lsyorke

lsyorke RN

Med-Surg, Wound Care

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All Content by lsyorke

  1. "Universal Beds" Concept

    lsyorke replied to RN-PA's topic in General Nursing

    I don't think that anyone is arguing that checking the patient first and being up on what's going on with their telemetry. Absolutely you go and check the patient first. But if your walking a patient...

  2. "Universal Beds" Concept

    lsyorke replied to RN-PA's topic in General Nursing

    Roxan, I agree completely!! As a float nurse who only occasionally goes to telemetry, it's a level of comfort to know that someone who reads strips every single day is looking for problems with me....

  3. "Universal Beds" Concept

    lsyorke replied to RN-PA's topic in General Nursing

    Being in "control of monitoring" is a wonderful concept, but just how does one do that when you have 6-7 patients to take care of? I personally trust a monitor tech to pick up a subtle rhythm change...

  4. Has anyone ever seen a prolapsed rectum?

    lsyorke replied to angelymick's topic in General Nursing

    "This pt is a retired RN and wanted everyone of the students to see what had happened to her rectum" Once a nurse, always a

  5. "Universal Beds" Concept

    lsyorke replied to RN-PA's topic in General Nursing

    Our hospital has telemetry on almost all floors. We have a central monitoring system that is staffed with 3 monitor techs at all times. It's really not a big deal for us. A "true" cardiac is put on...

  6. Friend who's meds are making her worse...?

    lsyorke replied to rambisisking's topic in General Nursing

    With this combination of drugs she shouldn't stop anything without medical supervision! She needs to sit down with a trusted doc and lay it all out there. It appears to me that she's battling side...

  7. Friend who's meds are making her worse...?

    lsyorke replied to rambisisking's topic in General Nursing

    Her medication cocktail is probably causing all of these symptoms. Akasthesia is a dangerous side effect of ssri's(prozac), the wellbutrin can cause nervousness, and the trazadone can cause depression...

  8. What are my rights..

    lsyorke replied to beausud's topic in General Nursing

    " so the nice person i am i go and help the pt out w/ assistance from another staff member" She did get help. This is an ongoing problem with nursing. PT clears patients to get up and they come and...

  9. What are my rights..

    lsyorke replied to beausud's topic in General Nursing

    OP said that she had

  10. Charting Advice

    lsyorke replied to mariedoreen's topic in General Nursing

    I use the age old head to toe! It's easy to remember and

  11. Has anyone ever been a legal health care representative for someone

    lsyorke replied to Nurse Ratched's topic in General Nursing

    I've never personally had this experience, but it's come up at work quite a few times. The "my kids won't carry out my wishes" is a common reason. We've never had a problem as long as we have the...

  12. Narcan and PCA's

    lsyorke replied to dosamigos76's topic in General Nursing

    We used to do this years ago when PCA's first came out. Not

  13. Psychological Evaluation

    lsyorke replied to Curious1alwys's topic in General Nursing

    Psychologist don't prescribe meds. Psychiatrist for the most part only prescribe meds. I would absolutely go

  14. Anyone heard of serotonin syndrome? Anyone experienced it??

    lsyorke replied to passing thru's topic in Psychiatric

    This is on Bupropion(Wellbutrin/Zyban) " It works by inhibiting the reuptake of dopamine, serotonin, and norepinephrine, an action which results in more dopamine, serotonin, and norepinephrine to...

  15. Anyone heard of serotonin syndrome? Anyone experienced it??

    lsyorke replied to passing thru's topic in Psychiatric

    Whenever you take a drug that alters serotonin metabolism you are at risk of serotonin syndrome. It is heightened dramatically when you take more that one ssri/snri, or another drug that effects...

  16. Hysterectomy and CPAP

    lsyorke replied to zacarias's topic in General Nursing

    I've been doing surgical nursing for 20 years and have never heard of using cpap. Oxygen supplementaion isn't a normal part of the recovery process(outside of PACU). Unless there is another underlying...

  17. Anyone heard of serotonin syndrome? Anyone experienced it??

    lsyorke replied to passing thru's topic in Psychiatric

    It's an extremely dangerous side effect of taking more that one drug that alters serotonin metabolism. ""The serotonin syndrome is a hypersotonergic state which is a very dangerous and a potentially...

  18. MedError/Dismissal...What2Do

    lsyorke replied to brotherbear's topic in General Nursing

    What surprises me with this whole situation is that the instructor is only minimally involved in oversight of the students. I see this at work more and more that the staff nurse is forced into being...

  19. Rant - Scientology and Anti-Meds

    lsyorke replied to TCASII's topic in General Nursing

    I absolutely don't agree with withholding proven meds. But in the case of ssri's the science is that if you increase the serotonin you cure the depression/anxiety. Any reputable psychiatrist will tell...

  20. Rant - Scientology and Anti-Meds

    lsyorke replied to TCASII's topic in General Nursing

    No I don't suffer from mental illness, but I had a child who attempted suicide twice due to paxil and subsequently went through a horrible withdrawal process. If the meds work for you great, but the...

  21. Rant - Scientology and Anti-Meds

    lsyorke replied to TCASII's topic in General Nursing

    While I admit that I know nothing about Scientology some information that they put out there is very true. The science behind most psychiatric medications is speculative at best. The "chemical...

  22. Med Surg floating to ICU

    lsyorke posted a topic in General Nursing

    Does your hospital float med surg nurses into the ICU under the stipulation that "you'll only get easier patients". I'm in the float pool and this is occuring pretty frequently now. Initially it only...

  23. Med Surg floating to ICU

    lsyorke replied to lsyorke's topic in General Nursing

    Yup, bad experience this week. The nurses in the unit are usually pretty good about picking the "waiting for transfer" patients, but this one day has me looking at the whole thing in a new...

  24. Med Surg floating to ICU

    lsyorke replied to lsyorke's topic in General Nursing

    That's pretty much was has happened. All of our nurses housewide are monitor certified, but the reality is that with the use of a central monitoring system, we don't use it much. I guess I've been one...

  25. Using saftey goggles/shields (body fluid exposure)

    lsyorke replied to nurse_1098's topic in General Nursing

    Is it me or is this overkill?? I would hate to be a family member who is just talking to a nurse and having to do it through protective eyewear. I think we all know the high risk situations and...