nursenatalie

nursenatalie ADN, RN

Surgical

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All Content by nursenatalie

  1. Our floor is strictly surgical so it is not often that we have a hospice patient but last winter we had a medical overflow COPD patient who became hospice and we didnt transfer as she wasnt expected...
  2. Handling new interns

    I had excellent nurses who helped me along when talking with a resident, they would talk the situation over with me before I called and I always had an idea what would help before calling. There are...
  3. Pronouncing "JCAHO"

    We received a memo with something about their arrival, coming to us in mid-October, and they misspelled it JACHO...since then we have referred to them as JACK-O. It is appropriate to call them JAY-CO...
  4. Use of IUD- opinions wanted

    I personally have had no problems with my IUD, it is a nice form of birth control for me. Nothing is without risks, to each his
  5. old skills that we do not use anymore

    I used a rectal tube the other day, and we do have large volume enema bags. I can remember working as a CNA and taking a patient with multiple decubitus ulcers to the shower daily to "scrub sores with...
  6. Precepting new nurses

    It helped me to watch a lot of different peoples routines, I ended up taking bits from each and making my own. I am now precepting a lady who is doing great, I encourage her to ask me questions and...
  7. Do You Regret Becoming A Nurse?

    I do not regret becoming a nurse. I do not like that the environment in which most nurses work in prevents them from providing optimal care. I have bad days and good days but I can always say when I...
  8. Med-Surg Topic of the Week - Psych Patients

    Well there are a couple different types of psych patients we get. We of course get the frequent flyers who have vague abdominal pain and have had every organ they can live without removed. Had a new...
  9. Med-Surg Topic of the week .... Bariatric Surgery

    We have a surgeon who performs bariatric surgeries, he has been put on hold by the hospital. He is in a court battle with the hospital because they are no longer allowing him to perform roux-en-y...
  10. foley collection tubing placement

    Unless that is a big fat leg over the leg is fairly level with the bladder and not enough of a hill that the urine wont creep up and out, works fine. Can't imagine it would cause significant...
  11. I work while my husband stays at home with my 11 month old and 5 year old daughter. I am a little puzzled at how anyone could think I am working and letting him sit on his duff. In the morning I come...
  12. Evening Shift - support needed.

    Did you come work at my hospital? Unfortunately things are notoriously chaotic on evenings and with 6 total care it is no surprise. Lobby for a CNA or two, will make the world of
  13. A 73 year old woman was admitted for a fall, at time of admission her blood alcohol level was 70. She had bruises to her right hip, no fracture. No bruises or other wounds in different stages of...
  14. VANCO in 250cc bag or OK to buretrol?

    Same here, 250cc
  15. I think the balance here is finding out what to be strict about and what to be lenient about. This allows the students to like you but also hits home the things that are most important (pt safety,...
  16. Scary doctors!!!

    I had a surgeon who I notified of a drainage from the wound I had noticed during dressing change. If you pressed on the wound it would just keep coming, it looked identical to what had been counted as...
  17. Should this have been reported to DSS?

    Thank you for your response, my initial opinion was to watch closely and notify nurses who care for this patient. I was not assigned the patient but was in charge the evening it happened and neither...
  18. Should this have been reported to DSS?

    No opinions here? What does your gut tell
  19. MA's Calling Themselves Nurses?

    "No person shall practice or offer to practice as an RN or LPN or use the word 'nurse' as a title for herself or himself, or use and abbreviation to indicate that the person is a registered nurse or...
  20. MA's Calling Themselves Nurses?

    This is a really sore subject with me that is close to home. My brother recently married a girl who tells everyone she "used to be a nurse" because she worked at a pediatrician's office. She is not...
  21. Prefilled syringes

    I was taught that the bubble helps air lock the medicine in for a subq or IM injection. Keeps the (potentially irritating) medicine down in the
  22. I work in a hospital that is supposedly in a budget crisis, arent they all? Last month I took 9 days vacation and when I got back to work I wrote in the book for 40 hours vacation pay. I only received...
  23. What Freaks You Out?

    Ok I have mentioned this before, but this situation is the grossest thing I have come across. Had a pt hooked to NG suction, she had unhooked herself for whatever reason and I assisted her back to her...
  24. 5 worse things a patient can do ...

    I had a lady who heard some commotion next door (her neighbor decided to pull his foley out) so she puts her call light on and I answered and she said, did anyone fall? I said no, no one fell..being...
  25. JP drains

    yes, in North