LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. Bedside Reporting

    LouisVRN replied to OttawaRPN's topic in General Nursing

    We are supposed to do "Bedside report" at the hospital where I work. It works quite well when we do the majority of the report at the desk while looking over the chart together then head in give the...

  2. Difference bw Doctors and Nurses

    LouisVRN replied to Bormio's topic in Nursing Humor

    A little off topic but I was listening to an ad on the radio for medical assisting and one of the perks was "get to work alongside doctors". Really? Not the doctors I work

  3. maybe I wasn't being nice.....

    LouisVRN replied to hearthelper's topic in General Nursing

    As a Med-Surg nurse I have to agree with a lot of things said by the other posters in response to your initial post. While I recently took a telemetry class that helped to familiarize myself with the...

  4. Major Vent

    LouisVRN posted a topic in Patient Safety Issues

    So this has lately been a pet peeve of mine at work, patients that live in this country and speak NO English. I can totally understand and sympathize with how scary it must be to be visiting get sick...

  5. Vulvar Intraepithelial Neoplasia

    LouisVRN replied to Little Panda RN's topic in General Nursing

    never heard of

  6. How can I get OUT of Med Surg and into ICU, ER??

    LouisVRN replied to Epona's topic in General Nursing

    I am sorry as a med-surg nurse I have to speak up at this point... Why are you not using your critical thinking skills? These patients did not come in for a weekend holiday. They more than likely came...

  7. My patient said WHAT ?!

    LouisVRN replied to NurseLoveJoy88's topic in General Nursing

    From a patient I was applying restraints to for trying to pull out his central line and repeatedly trying to get out of bed post-op. "You better make those really tight...'cause I'm super fast!" Point...

  8. POST OP NAUSEA -which drug do you like?

    LouisVRN replied to Fairlythere's topic in General Nursing

    I have found that 8mg IV Zofran given IVPB works reasonably well as long as the pt isn't TOO nauseas (Dry-heaving already) at the point where they are dry heaving, or sitting with an emesis basin in...

  9. Being a good Preceptor - a question for Students

    LouisVRN replied to purseOnalityRN's topic in General Nursing

    First and foremost you will have to tailor your precepting to your preceptee or it will not be a good experience. If your preceptee is ready to leap in the deep end of the pool and they're not ready...

  10. Diluting all IV push medication??

    LouisVRN replied to srewer's topic in General Nursing

    I will never give anything in a port that is not closest to the patient with the exception of possibly a central line. Just in case it is something like Dilaudid and at some point between you...

  11. Diluting all IV push medication??

    LouisVRN replied to srewer's topic in General Nursing

    I dilute almost all of the medications I give IV. Except for Valium, as another poster mentioned and anything needing to be given STAT, like Ativan in a pt that is seizing. I find that a lot of time...

  12. cruelest thing I heard a nurse say

    LouisVRN replied to work67's topic in General Nursing

    There is one nurse I work with who is notorious for stating the obvious, ie. things like for an appy pt with no prior medical history in front of the patient at bedside report "This is _________. He...

  13. Would you have reported this med error?

    LouisVRN replied to IowaLPN's topic in General Nursing

    I agree with Moogie. If people aren't going to follow through because "its just a pepcid" what next? For me its a slippery slope. Would you not make a note if the family brought in grandma's roxanol...

  14. Advice needed...how to survive the night shift commute...literally.

    LouisVRN replied to NeoPediRN's topic in General Nursing

    Have you tried pulling over and like running around the car 10 times or doing squats or jumping jacks at the side of the road? Eating keeps me

  15. precepting GN's

    LouisVRN replied to newwavegirl89's topic in General Nursing

    As a graduate nurse in our facility they work as "externs" and can not give medications, they basically act as an aide. I would suggest discussing this with the nurse

  16. Drug seekers: where's the compassion?

    LouisVRN replied to Born2BWild's topic in General Nursing

    I must say this is one of my pet peeves with other nurses as well. I can't say I don't have my doubts about people who constantly rate their pain 8-10/10 (the worst being people who rate their pain...

  17. Felt like a complete idiot at work yesterday

    LouisVRN replied to NurseLoveJoy88's topic in General Nursing

    We have a new thing in my hospital regarding "shared learnings" basically everyone discussing mistakes they've made and what the contributing factors were and how they have changed their practice to...

  18. Ambu bags (inpt)

    LouisVRN posted a topic in General Nursing

    Do you have one in every room, one in the code cart, or none? I'm primarily wanting to know about inpatient med/surg and tele units. TIA. Just wondering as last night, no one could find one on our...

  19. How do you stay sexy in nursing school

    LouisVRN replied to 2bnurseforce1's topic in General Students

    Going to work I don't care about looking sexy. I care about looking professional and competent. Keep my hair neat and washed, smelling clean, hair out of my face, a little makeup - that's good enough...

  20. Most difficult to learn as student and nurse?

    LouisVRN replied to Despareux's topic in General Nursing

    What to say to a patient with a terminal illness or when they've just received a really poor

  21. Opinions and Experiences with Patient Restraints?

    LouisVRN replied to jax14's topic in General Nursing

    All 4 side rails and mitts are both restraints, I would agree with the nurse who told you that you need a doctors

  22. Is this a ridiculous reason to go to the ER?

    LouisVRN replied to MattiesMama's topic in General Nursing

    We can not give you medical advice, but that definitely not what I would consider an emergency. Have you considered an urgent care? Or perhaps seeing another doctor at that facility who made has some...

  23. New RN with Question

    LouisVRN replied to RNwithpassion's topic in General Nursing

    Honestly, to me I would consider Occazm's razor until proven otherwise. As another poster mentioned it takes very little blood to discolor a lot of urine. The chances that it went from blood to no...

  24. Ambien psychosis?

    LouisVRN replied to Cat_RN's topic in Patient Medications

    Oh yeah. We had a patient go from normal to nuts an hour or so after taking an ambien. He was trying to get out of bed s/p knee surgery and even threatened one of our pregnant nurses with a cane. He...

  25. What's it like working an Ortho unit?

    LouisVRN replied to jbee's topic in Orthopedic

    Honestly I work ortho and post-op and love it. Yes, ortho patients are often hard, they need help to the bathroom but at the same time it is very rewarding. Most commonly the procedures we see are hip...