LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. Smelly question

    LouisVRN replied to allie1230's topic in General Nursing

    I guess I should be thankful my sense of smell is near extinct thanks to countless ear and sinus infections when I was younger. However certain smells still get to me. My favorite remedy is taking a...

  2. Depressed

    LouisVRN posted a topic in General Nursing

    I am starting to become depressed about my job. I really love nursing and enjoy going to work most days. I have worked 2 years on the same unit and genuinely like the vast majority of the people i...

  3. Depressed

    LouisVRN replied to LouisVRN's topic in General Nursing

    I know. This is pretty much what my husband tells me all time before *jokingly* calling me a spoiled brat. I know it sounds spoiled and whiney but I really feel like I could do so much more with the...

  4. How do I tell them?

    LouisVRN replied to violet_violet's topic in General Nursing

    Even if they ask about your significant other why would you mention he lives 3 hours away? They are probably asking to find out more about you, not him. I can tell you which of my co-workers have bfs,...

  5. Errors that you caught...

    LouisVRN replied to sabrina_RPN's topic in Patient Medications

    I will start with the list of errors I have found regarding heparin gtts - not initiated with a clear order and no contraindications, started at the wrong rate, given bolus with specific order not to...

  6. Response time on medsurg floor

    LouisVRN replied to rtaz315's topic in General Nursing

    Is your manager open to you trying different nursing care models like team nursing? One nurse passes scheduled meds and does assessments, the other takes care of PRN needs of the patients. Sometimes...

  7. Staying late without pay

    LouisVRN replied to coolpeach's topic in General Nursing

    I agree, I think there are multiple issues here. Are some people being able to leave on time regularly? I would hasten to say if your preceptor is regularly staying overtime, she should probably not...

  8. what would you do?

    LouisVRN replied to wanderinrn's topic in General Nursing

    You did the right thing. I had to call a doctor the other day to let him know a urine culture came back as MRSA, but was susceptible to Rocephin, which she was already on. But its still our policy to...

  9. To drink or not to drink

    LouisVRN replied to ArmyMomJo's topic in General Nursing

    I can see that if a patient is there for a reason other than alcoholism this would be okay. However if the pt has substantial liver disease caused by alcoholism I do not see how the doctor could not...

  10. Do you give meds without seeing the MDs order if he MAR has been checked?

    LouisVRN replied to canadianRNeducator's topic in Patient Medications

    It is good practice to teach them to do so, knowing along the road they will take shortcuts. I mean I can count on one hand the nurses who feel pedal pulses on ambulatory pts in for appendicitis, but...

  11. Im confused when you inject air into the vials

    LouisVRN replied to Lululi's topic in Patient Medications

    The dilaudid and morphine single dose tubex you do not need to put air into, otherwise you will over-pressurize the container and yes the bottom and all the medication will go outwards, hopefully it...

  12. Night Shift Rounding...Will your pt code in the meantime?!

    LouisVRN replied to RockinNurse's topic in General Nursing

    I work nights and we have this policy about q2 hour rounding as well. I try to make it a priority to round q1 hour at least, but if there is a pt I am particularly concerned about I put a continuous...

  13. CN to taking assisgments

    LouisVRN replied to nursing6207's topic in General Nursing

    Personally, I have a BIG problem with this. At least on my unit this is all the charge nurses when they have to work the floor, and to me I think it sends a message to staff that when your lead...

  14. med errors?

    LouisVRN replied to cecilsgirl's topic in General Nursing

    I forgot to hang a heparin gtt on a post-surgical patient. Someone else had, in an effort to help me save time, done my 24 hour chart checks for me. Unfortunately I took there saying "everything's...

  15. Nursing and critical thinking

    LouisVRN posted a topic in General Nursing

    I am almost at my boiling point with a particular nurse I work opposite from. On a daily basis that I get report from her, I feel like she has not turned her brain on once during the day. I barely...

  16. Shared Governance

    LouisVRN replied to VickyRN's topic in General Nursing

    I recently implemented a shared governance team on our unit (in June-July). We have already piloted our first idea, have had fantastic results and are looking in the next few months to take it...

  17. New grad-still wondering when to hold certain meds!

    LouisVRN replied to RockinNurse's topic in General Nursing

    Max, I'm glad to see someone else is going through this as well. I am trying to think of how to keep this from happening as much on my unit. As critical meds and antibiotics are also being held due...

  18. Am I admirably persistent or just delusional?

    LouisVRN replied to SillyInScrubs's topic in General Nursing

    I would say no. I have a friend who specifically wanted to work at the hospital I work at. She was told there were no job openings, so she said she didn't care about the money, she wanted to work...

  19. questions about your first code.. from a student nurse

    LouisVRN replied to tinker72's topic in General Nursing

    I am not looking forward to my first code. I have been a nurse for two years, and thankfully it has not happened yet. It is my goal to get them off the floor well in advance of that moment, I know...

  20. Experienced Nurses, I Could Use Your Help

    LouisVRN replied to TDCHIM's topic in General Nursing

    I have taken 2 years of advanced organic chemistry, it really does not come into play too much as a nurse. The most I can say is that I am a pro at calculating heparin drips and the like from all the...

  21. Would you question this order?

    LouisVRN replied to dura_mater's topic in General Nursing

    Yes, I would definitely question the order and I would continue to call him, even if it was just "I know you said you didn't want to know if Mr. X's INR was greater than 10, but its now 9.2 instead of...

  22. Sarcoidosis ... help

    LouisVRN replied to priscilla220's topic in General Nursing

    I'm very sorry for the situation you and your grandfather are in. Unfortunately we can not offer you medical advice. I would recommend that you accompany your grandfather to his doctors office and...

  23. PCA discrepancy (too much med?)

    LouisVRN replied to General E. Speaking, RN's topic in General Nursing

    Usually there is a little air bubble in the syringe, to ensure that all the medication is delivered to the patient, I would assume that that is making up the extra volume, but that the machine...

  24. Question about Seizures.

    LouisVRN replied to BSN 2 B's topic in General Nursing

    Yeah, I would definitely say Ativan, as it can provide more immediate

  25. Thats it! I'm moving...where can i get a job?!

    LouisVRN replied to Nire83's topic in General Nursing

    Try looking in AZ, its hot but the facility I worked with just hired about 30 new grads and are hiring