LouisVRN

LouisVRN RN

Med/Surg

Member

  • Content

    672

  • Visitors

    11,023

  • Followers

    0

  • Likes

    19

All Content by LouisVRN

  1. Balancing safety and time management for a new nurse

    LouisVRN replied to Fiveten's topic in General Nursing

    You could very well work on my unit from the sounds of it. Although we NEVER have aids on nights. Everyone has a different groove and I'm sure you will find yours eventually although it does take...

  2. Is The Doctor Missing It? Stepping on Doc's Toes

    LouisVRN replied to Kooky Korky's topic in General Nursing

    Maybe not the best approach...but one I have been known to use. Assuming this is an inpatient setting and that the doc is not on 24/7 and that you have attempted to convey what you think would be...

  3. What's the nicest thing a patient has done for you?

    LouisVRN replied to Cyndi13's topic in General Nursing

    I once had a patient who had converted from an ischemic to hemorrhagic stroke (she was supposed to be discharge to rehab earlier in the day but insurance issues had held it up). I was actually...

  4. Do you check on your patients less when family is in the room?

    LouisVRN replied to 3dayRN's topic in General Nursing

    Honestly, it depends. If a patient is alert oriented x3, and there for something like a lap appy with 2-3 friends at bedside, I may save them until last to round on assuming one of the three of them...

  5. What's the most dangerous thing that's happened to you while working?

    LouisVRN replied to Aly529's topic in General Nursing

    Thankfully nothing too dangerous for me yet, thank goodness as my first instinct would probably be to hide under the desk. I've had things thrown at me and people try to hit me but most of them were...

  6. I wonder how many nurses out there experienced a needle stick injury

    LouisVRN replied to Blackheartednurse's topic in General Nursing

    Thankful to say the only time I've stabbed myself with anything was when I was trying to hang a new bag of IV fluids on sterile tubing in the dark. Just got the tubing out of the package pulled the...

  7. True life as a nurse

    LouisVRN replied to Wendi Decker's topic in General Nursing

    It really depends on you as a person. I work 12 hour nights - granted that means that 2 days a week I'm running on little sleep. But the fact is I love that my son doesn't have to go to day care and I...

  8. consults

    LouisVRN replied to sweet sunshine's topic in General Nursing

    We have a policy where we have to call the consults as soon as we get them. 2am and patients lab work came back as MRSA, and you want an ID consult. Time to wake the ID doctor up to see if he agrees...

  9. did you hear?

    LouisVRN replied to Mulan's topic in General Nursing

    Also if you think about the jobs that require working 12 hour shifts, most of them are high stress jobs. IDK though, if going of a heart attack means I'm less likely to go of cancer - I'm thinking...

  10. Differences in pain medication

    LouisVRN replied to heaverboo's topic in General Nursing

    Agree with the poster who loves Toradol. Especially I have found for young-middle age men whose pain is not controlled with dilaudid alone or anyone with a history of drug abuse or a fever that's...

  11. What does TBU (transitional bed unit) mean?

    LouisVRN replied to Florence NightinFAIL's topic in General Nursing

    At my hospital we have a transitional care unit, assuming it is the same thing. It is once the ED doctor has wrote admitting orders but there is currently not an inpatient bed. They get to stay in the...

  12. Nursing unit set up...help!

    LouisVRN replied to tanhaight's topic in General Nursing

    Yes, that is primarily how our floor works. We were told we can not keep charts outside of patients rooms because it is a HIPAA violation. (Totally can see a family member going through a patient's or...

  13. What HAVE you said to patients???

    LouisVRN replied to jessi1106's topic in General Nursing

    "If you don't like the fact that we aren't giving you all the pain meds you have been prescribed outpatient by numerous physicians and then lied to our pain management doctor about, you are free to...

  14. How often does this REALLY happen?!

    LouisVRN replied to Sl1011's topic in General Nursing

    In the past two years, I can remember one occasion where I forgot to chart something, that I had removed a dressing that was scheduled to be removed. I charted it the following night as a late entry....

  15. Things you wish you could say to your co-workers...

    LouisVRN replied to nurse4theplanet's topic in Patient, Colleague Relations

    If you are so miserable being here go home. I will take over your patients for the night just not to here you complain anymore. Have you not realized, no one wants to sit by you? It's because you...

  16. range order rationale

    LouisVRN replied to MunoRN's topic in General Nursing

    My opinion on the matter is this. If I give one Norco at noon. Our policy dictates pain must be re-assessed around the one hour mark. If pain is controlled at that time, no further intervention. If...

  17. Process Improvement and Change Project

    LouisVRN replied to qt2168's topic in General Nursing

    Oh yeah. Well one thing that we recently changed on our unit was reviewing the chart with the oncoming/offgoing nurse at shift change because things were being missed and it was leading to a lot of...

  18. Did any of you NOT take a NCLEX prep course??

    LouisVRN replied to Zookeeper44's topic in General Nursing

    Did not take a review course, did not study. Passed the first time with 75 questions in 15 minutes. Of course walked out of there swearing that I failed and sobbing uncontrollably, but i think...

  19. RN with 2 years experience and still feel uncomfortable at times.

    LouisVRN replied to stellaRN1983's topic in General Nursing

    You should always feel uncomfortable in some circumstances...you can never know everything. After almost 3 years I can say I feel comfortable 98% of the time, but the 2% I dont is when I learn the...

  20. STOP! Or somebody's going to get hurt!

    LouisVRN replied to jjhc2006's topic in General Nursing

    1) You should never be afraid to ask questions or do anything you've been told not to do. 2) If you want to best help me, ask me. It can vary from minute to minute and can be anything from getting a...

  21. Pregnancy and floor nursing

    LouisVRN replied to aerorunner80's topic in General Nursing

    I told my directors/supervisors right away so that they knew when making the assignment that there are certain patients I couldn't take. I told a few close co-workers right away as well, but told the...

  22. All Nurses/Cna's in Ortho

    LouisVRN replied to mejajo08's topic in General Nursing

    Ortho is hard work. Many if not all of the patients will need assistance with toileting/walking/bathing. Often times, especially with the older non-elective surgical patients they will need multiple...

  23. What is the lowest HGB you have seen?

    LouisVRN replied to I<3H2O's topic in General Nursing

    4.X on a 70 year old pt admitted to a med/surg floor for GI bleed. Totally A&Ox4. I asked the charge nurse several times if she was sure he should not be monitored. Of course he came to our floor...

  24. My lie to patient's mom

    LouisVRN replied to hiddencatRN's topic in General Nursing

    Part of our job is to reassure the patient while we take care of them as best as possible. In that aspect sometimes we need to "lie" in order to prevent the situation from getting worse. For example,...

  25. What is back priming?

    LouisVRN replied to Baboosh123's topic in General Nursing

    To back prime an IV line, you have a primary infusion already running, usually already connected to the patient. You then attach the secondary set, open the clamp and hold the set lower than the...