lsyorke

lsyorke RN

Med-Surg, Wound Care

Member

  • Content

    710

  • Visitors

    7,869

  • Followers

    0

  • Likes

    7

All Content by lsyorke

  1. Dissecting Aortic Aneurysm

    lsyorke replied to MM2007's topic in General Nursing

    A patient with that diagnosis should be in the

  2. Another one bites the dust......Nurse Kevorkian strikes again!

    lsyorke replied to TazziRN's topic in General Nursing

    Taz, don't feel bad. I was known as the "angel of death" in my family for a LONG time! Every elderly, sick relative I went to visit, or help out with, died within 24

  3. scabies at my facility.

    lsyorke replied to JohnBearPA's topic in General Nursing

    This is the key statement. ANY scabies outbreak requires that Occupational Health research and notify all who were in contact with the infected individual. If they chose not to do this, they are...

  4. Heroic measures on a full DNR pt?

    lsyorke replied to jbp0529's topic in General Nursing

    Having just gone through this "dance" with my father, the key is to talk to the family!! My fathers doctor was obviously NOT comfortable with end of life issues. He was ready to do a ct scan, labs on...

  5. Do you like you job as a WOCN better than bedside nursing?

    lsyorke replied to raindrop's topic in Wound, Ostomy, Continence

    I was bedside med surg for 24 years. I switched to Wound Care, outpatient, 8 months ago and absolutely LOVE IT!! You get to actually see the end result of your

  6. Update: My wound patient

    lsyorke replied to TazziRN's topic in General Nursing

    Corn, fecal smell....nope you didn't overreact!! I work in Wound Care, luckily with an awesome group of

  7. not coding a non dnr patient

    lsyorke replied to acerila's topic in General Nursing

    This would be coding her. What else could be done if the respiratory support wasn't working? If she was unable to support oxygenation even with manual ventilation, there's really not much sense in...

  8. Funeral Director messed up BIG time

    lsyorke replied to ShayRN's topic in General Nursing

    I was at a wake today and was talking to the funeral director. He has NEVER called a family in the room, and said this would be very unprofessional. The norm is to have the family come in the next day...

  9. Funeral Director messed up BIG time

    lsyorke replied to ShayRN's topic in General Nursing

    It is being taken care of. The body is picked up, the family goes home. Arrangements are made the next day. I have NEVER in my 24 years of nursing had a FH call the deceased's room. The family is in...

  10. To advocate or ignored that this is not happening

    lsyorke replied to BethulieRN's topic in General Nursing

    There is always a bit of fluid left in the tubing. This is the norm, and the amount is negligible. A "flush" bag is a waste of money and time. Saline, antibiotic, saline....the standard in...

  11. Funeral Director messed up BIG time

    lsyorke replied to ShayRN's topic in General Nursing

    This is my experience here in the NE also. Calling a family in a room immediately following a death is not professional at all. That is not a time to be asking for decisions, regardless of hospice or...

  12. MDs should obtain & have patients sign consent

    lsyorke replied to riley50's topic in General Nursing

    Nurses, or anyone for that matter, can witness that the patient that is signing the consent is the person listed on the consent. It is the doctors responsibility to discuss the risks with the...

  13. Prophylactic antibiotics

    lsyorke replied to rn undisclosed name's topic in General Nursing

    This is why I ha e a problem with "pathways". Not every patient is going to fit that pathway, especially for antibiotic use. Medicine by checklist....not very accurate for treatment. My experience...

  14. Zosyn to prevent C-diff to spread?

    lsyorke replied to FireStarterRN's topic in General Nursing

    Zosyn doesn't treat C-Diff. But it seems to be the antibiotic of the

  15. "Maybe you shouldn't be a nurse"

    lsyorke replied to krazy_coconuts's topic in General Nursing

    I had an instructor like this..told me I would never be a nurse. Went on to graduate after recieving two clinical excellence awards in school( the look on her face at those ceremonies was a riot!) and...

  16. Sliding Scale Insulin

    lsyorke replied to RN BSN 2009's topic in General Nursing

    So true. Ask your diabetic patient!!! Most know exactly what they need, insulin wise, and will tell you. Carb counting used by most diabetics makes sliding scale obsolete. The insulin dose, with carb...

  17. DNR Orders Overturned By Doctors

    lsyorke replied to DaFreak71's topic in General Nursing

    Which absolutely defeats the whole purpose of a living will. So why are we dancing through hoops to provide information to patients on the living will if a doctor or family member can totally...

  18. Is being a post-op nurse the same as being a med/surg nurse?

    lsyorke replied to Godswill's topic in General Nursing

    I love surgical floors. But be prepared for the fast pace. It is possible in one shift to have 6-7 patients to start with, discharge 4 and get 4 back in(so by the end of the shift you have taken care...

  19. Is being a post-op nurse the same as being a med/surg nurse?

    lsyorke replied to Godswill's topic in General Nursing

    This could either be PACU or a surgical floor. PACU is where the patient goes for immediate recovery after surgery. A surgical floor is where they go after PACU. A surgical floor is extremely busy...

  20. Testing out of OB_PEDS

    lsyorke replied to Peach-Tulsa's topic in General Nursing

    I tested out of OB and Peds(nursing 2) in my lpn-rn bridge program. I did nclex study questions and didn't have any problem with it. The nursing 2 Clep also included surgical nursing which I had...

  21. Misinformed about med

    lsyorke replied to sharona97's topic in General Nursing

    Abilify doesn't have a "category" that it fits into. It's indication is for schizophrenia and mixed bipolar. It is classified as an

  22. glucose meters...

    lsyorke replied to CRNI-ICU20's topic in General Nursing

    Exactly!! Most companies will give you the meter(hubby gets them mailed to him all the time) but the strips are what breaks the bank. Luckily our insurance covers

  23. Prioritizing AM care (longish)

    lsyorke replied to kanzi monkey's topic in General Nursing

    If I'm going to assess it, I'm going to wash it at the same time! No better way to assess than to wash your patient (obviously you can't wash them all). You see every inch! I usually do am care on the...

  24. LPNs glorified Techs?

    lsyorke replied to mommie2bodie's topic in General Nursing

    At my hospital LPN's work as techs. Not what I would like to see, but it's their

  25. Saline soaks in wound care. Sacred cow? More harmful then good?

    lsyorke replied to adrienurse's topic in General Nursing

    I work in wound care. Wet to dry is not a recommended wound treatment. While it does debride, if removed dry, it also tears away granulation tissue. A moist environment is best for heading, but it...