LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. Some crazy/funny things that patients did.

    Post-op knee replacement patient who was ordered ice bags to operative knee. "Mr. X where did all your ice go?" "Well I ran out of water and didn't want to call you so I drank
  2. preceptor/preceptee, hanging by a thread.

    I would suggest sitting her down and saying that this "sink or swim" learning style isn't conducive to your needs. Find her and ask her when you come across something you don't recognize. Ask to spend...
  3. Preceptor Gift Ideas

    - a stethoscope cover - Starbucks gift card - a nice coffee cup - a "dork pack" - depending on what you want to spend a temporal thermometer or manual blood pressure cuff - a nice card -...
  4. best nursing positions for men.

    One of my male friends loves our busy med/surg unit, the other prefers ICU. It depends less if you are male or female and more on your
  5. Should I tattle?

    If you feel very strongly about this, then I would talk to Janet, keep it factual and specific. Additionally, tell her what you'd like her to do in the future to make your working relationship work....
  6. Universal Precautions are not optional...

    Completely agree. I am an OCD-germaphobe with a child at home. I will NOT touch any patient or anything in their room without gloves on. If you mean they are not using universal standards, like...
  7. Legitimate Pain or no?

    I have to agree with you and your frustrations. A lot of nurses seem to think they are personally in charge of controlling the narcotics. IMO if a doctor has ordered it and the patient has requested...
  8. What I really think of nursing

    I agree and disagree. I disagree that nursing has a limited skill set, it is limited only by the nurse. If it was so limited we wouldn't have a case manager, social service, chaplain, RT/PT/OT, speech...
  9. Medication incident reports

    Absolutely! Especially if the medication is documented as given. If the medication is not documented at all, I would probably tell the person (if I could identify who was doing it) that this was a...
  10. Body Bags

    Our hospital uses the same
  11. Difficulty Aspirating NG Tube

    It is EBP to not use an air bolus to auscultate, at our facility the rule is if you can not aspirate gastric contents you need to get a physician's order for an X-ray for placement before it can be...
  12. Red bulls, No-doz, Coffee and Caffeine pills!!

    I have one coffee at the start of my shift, I work 7pm-7am. Honestly you will be so busy you won't fall asleep. There is always something to do and if there isn't worry that you are forgetting...
  13. Stroke pt with increased weakness and slurring

    Had a pt like this myself, converted from an ischemic to hemorrhage stroke after she was supposed to be discharged. You called a "rapid response". That way they were able to get things rolling while...
  14. Most Common Patient Diagnoses

    This might be regional as well. I work on an med/surg/ortho so we get a lot of falls s/p ORIFs, appys and choles are big, we also have quite a few plastics, hernia repairs, bowel obstructions. We...
  15. Post op Admissions During Shift Change?

    I think what she is saying is a phenomenon we've noticed as well. If PACU or ED would have to flex-down (send a staff member home) by releasing a couple of their patients to the floor they tend to...
  16. IV starts in nursing school

    We were required to start one on each other before practicing on
  17. Bedside reporting

    As to whether or not it takes longer that entirely depends. Sometimes our patients are very anxious for one reason or another and have a lot of questions they want answered. As the oncoming shift I...
  18. help with a symbol for diapers??

    It is not a "T" It is a Roman numeral i ii iii The bar on top is for clarification to ensure a separation between the number and the dot. The i, ii, iii have no description associated with them, they...
  19. The problem is ensuring that everyone does it correctly. If the person before you screws up and either does not credit the right input or output there will be almost no way that you can be correct on...
  20. Night Shift!!! How do YOU stay awake?

    I stay busy! Honestly I have no problems and never have had any problems staying awake at night. There is always something to do. I will organize the med room, re-stock the nourishment room, file...
  21. Those at the 1-2 year mark of nursing

    I am now at 2 years and 2 months. I can honestly say I really enjoy it, most of the time. Sometimes I think I'm going crazy but I look forward to going to work. I work on a very busy med-surg/ortho...
  22. what would be your ideal whiteboard?

    We can customize our whiteboard to see just our patients or the whole floors patients, it shows the patient name, medical record number, admitting diagnosis, interventions that are due, medications...
  23. Song lyrics that remind you of nursing...

    "Life is Killing Me" By Type O
  24. Floor nurses

    I work an ortho/med-surg floor we do primary care. When we have a tech it is because we are short a nurse and will be having to take a 6th patient. Its hard work getting a bunch of ortho patients to...
  25. What's your favorite lip product for work?

    My absolute favorite is MAC's cremesheen lip gloss. I have several colors I keep in my bag to work including Loud & Lovely, Just Superb and fashion scoop. They last fairly well but are extremely...