lsyorke

lsyorke RN

Med-Surg, Wound Care

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All Content by lsyorke

  1. Leaving Med/Surg

    Just this week I left Med Surg.....been in it for 24 years!! I'm now working at a Wound Care Center and absolutely love
  2. First, nursing organizations can't make law and there is no state legislation like this is on the table in
  3. The hospice philosophy is death with dignity. I don't remember ever having a hospice patient who was a full code. Yes, you can still treat. I guess the confusion would come in if the patient coded...
  4. Is it only me or are others seeing patients being put on Vancomycin as a first choice antibiotic? I've seen little old men with uti's, not septic, just a low grade fever and dehydration, put on...
  5. Novolog flexpen

    Hubby switched to the pen last year. It took a while to get used to, but we love it now! You have to hold it different that you hold a syringe. It's more like an overhand hold with a full hand, and...
  6. When my fathers nurse called to tell me he had gone into complete heart block(he was a dnr, in multy system failure) she also told me she would stay with him until he passed, since I was 1 1/2 hours...
  7. heparin drip mistake! what would you do?

    If a drug is piggybacked our pumps will not beep occlusion. They just pull from the open bag. My take on this, with the information provided, is that the problem wasn't the normal saline, it was the...
  8. What does "maintain foley to dd" mean?

    Always thought it was direct drainage, as compared to leg
  9. Pregnancy is not a disease!!! (vent)

    This situation in the OP is a person who doesn't want to work BECAUSE she is pregnant. If she knows that she doesn't want to work at be pregnant, then she needs to make other arrangements. Either...
  10. Pregnancy is not a disease!!! (vent)

    OK, I'll say it....then don't get pregnant. If you want a child and don't want to do your job while pregnant, then you have to plan for that. That is not your coworkers responsibility to make up for...
  11. Question Re Heparin

    Lovenox is the drug of choice in our hospital for DVT, NOT heparin. Neither heparin or lovenox will lyse a thrombosis...the body does that by itself. Heparin drips are slowly going out completely....
  12. Restraining patient with naso-gastric tube

    Is this patient alert? And if they are have they consented to having an NGT
  13. Could I be in trouble? (New nurse)

    Not able to walk with a fall history should have been evaluated in the ER. But this isn't the first time a fx was missed and won't be the last time. Take is as a learning experience for the next
  14. Arg!!

    Oh, I feel your pain!! My Dad called me a few months ago..conversation went like this: Dad- "I think we might have a little problem. Elsie(my stepmom..name changed,hx of afib) woke up from a nap and...
  15. No job is worth a two hour commute!! Enjoy the new position and the time found to be with your
  16. 60 Second Tube Feed Stop********

    Yup, which is why turning off for an hour is rarely done. Sometimes optimal practice and real life just don't work together. Plus if you are turning off a feeding for an hour, you're going to have to...
  17. alli ~ diet pill

    That's exactly what it
  18. high patient turnover on the floor!!!!!

    This is a common problem, especially on surgical floors. What our surgical floor has done is to have one, sometimes two, nurses work from 11a-7p. They only do new admits. They get the patient from the...
  19. Can I challenge the LPN Boards?

    In N.J. they stopped that practice years ago. Now you have to have graduated from the program that you want to take the boards
  20. Amazing ,the rush to judgement, when the film isn't even out yet. I, for one, will be seeing this movie. From all accounts it highlights what we as nurses see everyday. Political....yup, very...
  21. Violating a Code Status...

    I recently had to go head to head with a doc regarding my father. He was a DNR. Resp 48 on 100% O2, cdiff, end stage COPD, third spacing all fluids. Even with him being a DNR AND the doc being...
  22. MRSA & IVAB - Vancomycin

    Not a good practice if there's evidence of active infection. This is what creates more antibiotic resistance. Our ICU's do this, but it's more for knowledge for preventing tranfer to other patients...
  23. Drawing blood from a PICC line

    My previous hospital we drew from PICC lines ALL the time. The lab did venipunctures. My current hospital has a PICC team that does ALL draws from a picc line. We, RN's, LPN's and techs do...
  24. Drawing blood from a PICC line

    Our PICC team does all blood draws from PICC lines. They always use
  25. KCI wound vac question

    Tegaderm defeats the whole concept of the wound Vac. Adaptic, not a problem if there is bad