KaroSnowQueen RN

Telemetry, Case Management

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All Content by KaroSnowQueen

  1. KaroSnowQueen

    Hospital LPN's, what states are you working in?

    Louisville
  2. KaroSnowQueen

    driving after birth

    All I got to say is try driving a stick shift with a fourth degree lac. No
  3. KaroSnowQueen

    Do you think "isolation precautions" are outdated?

    Anybody at my hospital who has a HISTORY of Mrsa, vre, or whatever is always in isolation. What gets me is they book a bed in a double room, send the patient up, THEN we read in the admit notes from...
  4. KaroSnowQueen

    What's your holiday bonus?

    My main job, hospital, telemetry, non-profit, but obviously with money to burn since they are building a nice new hospital over by where all the rich doctors live -- zippo. De nada. Not one thing....
  5. KaroSnowQueen

    Renal emphysema

    Been having pyelonephritis this year, hadn't had so much as a UTI since 1983 for pity's sake. Had it four times on the left side, treat with antibiotics, life goes on. Thanksgiving I got sick while...
  6. KaroSnowQueen

    any nurses fighting for their license with BON?

    I had a friend, LPN, who was fired from her job for "poor documentation". We had paper MARs at the time, and it was hard to always get the MAR, as the docs, the unit clerk, the student nurses and God...
  7. KaroSnowQueen

    Question on when infants die

    Here the baby must be buried/cremated if it is born alive. Before viability, (24 weeks I think) it is the parent's choice. After viability, I think it also must be buried/cremated, regardless of...
  8. KaroSnowQueen

    "Older" nurses and 12 hour shifts

    I am an "oldie" but prefer 12 hr shifts, as I have a one hour one way commute, and sure as heck don't want to do it more than I have to. That said, I can't do three 12's in a row anymore. I do two,...
  9. KaroSnowQueen

    Moms who want to feel absolutely NO pain

    Back in the day (early 80's) they made me wait until I was 5 cm to even call for anesthesia, was 6+ before he showed. Last year, DD was 2 cm NOT in any pain and got one ASAP!! I felt cheated!! Glad...
  10. KaroSnowQueen

    Off shift nurse supervision

    IMHO, it sounds dangerous to me and that admin should just buckle down and hire another super. Leaving one nurse for four ICU pts is not good
  11. KaroSnowQueen

    Increased fetal movement

    Yes, with my last baby, she had an extremely active period, where it felt literally like she was rolling over and over inside me. When she was delivered, the cord was around her neck four times...
  12. KaroSnowQueen

    Describe your last day at work in 50 words or less !?

    Bed 1 little old lady with afib. Coumadin loading. Very nice. Bed 2, absolutely aggravating woman, had her a couple weeks ago. Knows everything, but asks ten thousand questions and then argues with...
  13. KaroSnowQueen

    LPN orienting an RN?

    I've been an lpn for 23 years, and have oriented many an RN. I have worked in states where lpns can do push drugs and have instructed new rns on how to do it. It isn't the fact that an LPN is...
  14. KaroSnowQueen

    Treatment of VRSA/MRSA??

    Vanc is first rx of choice for mrsa. I haven't had much experience with vrsa, so don't know what they use.
  15. KaroSnowQueen

    Hospice @ LTC ??

    Should have called the hospice nurse in charge of his case. They usually were very good about getting new meds started,changing things around to make pt more comfortable. We used to have hospice...
  16. KaroSnowQueen

    Gloves Necessary For SQ Injections?

    I didn't until I got stuck with a dirty needle and the infection control nurse was yipping in my ear about statistics and how much LESS likely you are to catch something during a dirty stick IF you...
  17. KaroSnowQueen

    Finally made it back! Now, I have a question...

    My three cents worth? Go to the surgical floor. IMHO, going straight from LTC to ER would be too big of a culture shock, for me anyway. On the other hand, if you're sick of LTC and looking for...
  18. KaroSnowQueen

    med pass procedure on your unit

    Your charge nurse sounds like a micro-manager. Place a clean sheet of paper on your clipboard and make a note of everything she tells you, if you're on the phone, do it, smile and motion to it, and...
  19. KaroSnowQueen

    How many miles do you drive to work each day?

    43 miles one way. Looking for a job closer to home, altho not necessarily because of gas
  20. KaroSnowQueen

    From real good to real bad overnite

    I have seen this happen in other LTCs. My primary thought is somewhere up above, management has changed, maybe in a main office somewhere, even in a different city and/or state, and the bottom line...
  21. Came into work Thursday. Charge nurse grabbed my arm as I walked to the time clock "Clock in but then I have something to say to you". I'm thinking, oh great, what did I do now? She says they are...
  22. KaroSnowQueen

    Do you have a diagnosis of mental illness?

    Yes, I have major depression, currently treated with medication. I have seen my friendly shrink. I do have episodes where it gets worse. We talk about it freely among ourselves at work, and almost...
  23. KaroSnowQueen

    Situation Haunting Me

    Sounds like you did the most and best you could in a bad situation. You made known what needed to be made known, and no one took up the responsibility. You did all you could, so don't feel
  24. KaroSnowQueen

    So, she does drugs... (advice please)

    The question is, do we really KNOW she is doing drugs. A lot of people talk alot of crap. It's just hearsay. I don't know that I would report someone just because they run their mouth about...
  25. KaroSnowQueen

    Nurse to patient ratios and job stress

    survey regarding job stress 1. What department/setting do you work in? Med-Surg Telemetry (the most stepped down of the step down units) 2. What shift do you work? a. Days 3. What is the typical...