NurseKatie08

NurseKatie08 MSN

Geriatrics, Transplant, Education

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All Content by NurseKatie08

  1. Non opioid pain options

    NurseKatie08 replied to JBMmom's topic in General Nursing

    I work on a pre & post op liver transplant unit...I agree that pain management in certain situations can be tricky. The trickiest population I see is those in end stage liver disease. ESLD is...

  2. potentially dangerous postpartum situation

    NurseKatie08 replied to remotefuse's topic in General Nursing

    Not a post partum nurse and have no comments on this particular situation, but just wanted to add something about rapid response. At my hospital, ANYONE can call a rapid, patients and family members...

  3. Floating

    NurseKatie08 replied to Crush's topic in General Nursing

    Yikes, on your own two months and already floating? We have a rule that new staff cannot float for 6 months, which is at least a little helpful. Also, all of our med surg floors are specialized to a...

  4. CCTN Transplant Nurse Certification Study Advice

    NurseKatie08 replied to msdaniwagner's topic in General Specialties

    I got into transplant on a whim & loved it from day one. I simply applied to a posting for a transplant focused med/surg unit at my hospital. My unit takes newly licensed nurses as well. I did...

  5. CCTN Transplant Nurse Certification Study Advice

    NurseKatie08 replied to msdaniwagner's topic in General Specialties

    I can't offer any advice about the CCTN exam as I haven't taken it myself (thinking about doing it soon though!) Just wanted to reply to second your request for a transplant nurse speciality...

  6. Sliding up bariatric residents

    NurseKatie08 replied to notanumber's topic in Geriatric, LTC

    Would agree with the previous who would have to insist that the staff use proper body mechanics. However, is something like a Hercules Patient repositioning system available to order? It is a...

  7. MD was angry I questioned him.

    NurseKatie08 replied to ella2990's topic in General Nursing

    OP, great job advocating for your patient! Also, let me just add that Lactulose can also end up causing low K due to losses in the stool. I am a liver transplant nurse and very very familiar with...

  8. Low Census

    NurseKatie08 replied to allstressedout1's topic in General Nursing

    Surprised by how often it seems to happen to some! Cancellations are handled by seniority on holidays at my hospital, and then by a list of when everyone was last cancelled on non-holidays. I was...

  9. Is this reasonable or just over the top?

    NurseKatie08 replied to Lakeshore18's topic in General Nursing

    This this this! I agree completely with what klone has written here. I think a huge component of making bedside shift report work is doing a round on all your patients one hour beforehand and...

  10. Patients Say the Darnedest Things

    NurseKatie08 replied to allnurses's topic in General Nursing

    Omg, I hear that one once a week and I crack up every time! Edited: sorry, forgot to quote! That was in response to the poster who said that they had a patient who apologized for waking the nurse up...

  11. Should we change the needleless hub after drawing blood from a central catheter?

    NurseKatie08 replied to Probably's topic in MICU, SICU

    Post is a few months old, but just wanted to chime in (not an ICU nurse, but do draw from central lines). Our hospital policy requires to change the cap & flush with 20ml NS after each draw. In...

  12. Charge Nurse

    NurseKatie08 replied to nursestudent15's topic in General Nursing

    My first job was a subacute rehab where there was not a formal charge RN role, but after a while I was the most experienced on my shift that people looked at me as an unofficial charge & I was the...

  13. What Do You Do When Co-Worker Falls Asleep on Night Shift?

    NurseKatie08 replied to NightNerd's topic in Patient, Colleague Relations

    I would love to know where you work that you get a two hour

  14. Gave a med I shouldn't have given... worried about repercussions

    NurseKatie08 replied to tired_panda's topic in Patient Medications

    We allow Metoprolol but not Labetolol on my unit as well, and I'd be willing to bet that this is exactly

  15. Should I self report?

    NurseKatie08 replied to Sunnywd's topic in General Nursing

    It's Lopressor for heavens sake! What do they think you'd have done with it? Granted, you should follow facility policy for returning meds to pyxis or pharmacy but it's not a narcotic. How do they...

  16. How to become a specialty nurse and treat patients with hepatitus C?

    NurseKatie08 replied to Cieritaqt's topic in Gastroenterology

    Try working on an inpatient transplant unit...you'll see lots of patient's with Hep C

  17. Question on liver disease pt, MAP, and lactate level

    NurseKatie08 replied to zacarias's topic in General Nursing

    Interesting...thanks for the

  18. Question on liver disease pt, MAP, and lactate level

    NurseKatie08 replied to zacarias's topic in General Nursing

    I understand what you stated re: albumin, kidney patients & protein restriction), but the piece about albumin for renal protection is why I wanted to see if I misinterpreted KatieMI's post. She...

  19. Question on liver disease pt, MAP, and lactate level

    NurseKatie08 replied to zacarias's topic in General Nursing

    A little confused about why you say high doses of Albumin are never ordered because it will kill the kidneys. I find quite the opposite to be true as a liver nurse. We give large doses of Albumin as...

  20. Asked to Move to Another Floor?

    NurseKatie08 replied to aurora119's topic in General Nursing

    There isn't a specific transitional care section. Many poster in the LTC forums speak about these kinds of units. There is also a rehabilitation nursing forum but I find it is quieter than the LTC...

  21. Asked to Move to Another Floor?

    NurseKatie08 replied to aurora119's topic in General Nursing

    I worked on a TCU within a SNF right out of school and loved it. Loved it so much that I actually stayed for four years before going to acute care. While the acuity/interventions needed to do were...

  22. Calling report to the floor.

    NurseKatie08 replied to CardiacDork's topic in General Nursing

    Thanks for thinking so, but we have to do insulin gtts on my transplant med surg floor all the time. Bane of my

  23. Pre Kidney transplant

    NurseKatie08 replied to Zhosanha's topic in General Nursing

    I am a liver/kidney transplant nurse. Do you mean someone coming in to the hospital as pre op for transplant with an organ offer for planned transplant? If you expounded a bit on what you mean, I...

  24. You know the shift is gonna be a hot mess when ...

    NurseKatie08 replied to CardiacDork's topic in General Nursing

    I can't say that I have received a combative direct admit for a liver transplant, but I absolutely HATE sending someone home when the liver is bad. It is SO sad for the patient and family. I had...

  25. Reasons patients turn on their call light

    NurseKatie08 replied to diamondp17's topic in Patient, Colleague Relations

    Similar to that, I recently got "My IV has 20 percent left" after I had just recently hung his TPN & Lipids. He was staring at the IV pump and noticed that the lipid channel scrolls "Fat Emulsion...