Aurora77

Aurora77

Med Surg

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All Content by Aurora77

  1. That sounds fascinating. Browsing the site, I've found so many interesting courses. Have you taken other classes? Were they
  2. Does your facility have a rapid response team? We can RR anyone--not just those being cared for by hospitalists. If you don't think things are bad enough to warrant that, get the house supervisor...
  3. Baccalaureate of Science in Nursing Graduation Gift

    My husband bought me a kindle and my parents got me an amazon gift card when I became an RN. Now that I'm about to complete my BSN, I'm treating myself to a few knitting patterns I've been wanting....
  4. Awful Doctors

    This whole situation also shows a flaw within the system. My facility has protocol orders for electrolytes. We can give potassium PO or IV. By simply having that order set, this all could have been...
  5. Head Over Heals In LOVE!

    I'm happy for you. I don't know why people are so down on med surg. I've been a med-surg nurse for two years now. The variety of patients and the knowledge you'll gain is invaluable. I think the...
  6. Why are some nurses so miserable?

  7. Vent: Downgrading patient from ICU status

    Not only is it unfair to the nurse (who will be blamed for any harm that may come to the patient due to improper placement), it's not fair to the patient. It's just asking for patients to be hurt or...
  8. Home med lists make me crazy.

    It sounds like the onus should be on the ER doc to get the med list correct. Surely they were taught how to write orders correctly? Since nurses can't prescribe, why should it be your...
  9. This sounds like the set up of a bad joke. I'm all about being proactive--it simply makes my shift easier. To assume that we've failed if a patient call light goes off is silly. All a statement...
  10. Has this ever happened to you?

  11. So venting isn't allowed? Nurses are only human and can have a bad day. No, most patients aren't in the hospital by choice. Doesn't mean they can't work your last
  12. What do you do?

    Revel in the glory of the peace and quiet because it's fleeting. I'm not ashamed to admit I'll bust out a book and enjoy the quiet. Usually an oddly quiet night means for a a hectic one the next...
  13. How often do you have codes on your unit?

    I work med-surg ortho as well. We rarely have codes on our floor, maybe once or twice a year. In fact, I've been there a year and a half and just experienced my first last month. I was grateful for...
  14. Core Measure Responsibility

    Why is it my job to make sure the doctor is doing his or her job? Aren't they professionals? Aren't they (presumably) adults capable of doing their own work? I want what's best for my patient, but...
  15. Pt Load & New Grad Burnout

    9-11 patients is insane. Whoever is dictating those ratios is just asking for patient complications and deaths. It's just not humanly possible to adequately care for that many patients. I'd be...
  16. Hourly Rounding

    That is just creepy. If they have so little faith in their nurses, maybe the NMs and HR should do a better job of
  17. Patient fx hip after family refused alarm

    With rights come responsibility. If the patient and family refuse to do what is necessary to keep the patient safe, the family should take responsibility for all costs incurred with the fall. They...
  18. Brilliant commentary, Commuter. I do believe patient satisfaction should be considered by medical staff, since customer service is important, especially in terms of adherence to treatment regimens....
  19. I got my job while I was in the process of enrolling. I got my job based on the fact that I did clinicals and my final preceptorship on the floor I was applying for. I knew I needed to go back for...
  20. Is pain still the "5th Vital Sign"?

    Wow, Ashley, that is crazy. I would have to question a nurse that thinks that amount of dilaudid is going to hurt your healthy husband. On the same note, why in earth would any doc think dilaudid...
  21. Co-signature for Insulin administration

    Interesting, I was taught that it's unnecessary to wipe away that first drop. I also find the double check odd. I understand the need for caution, but I can push narcs all night long without anyone...
  22. DDD/numbness/pain

    The doc is an idiot. DDD can be horribly painful. That being said, Altra's right, what is the ED going to do for the patient? Pain meds and then the patient needs to call his/her orthopedist in the...
  23. My favorite--on a Sy Fy channel movie I learned that the cure for hypoglycemia is
  24. If you're using some pumps, you don't need to hang the primary bag lower. The pump does the work. My facility doesn't even get the secondary tubing with the hanger anymore. If your school was like...
  25. Runny nose during shift

    I'm the same way. I can be fine while I'm charting, but go to start an IV or something and my nose gets runny. I think it's just the dry hospital air along with the heat. I just carry Kleenex and...