LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. Education vs Experience

    I both agree and disagree with you. I plan on returning to school for my MSN this year, I have 2 years of floor experience. I am going for my MSN in nursing leadership, but I plan to continue to work...
  2. My God, these family members!!

    i absolutely agree with this. where i work on the edge of a large city, family member do not in general stop by to "help out". they stop by to say that they stopped by. the ones that stop by because...
  3. I totally relate. I went my entire way through a BSN program wondering if I was making the right decision. My sister had graduated several years before and was working at a nuclear power plant and...
  4. My God, these family members!!

    I'm sorry, but honestly if the most I can complain about at the end of my day is someone asked me for 20 cups of coffee last night, I'd consider it a good night. I like having family around even if...
  5. facebook and HIPPA

    In my understanding and opinion this is not only unethical and immoral but illegal as well. Even if the patient gives a consent it is easy enough to say they did not understand the ramifications...
  6. Injection in buttocks: 1" vs. 1 1/2" needle

    We were told in school NEVER to give gluteal injections, that it wasn't evidence based practice. The only injection I give at work is flu shots/pneumonia shots and one of our docs who always orders IM...
  7. How often do pain meds cause vomitting?

    When I took vicodin for an ear infection, before I became a nurse, it made me so nauseas. If the pain hadn't been so bad I wouldn't have taken them. I literally felt so rotten I laid on the couch with...
  8. In need of some advice

    I am a night person. I do not like getting out of bed for 7am meetings, but I do it. In fact, I usually leave at 0630 so i can get coffee first. So it can be done. That being said I don't think I will...
  9. Biggest Misconception about nurses you've heard

    When I tell people that my identical twin operates a nuclear reactor .... "Oh wow, SHE must be really
  10. Biggest Misconception about nurses you've heard

    While doing committee work that consisted of chart audits, for one of the many committees I'm actively involved with or chairing, a student nurse comes up to me and says "How did you get the easy job...
  11. Help please?!

    Definitely take pre-calc. Take anything you can that will make you learn something new. I took three years of calc in high school and one additional one at university. Do I use any of it anymore? No....
  12. Central Line dressings

    If patients can not tolerate the clear plastic tegaderm dressing we are permitted to place steile gauze over the site under the tegaderm, but these dressings must be changed q48
  13. Seriously...

    So as part of a continuing process to improve patient satisfaction and fiscally beneficial as well we are implement a revised discharge plan (basically trying to get everyone to prepare for the...
  14. Seriously...

    I understand this, the patient in question did not have a hiatal hernia. I also think that for a majority of patient we may be killing a lot of trees for them to never reference the material again....
  15. Seriously...

    I understand that. I have multiple incidences of being able to support that, I would never accuse anyone of anything without having proof. When the documentation says one thing and yet the nurse and...
  16. Going to the bathroom... or filing papers. Seriously filing papers is something I find very relaxing. Possibly because I used to work in accounting. But seriously a room full of papers and binders to...
  17. i hate med-surg

    I am sorry you are hating med-surg. I have a lot of colleagues that are right there with you but honestly there are some of us out there that love it. I look forward to going to my med-surg unit...
  18. Seriously...

    I have talked to management, several times a week. As I mentioned earlier, we are eliminating some paperwork to try to promote compliance on this issue. I may be young and inexperienced but I truly...
  19. The type of nurse I DO want to be...

    I want to never forget what its like to be the one in the bed or the family at the bedside. I want to be the one everyone else can be depend on. I want to act in a way that my preceptees to continue...
  20. Seriously...

    Mainly number 1. I didn't shoot them down, management did. My job is to enforce the new change, all of the staff has been told this is now a requirement of their job and has been but has not until...
  21. Seriously...

    I am a RN, BSN, I have a concurrent degree in psych. I am not one to sit at the desk and berate my colleagues who are hard at work. I am the one that goes and asks what I can help them with. The staff...
  22. Seriously...

    If everyone else can do it and you cant thats not the case. Our patients don't change that much from day - night - day. If it no longer matters what group of patients you get that you always get the...
  23. Motivational help

    We have a recognition board. If someone does something nice for you or goes above the call of duty you write their name and what they did for you. Each month there is a drawing and the winner gets a...
  24. Seriously...

    Our audit system allows us to see who launched the application and what was done within it, whether daily education was done, if it was printed or not. It automatically prints 2 copies, one for the...
  25. Seriously...

    First off, let my clarify by saying I AM a staff nurse, I am NOT management. I do however feel strongly in promoting patient education and satisfaction, to me this is being a patient advocate. Now I...