libbyjeanne

libbyjeanne

med-surg

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All Content by libbyjeanne

  1. Patient or Client?

    I use patient all of the time. I have never used the term, "client". I hate it and will never use
  2. I and Os!

    Usually my nurse aids will document my oral intake and output...but if they are too busy or I beat them to it, I will do it. Whats an acceptable urine output for a 8-12 hour shift? Well, at least 30...
  3. Febrile Interventions

    For mild to moderate fevers, I dont do ice packs...I remove extra blankets, medicate, and if its a new post-op, have them C & DB. But when I had a malaria patient with a temp of 105.4, I used ice...
  4. Experience for new grad

    It depends on how small of a hospital you are talking about. I worked in a rural facility where there was only 1 RN on at night for the ER and Med Surg. I hated it! If I had any questions (and I...
  5. If your in nursing school, its going to be Acute Pain. You treat pain as your fifth VS. BUT if you show evidence of severe, life threatening deficient fluid volume (like low BP) then that would take...
  6. Night Shift Blues

    It sounds like you have tried to stick it out long enough...2 years to me is a long time. Ultimately the choice is up to you. Is your attitude affecting how you work with your patients/coworkers? You...
  7. Advanced degree in Geriatrics

    Hello there! My aunt has her ANP and works for the VA specializing in geriatrics...soon she will be a Gerontologist. So, yes, it is a
  8. Quick Question

    I would say oxygen, just because my testing instinct would go with the
  9. Level of intelligence

    Why don't you wait to actually become a nurse and start working in a facility 40 hours a week before you start dogging less gifted individuals than yourself? There are weak people in every field out...
  10. NCLEX in another state

    NCLEX (national council licensure examination)is a national test, so they are the same everywhere. You can take the test in any state, no matter which state you may be registering
  11. Enough is Enough

    OMG, I HATE it whenever they use the term 'client'. It really burns my a** and I refuse to ever call my patient that. I absolutely detest that
  12. People you "know "coming to your unit for care

    There has been a couple people that I know personally who came to my floor. One was a new admit from the ER and I point blank refused the pt and offered to take another nurse's "busy pt" so wouldnt...
  13. 24 Hour Observation Unit & Charting

    Well, for our obs patients in Med surg, we basically do the same charting as we do for our inpatients; assessments, hourly room checks, Q 4 or 6 vitals (at the nurse's discretion). Discharge is the...
  14. Bad day ... Gone GOOD !!!

    Woo Hoo! Congrats! John Hopkins is a secret little dream I have. But its your reality! Congrats
  15. Has anyone worked with Operation Smile?

    My coworker worked with Operation Smile last summer and she said it was intense. I am also interested in volunteering for OS, but she convinced me to wait. The nurses that work with OS are in charge...
  16. did suctioning caused hypoxia?

    It is hard to say if the suctioning was the actual cause of her hypoxia, although it definently could have been the reason. Before I suction my trach patients, I hyperoxygenate them beforehand to...
  17. Did a stupid transcription mistake

    I dont understand...how can you DC a narc, or any other med for that matter, without an
  18. What are comorbidities?

    A comorbidity describes the effect of all other diseases an individual patient might have other than the primary disease of
  19. rn licensing in California

    Like in any state, you can apply and take boards no matter what state you go to school in. So, yes you have to apply to California BON to get your license there. You can take your boards in any...
  20. Moving to montana soon !

    What part of MT are you thinking about moving to? You mentioned north west....Kalispell, MT has a great hospital and Missoula, MT has 2 great hospitals. Both Missoula and Kalispell are great places to...
  21. I made a doctor mad at me.

    You did the right thing....Your a good, prudent nurse and your residents are lucky to have you.
  22. I know of three that failed with 75 questions....but then I know of 10-15 that passed with 75
  23. How do I transfer my CNA state to state

    Look on the Nevada State Board website. They have all the info you will need. You will need to apply for a CNA certificate by endorsement...Their website is pretty user
  24. Nevada employment checks

    Hello! I know that the Las Vegas hospitals do employment checks. I think that if you put down your employers that you worked for the last 5 years, that would be good enough. Or you could put down...
  25. Las Vegas job outlook?

    If I were you I would apply immediately...The hospitals in Las Vegas are starting to interview and hire new grads. Usually they do their new grad orientations in July. New grad jobs are kinda tough...