with their notebook all day and it is very...
  21. I've been off orientation since April and I usually manage my time very well. So I'll tell you what I do... 1. Get out of report and go see my patients. I introduce myself, see what their vitals are...
  22. Ok so we have a nurse who has been working at our facility for like 20 years. She is a very smart nurse... But she is very lazy and never does her work. She also gets an attitude if you say anything...
  23. TigerGalLE

    Bariatric Surgery....years later

    We have a frequent flier that comes to us quite often after having gastric bypass. This pt now has a PEG, a colostomy, ESRD (on dialysis 3 days a week). After their gastric bypass they developed a...
  24. TigerGalLE

    Which nursing skills do you dread?

    I hate hanging blood for many reasons. 1. there is always a chance they will have a reaction 2. frequent vital signs 3. tough on the veins, usually will end up having to start a new IV 4. Having to...
  25. TigerGalLE

    Which nursing skills do you dread?

    Ok I have another one.. Continuous Bladder Irrigation.. UGH emptying that foley and hanging new bags all day... Very