LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. Honest opinions needed

    LouisVRN replied to CareRx's topic in General Nursing

    1.How often do you have to clean a patient? This entirely depends on the field you go into. If you go into endo/out patient surgery or even minor inpatient surgery - never. Med/Surg/ICU depends on...

  2. PICC Lines And TPN

    LouisVRN replied to pearldiaz's topic in General Nursing

    We frequently hang TPN/lipids and electrolyte replacements together. Talked to Pharm a couple times and they have no problem with it as the electrolytes are in the TPN we are just increasing the...

  3. why double chart?

    LouisVRN replied to grneyes676's topic in General Nursing

    I agree, I will refuse to double chart. We generally chart by exception but it seems that not everything is not covered. For example nowhere in the charting are we asked whether the pt has any pain in...

  4. job and family

    LouisVRN replied to estee1986's topic in General Nursing

    I had my first son in the middle of nursing school, not easy, but thankfully my mom helped me out a lot. Now I'm pregnant with my second. i really don't see my work as impacting my son/family nearly...

  5. Pre nursing student needs advice

    LouisVRN replied to ldm2484's topic in Pre-Nursing Students

    How about unit secretary? It would give you a good idea of the pace of the floor, how to input orders and if you're good at it you are sure to make some good contacts who would be happy to help you...

  6. Rude Nurses

    LouisVRN replied to (**!!needaname!!**)'s topic in Patient, Colleague Relations

    While i am sorry for your experiences I have to offer several insights after having been on the floor for awhile. The first thing I would like to tell you is that often the nurses who get students...

  7. Arizona New Graduate RN

    LouisVRN replied to kpeluso's topic in General Nursing

    CHW almost always does, I know the hospital I worked at just hired

  8. Best way to space out 12-hr night shifts?

    LouisVRN replied to BD12's topic in General Nursing

    Yeah definitely would recommend doing 3 in a row as a well. You get to know your patients better and most importantly I think for me and for the patients its awesome for identifying minute changes in...

  9. Lovenox injection...

    LouisVRN replied to nurse blondie93's topic in General Nursing

    yes, pull the cap off, give the injection, dispose of needle, done. They are made to be easy to give so pts can do it at home. Can you imagine some elderly people trying to get tiny air bubbles out of...

  10. Love for med surg

    LouisVRN replied to Tua15395's topic in Medical-Surgical

    Other than the fact that i work and for the most part love med-surg i would recommend it for several reasons 1) you get experience with almost every type of pt/population/condition 2) networking - you...

  11. Do you ever people feel are trying to "pick at" things when you're in a new workplace

    LouisVRN replied to NurseSuzann's topic in Geriatric, LTC

    IDK I think it depends a lot on how they are informing you of the things you forgot to do. When I am precepting I want to see everything done correctly. That means if you forgot to fill out a form,...

  12. How much MONEY do you make? (questionaire)

    LouisVRN replied to jaredsgirl's topic in General Nursing

    1. What is your degree in? BSN 2. What state do you live in? AZ 3. What is your job title? RN 4. How much do you make an hour? 32 (occasional more if I'm precepting or CL) 5. How much do you make a...

  13. What to do for this patient simulation????

    LouisVRN replied to ilovetonurse's topic in General Nursing

    There should be one major red flag standing out for you, mainly regarding the fact that she had, I'm assuming you mean a "radical" mastectomy and is complaining of pain in her leg. There is a reason...

  14. Deathbed visions

    LouisVRN replied to SCRN1's topic in General Nursing

    I've never had a pt with visions before they die, but *knock on wood* I have yet to have a pt die on my shift. We do have one room where it seems that people who are in the dying process or have a...

  15. What's the worse thing you have seen?

    LouisVRN replied to havehope's topic in General Nursing

    I had a pt with this once. His was a different presentation. His skin sloughed off in big patches. Walking into his room meant walking through inches of dead skin around the bed that were like big...

  16. how old is to old for medsurge

    LouisVRN replied to reddellrn's topic in General Nursing

    There are several women I work with in their 50s. I work nights which is generally a younger crew, but from what I've seen these women move a lot faster than some of the younger

  17. What the best advice you've received from clinical instructors in nursing school?

    LouisVRN replied to willowRN's topic in General Students

    Ask questions. Oh and not to be afraid to ask for help when you need

  18. Obtaining home med list

    LouisVRN posted a topic in General Nursing

    What is your practice for obtaining home medication information? Currently at the hospital I work at we ask our patients (if they are alert and oriented) and this information gets entered for the...

  19. Obtaining home med list

    LouisVRN replied to LouisVRN's topic in General Nursing

    Yeah people that bring lists are my favorites! I make sure all my family members have one, however the people who hand you a list and then begin to "correct" it not so much

  20. To all the new grads and soon to be new grads

    LouisVRN replied to missladyrn's topic in General Nursing

    RK - I have to tell you my last preceptee was the same way, questions about everything. If she wasn't sure she understood, there would be another question and another until she was sure she was...

  21. To all the new grads and soon to be new grads

    LouisVRN replied to missladyrn's topic in General Nursing

    Agreed. Oh and if you do need to cry, I'll always have a shoulder you can use! I will do my best to teach you to stand on your own while showing you that you never are alone. Almost all of my...

  22. Obtaining home med list

    LouisVRN replied to LouisVRN's topic in General Nursing

    I guess I'm just concerned as there have been two incidents in as many weeks. The first relatively minor, pt states he takes twice as much pain medication as he actually does, next day drowsy and when...

  23. Hanging dopamine and preventing accidental bolus

    LouisVRN replied to neoicu2684's topic in General Nursing

    Ah I think I see what you are saying. The way our pumps work, in order to get them to latch in it does push a small amount of extra fluid out. I would try getting the system all hooked up, bag to...

  24. Incident Reporting

    LouisVRN replied to RiverNurse's topic in General Nursing

    WOW! Incident reports where I work generally are just written to show that orders/policy wasn't followed. There isn't any blame. It just is a way of documenting what areas could benefit from...

  25. Elementary students need your help

    LouisVRN replied to LeeAnn N's topic in General Nursing

    Yeah the math I think that a 4th grader could understand would be things like. Pt needs 80mg Oxycontin. Your pharmacy stocks 20mg tablets, how many tablets will the pt need? If the pt gets this dose...