LouisVRN

LouisVRN RN

Med/Surg

Member

  • Content

    672

  • Visitors

    11,023

  • Followers

    0

  • Likes

    19

All Content by LouisVRN

  1. Drug seekers

    LouisVRN replied to Athena904's topic in General Nursing

    "Drug seeking" patients whether they are seeking medications for legitimate pain issues or addiction issues can be some of your most difficult patients. Regardless of their reasons your job in acute...

  2. Calling a Patient 'Sugar': Abuse?

    LouisVRN replied to Trancelation's topic in Patient, Colleague Relations

    I think it can be patronizing and paternalistic but if I have a confused pt that is not cooperating with me sometimes a reassuring voice and some "i understand this hurts sweetheart but we have to do...

  3. Advice on Cushion Seating

    LouisVRN replied to my4helpers's topic in Rehabilitation

    See if his facility has a wound care specialist? I know we have air cushions at the hospital and have seen pts go home with

  4. Is the nursing experience better or worse than when you started?

    LouisVRN replied to KalipsoRed's topic in General Nursing

    I feel i have been jaded by all the incompetence that runs on the floor by my co-workers. I feel like I spend half my shift picking up things left undone and finding the same mistakes day in and day...

  5. Question for the experts...

    LouisVRN replied to PinkRocksLikeMe's topic in General Nursing

    Unfortunately we can not give you any medical advice. I can say that whenever you have the feeling that something is wrong you should listen to it. Additionally seeking a second opinion is never a bad...

  6. Helping patients with migraines

    LouisVRN replied to Vtachy1's topic in Ob/Gyn

    I always take 2 excedrin migraine with 4 ibuprofen and a venti macciato and hope that it

  7. Should I quit my ICU job?

    LouisVRN replied to StellaMarisRN's topic in Critical Care

    I have mixed feelings about this. I know ICU has more comprehensive technology and techniques than med/surg but after 4 months of orientation as a new grad you'd be on your own by now and you are...

  8. are nurses satisfied?

    LouisVRN replied to snickerdoodle17_1's topic in Patient, Colleague Relations

    I think it doesn't really have that much to do with satisfaction. Sometimes a job is a job, you can still be satisfied with it even if you go on

  9. So do you really...

    LouisVRN posted a topic in General Nursing

    do a complete head to toe assessment? What are things you ALWAYS assess? I've been told by patients that I'm the first to listen to them with a stethoscope. How do you document when you did not do a...

  10. So do you really...

    LouisVRN replied to LouisVRN's topic in General Nursing

    The patients I am talking about are primarily completely independent admitted for 23 hours obs s/p appy/chole. i usually will just comment "pt does not state any complaints/concerns" I always make...

  11. How do you work????

    LouisVRN replied to mnrb_mdn's topic in General Nursing

    I always feel confident to let the doctor know what I want. If I didn't know what I wanted I wouldn't generally call. Even if a patient just doesn't seem right you need to have an idea of what to do....

  12. What should I do about the patient from hell?

    LouisVRN replied to mountain_biker_88's topic in Patient, Colleague Relations

    Order a home safety eval? (LOL joke pt from hell. Sorry not enough sleep) But yeah like another nurse stated try not to give any reaction. I am concerned that you are not already telling her what all...

  13. So do you really...

    LouisVRN replied to LouisVRN's topic in General Nursing

    For the most part I agree, however I routinely defer reproductive exams unless the patient is admitted for that reason as I feel it would often times make the patient uncomfortable but I wasn't sure...

  14. Getting Sick at Work

    LouisVRN replied to meaganellise's topic in General Nursing

    Never in the ER thankfully! I did have one night where I had to leave in the middle of the night because i was having intractable n/ and throwing up every 5 minutes. There have been several times when...

  15. So do you really...

    LouisVRN replied to LouisVRN's topic in General Nursing

    I mean just more in general though - granted any assessment will be tailored to the patient. But in a non-emergent impatient situation anything that you wouldn't leave out or anything that is...

  16. Did you already know that area of nursing you wanted to be in before graduation?

    LouisVRN replied to northmississippi's topic in General Nursing

    I really thought I wanted to work in L&D because i find antepartum fascinating. I ended up getting a job in med/surg and honestly no longer really have a desire to do anything else at this

  17. Compassion required???

    LouisVRN replied to jellyfishmafia's topic in General Nursing

    IMO it all depends on the area of nursing you work and the population you work with. Working in the ICU or a SICU sounds like a great fit for you. It is more about caring for the patient than caring...

  18. Mean Doctors....

    LouisVRN replied to mnrb_mdn's topic in Patient, Colleague Relations

    A lot of doctors where I work that are known as "mean" just want the best care possible for their patients. I'm fine with this and find that as soon as the doctor realizes that this is all that I want...

  19. Pre-spiking IVF

    LouisVRN replied to StarfishCC's topic in General Nursing

    Yeah our policy is that once spiked IV fluids are only good for 24 hours. If you are doing a lot of boluses and have a way to ensure they are clearly marked and disposed of on

  20. L&D nurses - can you look at my birth plan?

    LouisVRN replied to Lola77's topic in Ob/Gyn

    I think everything in there looks reasonable and it is not as inclusive/exclusive as some I have seen. I do not mean to hijack the thread but does anyone know if I can request to be typed and crossed...

  21. wearing makeup to work?

    LouisVRN replied to meghan91's topic in General Nursing

    I ALWAYS wear makeup to work. I would never go to an office job with no makeup on and feel that nursing deserves the same respect. Granted our work can be more physical but I don't feel put together...

  22. Gel then Gloves

    LouisVRN replied to MunoRN's topic in General Nursing

    I use the gel, let it dry completely, then put gloves

  23. Refusing Patients' Requests: Can it be done?

    LouisVRN replied to George4life's topic in General Nursing

    yeah I think the other posters have pretty much covered the topic and the best options. You can't ever take a patient's call bell away in case they have a genuine need but at the same time limit...

  24. Grey's Anatomy? Scrubs too?

    LouisVRN replied to Sugar-Phosphate's topic in Scrubs, Uniforms, Gear

    I've only seen one show, the one where a disgruntled patient family member brought a gun to the hospital. I do however love their

  25. Honest opinions needed

    LouisVRN replied to CareRx's topic in General Nursing

    I must agree with this. If you love math and science nursing is probably not for you. I too was always in advanced math/science, completed 3 years of calc before high school. The people you work with...