locolorenzo22

locolorenzo22 BSN, RN

Ortho, Neuro, Detox, Tele

Member

  • Content

    2,396

  • Visitors

    14,059

  • Followers

    0

  • Likes

    16

All Content by locolorenzo22

  1. Admissions during change of shift

    locolorenzo22 replied to brokenroads27's topic in General Nursing

    I'm more than happy if I have a admit at the start of shift, if the offgoing nurse has at least put them on a tele monitor, made sure they're comfortable, done basic orders, and explained that the...

  2. Another Rant About Rudeness/Bullying/Eating

    locolorenzo22 replied to Ruby Vee's topic in Patient, Colleague Relations

    I feel for ya ruby, I really do. I worked on a unit where because I'm younger (30) and was a CNA on the same unit before I was a nurse, the aides were quick to claim that I was a bully to them....

  3. Dayshifters - do you take a breakfast break as soon as you get to work?

    locolorenzo22 replied to Snugglibumkins's topic in General Nursing

    see, I trained on days when I started as a new grad, and i noticed WITHOUT A EXCEPTION, everyone would go down to the cafe when it opened at 7am, come back, eat breakfast, get lunch at 11=12 ish, then...

  4. syringe to collect specimen from foley?

    locolorenzo22 replied to nursing81student's topic in General Nursing

    a microscopic film of urine on the inside of the bag would probably lead to a dirty sample. there's no way to get EVERY drop out of the bag, every time. I always use the port when collecting, it's...

  5. crap...am I in huge trouble???

    locolorenzo22 replied to Rnis's topic in General Nursing

    these are crackin me up! Mine was I had a confused guy in wrist restraints sitting in a bedside chair. He was convinced he was in prision. got a hold with a folding chair, and threw it through the...

  6. PLEASE HELP! How does your hospital do holiday rotations for night shift staff?

    locolorenzo22 replied to jnsrn's topic in General Nursing

    We have a group that rotates. When you hire in, you take the group of whose position you filled. You always work the holiday with the same group of people. With 9 night shifters, we have 3 groups...

  7. Blood admin question

    locolorenzo22 replied to RNmom24's topic in General Nursing

    Our blood bank form has a spot for pre-transfusion VS, and also has a blank for time started. The date stamp is on top, so you should probably have those vitals in hand within 30 minutes of picking...

  8. Not a waitress or barista

    locolorenzo22 replied to noyesno's topic in General Nursing

    I usually am right up front as I introduce myself for the evening. "Hi, my name is locolorenzo, I'll be your/your mom's/dad's etc nurse tonight? How are you feeling today?....ok, I'll make sure to...

  9. Giving Report...Please help.

    locolorenzo22 replied to SweetseRN's topic in General Nursing

    Report outline(using unit developed SBAR sheet for pass-off, and passing sheet back and forth between shifts for basic information.) Name Chief Complaint Reason for admission Doctors on case Code...

  10. Forced canceling/calling off question!

    locolorenzo22 replied to ICU_RN2's topic in General Nursing

    rotation should happen, regardless of senority. NOT fair to you if you lose all you shifts for a week because you're

  11. how quickly someone can go downhill.

    locolorenzo22 posted a topic in General Nursing

    Always listen to your gut. I had a patient who I'd had the previous night, and he had been complaining about not getting much sleep. I got him comfy, got him in a recliner, gave him some coffee and a...

  12. Patient and family priorities

    locolorenzo22 replied to hiddencatRN's topic in Emergency

    Gravy is the base....potatos the middle, turkey the top....and stuffing fills the

  13. how quickly someone can go downhill.

    locolorenzo22 replied to locolorenzo22's topic in General Nursing

    thank you again to all who have responded. After a few shifts away, I realize that there was not much more I could have done. your kind words, and attempted argument over treatment of choice, were...

  14. how quickly someone can go downhill.

    locolorenzo22 replied to locolorenzo22's topic in General Nursing

    thank you all for your comments. I was posting just to mention how quickly someone can go bad. Lasix is usually used in a situation where it is assumed for fluid overload, working on a tele floor....

  15. New Grad Terrors

    locolorenzo22 replied to adamsli88's topic in General Nursing

    if you had them take all the prep, not much else you can do. You have to watch for the clear poop though. a incident report is a bit excessive IMHO. 1. Breathe. good. Breathe again. good. 2. it's...

  16. Sticky fingers-stealing other people's food/office supplies

    locolorenzo22 replied to Black Jade's topic in General Nursing

    I label my food, date and time it, and watch it pretty closely. I try to go back to the fridge about every hour or two just to take a drink maybe out of a bottle of pop, put it back in, try to keep...

  17. "Hidden" cameras on the floor--do you have them??

    locolorenzo22 replied to linzjane88's topic in General Nursing

    likewise, we have them in a few rooms on our unit. Nobody ever really noticed them, until one day when there were a bunch of signs saying, you are on CC television that is being monitored at the...

  18. Needy, needy, needy... vent please.

    locolorenzo22 replied to rksgray13's topic in General Nursing

    Have to be honest. If in pain, give pain meds. If also feeling constipation, consider how much patient has been eating. if orders available, give prns. If drastic measures needed, offer rectal...

  19. If allnurses.com has helped you please provide a quote

    locolorenzo22 replied to Joe V's topic in General Nursing

    Allnurses.com helped me learn that every nurse knew nothing at first. locolorenzo22,

  20. Narcotic diversion, but not to self

    locolorenzo22 replied to LowPaidNurse21's topic in General Nursing

    Regardless, she should NOT have given medication from another resident's pack and simply asked the supervisor if she could get the med from the ebox for that 1x dose use, or help her settle down the...

  21. Leaving Work at Work

    locolorenzo22 replied to yuzzamatuzz's topic in First Year After Licensure

    I always take 1 or 2 hours when I get home before bed just to decompress. an.com, ps3 games, reading, cleaning, etc. I talk over things with my wife on occassion when I've had a bad shift, or if I...

  22. Call offs d/t low census

    locolorenzo22 replied to FritoPie's topic in General Nursing

    generally, we use a quarterly system. Tracked by overtime(you're dropped first), then TOTAL hours lost so far(not by date or anything else). My old unit used to use date, which sucked if you were...

  23. What have your co-workers done to make a shift go more smoothly?

    locolorenzo22 replied to xtxrn's topic in General Nursing

    We go to breakfast maybe every 2-3 weeks after the night shift. I'm a firm believer in "if you don't ask, don't get mad." I'll be the first one to go get my own vitals in a iso room if I'm in there...

  24. capsules and g-tubes

    locolorenzo22 replied to LStar's topic in General Nursing

    I always take the capsule and break it apart in with the other meds I'm dissolving to use with med flush. I spoon out pieces of capsules that get in there. Curious also how a piece gets in

  25. is it just me, or has standard of care sunk?

    locolorenzo22 posted a topic in General Nursing

    I'm sorry, but I'm not going to call a ER vs floor nurse thread. Even though I feel like I could. I had a patient admitted for a chest pain r/o ischemia. EKG looks ok, labs ok(WBCs a little high,...