nursenatalie

nursenatalie ADN, RN

Surgical

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All Content by nursenatalie

  1. RN's removing surgical drains

    nursenatalie replied to conniejean's topic in Medical-Surgical

    We remove PICCs central lines, hemovacs, JP's, epidurals, T-tube the whole deal have even pulled a chest tube with the surgeon at my side to suture, is there really anywhere you cant legally do

  2. Have you ever felt that you have too much work to do for just one nurse

    nursenatalie replied to debbie17368's topic in Medical-Surgical

    I am sure you worked hard for your license and it sounds like you are working hard down the road to losing it...I dont care if these patients are not acute, which it sounds like they are, 15 is too...

  3. How often do surgeons order a basal rate for PCA?

    nursenatalie posted a topic in Medical-Surgical

    We recently had a situation in which a patient was ordered to have a basal of 3mg morphine after a lap appy! This surgeon has increasingly ordered basal rates on his surgical patients and in this...

  4. A Nurse's Lifestyle

    nursenatalie replied to Lauren3249's topic in General Nursing

    I make 52k a year, been a nurse for about one year...is it enough? that is pretty

  5. Lowest H/H I ever saw...

    nursenatalie replied to my2sons's topic in CCU, Coronary, Cardiac

    I got a patient on my surgical floor, direct admit from home with a hemoglobin of 4.8, pt alert and oriented just got dizzy when she stood up and went to dr. office. Dont know why she was so low just...

  6. Do RN's co-sign assessment sheets at your hospital? What does it mean to you?

    nursenatalie posted a topic in General Nursing

    I work on a surgical floor and our hospital just began requiring RN's to co-sign the LPN's assessment papers. The hospital says it does not mean that we agree with there assessment. We have talked to...

  7. Breaks

    nursenatalie replied to Tweety's topic in Florida Nursing

    I know you posted this a long time ago but I just found out about this myself. Unfortunately I found out about it the hard way. We have a particular charge nurse who requires we ask her if we can take...

  8. What are your routines like on a medsurg unit

    nursenatalie replied to angelique777's topic in Medical-Surgical

    oh, a MAR is a medication administration record. The one thing to remember is that there is never a strict routine. I ALWAYS give my patients a full assessment, this may not be possible at beginning...

  9. What is wrong with this patient? Help Please!!

    nursenatalie replied to kwagner_51's topic in General Nursing

    I am so glad I can take care of these patients and not worry about what words to use to describe them according to NANDA. Alt in elimination is a given, any pain meds? alt in comfort (primary) any...

  10. Urgent Question- Toileting

    nursenatalie replied to Susie08's topic in General Nursing

    You are kidding right? not every area of nursing is a science, you can titrate the amount of water to use according to when the butt is

  11. How often do surgeons order a basal rate for PCA?

    nursenatalie replied to nursenatalie's topic in Medical-Surgical

    I know, I dont necessarily fault the nurse as I was there the night that she became oversedated and it was hell on wheels! The problem was that the nurse said she was not told in report that there was...

  12. Surgical Nursing Advice

    nursenatalie replied to Nrs. LaLa-Land's topic in Medical-Surgical

    I started on a surgical floor as a new grad and dont regret it for a minute. I use a wide array of skills on a daily basis. You never know what you might have. Last night I had (1) patient post op...

  13. How can some nurses sleep at night?

    nursenatalie replied to barb4575's topic in Medical-Surgical

    Amen...it is a shame that it is often forgotten that we work with human beings. I am not here to portray myself in any idealistic way but I have often times helped patients get a bath while I am...

  14. Where do Insulin Gtts go in your facility?

    nursenatalie replied to Tweety's topic in General Nursing

    We had a DKA and insulin gtt on our surgical floor this week, we dont like too but with the bed crunch it happens

  15. 50 mg of Phenergan IV push!!!!!!!!!

    nursenatalie posted a topic in Medical-Surgical

    Poor patient I had last night, he has been receiving this dose along with 75 mg of demerol q 4 hours for about a week...his poor veins!!! Do you guys give this much phenergan long term? I had to...

  16. Fibromyalgia

    nursenatalie replied to veetach's topic in Emergency

    I was given a bad first impression of fibromyalgia, we learned about it during our Psych

  17. 50 mg of Phenergan IV push!!!!!!!!!

    nursenatalie replied to nursenatalie's topic in Medical-Surgical

    The only problem I have with Phenergan's sedation quality is that when a patient has a PCA they will be sedated and only awakened when the pain gets intense...making it harder to "get on top" of the...

  18. 50 mg of Phenergan IV push!!!!!!!!!

    nursenatalie replied to nursenatalie's topic in Medical-Surgical

    By graduate I meant that the doc had ordered morphine for a couple days and then Demerol...no other implications~okay? (btw... I was thinking exactly what you were, Canoehead..."graduated from...

  19. Anyone else on the "journey of excellence?"

    nursenatalie posted a topic in Medical-Surgical

    My hospital has had us all go to an 8 hour class filled with talk of scripting, spouting out "can I get you anything, I have the time ?" They are supposedly turning the pyramid upside down in the...

  20. Anyone else on the "journey of excellence?"

    nursenatalie replied to nursenatalie's topic in Medical-Surgical

    Good suggestion, I might bring this up at the next staff meeting! Sure they will all jump right on it

  21. Anyone else on the "journey of excellence?"

    nursenatalie replied to nursenatalie's topic in Medical-Surgical

    Glad to see that the overall response is humor with you too. I called to PACU for report the other night and the nurse who answered the phone said, I'll just take the cordless to that nurse because I...

  22. BSN's vs. Community college

    nursenatalie replied to cottoncandyclouds's topic in Diploma, ADN, BSN

    Soooo...someone with a bachelors degree in Parks and Recreation (yes my brother in law has one) who goes for an accelerated BSN deserves to be paid more than the community college trained nurse?...

  23. Taking out the trash

    nursenatalie replied to VAC's topic in General Nursing

    I think the issue is that the nurse following complained...that is quite nit-picky. The fact that she complained implied that he had not done something he was expected to do. I work nights and have...

  24. Pregnancy and Nursing School

    nursenatalie replied to Daeny's topic in General Nursing

    I would not recommend planning a pregnancy in nursing school. Your health status cannot deteriorate THAT much in a couple of years. I was almost six months pregnant when I graduated, it was hard to do...

  25. Most dreaded Dr.'s orders

    nursenatalie replied to BBFRN's topic in General Nursing

    The nurse on second shift got this order for a 219 lb woman post-op fem/pop bypass who refused to bear weight...Please remove foley and give 40 of lasix now!!!!! Im a fairly new nurse but when she...