LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. Seriously...

    It has been an expectation for years that they do this, we are only now starting to enforce it because no one was doing it previously. It is an expectation of their job, they need to make time to do...
  2. None of them :sofahider: I think that and have been told that I could take care of them and their loved ones if they needed it though :redpinkhe If I have a patient that I think is more critical I...
  3. Try on makeup all day! and go to culinary school.
  4. Arizona Jobs

    With experience I'd say not too bad. Most of the hospitals around here are hiring, although ER is one of the hardest areas to get into as most hire internally for the coveted positions. If you're...
  5. Flushing a central line

    Somtimes it seems like you are pulling back air when in fact you aren't pulling back anything. It is usually correct policy to aspirate blood before begining an infusion/IVP, but like the OP said it...
  6. Tell me about the calls that have pulled you away from helping other patients for a ridiculous or bizarre request/reason. By far my most interesting was a patient who called demanding to see his...
  7. 4. from the viewpoint of the bedside nurse: describe the role of the nurse executive in promoting safe and quality outcomes of care for diverse populations. the nurse executive views the incident...
  8. If no one has answered by the time my husband has gone to bed I'll do it!
  9. Know any good hospitals in San Diego?

    Any of the Scripps hospitals I've heard good things about, or CHW. At this point if it wasn't for my family I would get up and move to Loma Linda Medical Center to work with Dr. Sean Bush who is...
  10. How to give report?

    Np, its how we give report every morning. I try not to give too many details as we give bedside report and give the patient a chance to ask questions/clarify as well. It works pretty well once you...
  11. "And what would you like me to do about it?"

    Absolutely not! I feel the same way about patients or families who call to tell me they are hiccupping. I am not calling the doctor at 2am to ask on the off chance they will give you Thorazine....
  12. "And what would you like me to do about it?"

    Oh another one, I had a young male patient call me into his room to ask if I could watch something on TV with him And on a similar note, after seeing a pt watching twilight (okay so its a secret...
  13. Bizarre Case- Any guesses?

    Yeah I've had several patients who developed endocarditis from blood borne infections. Come to think of it all were young males. The cause of the infection was a central line in all cases but IV drug...
  14. How to give report?

    Here is an example of how I would do an SBAR format for a typical post op patient " S - This is John Doe he is a 50 year old male admitted for a ventral hernia repair with mesh with Dr. Jones...
  15. I think it depends how long it takes you to find your niche. I always thought L&D was my niche. I loved it in school scored 99% on both my final and midterm without studying, everything made...
  16. Geriatric UTI and Hallucinations/Psychosis

    This is incredibly incredibly common. We frequently have older patients who are confused, don't know where they are dont recognize their families, their families don't recognize them, they try to get...
  17. "And what would you like me to do about it?"

    LOL I used to work in wildlife rehabilitation before becoming a nurse. I can identify pretty much any species of bat, bird or reptile
  18. The positive side of nursing...PLEASE!!!

    I had a patient that was extremely sick the night I cared for her, I spent 8 hours of my 12 hour shift on my med/surg floor with her when I had 4 other patients. It was a bad night for me, fathers day...
  19. Bizarre Case- Any guesses?

    Thanks for updating us! Definitely an interesting case. I wonder if it was endocarditis from a blood borne
  20. Have you been assaulted by a patient?

    In two years, the most dangerous thing I've had happen is a dementia patient post-op hip fracture who swore I was the antichrist pulled her IV pole down so it crashed on my head. Thankfully I was...
  21. Funny things patients have said

    I was helping a new-grad nurse restrain a ETOH withdrawl patient that had been consistantly pulling out IV's, his PICC line, and kept getting out of bed. Me: "_____ I'm going to tie your hands to the...
  22. Bizarre family member behavior

    I think that sometimes family members are unable to process the medical side of things so instead focus on things that they can relate to. While this pt's son may not understand the critical nature of...
  23. giving smaller dose med?

    I agree it would in my facility be permissable to give the patient half of the 1000mg tablet if scored (although now all meds are cut by pharmacy) however if we cut it in on the floor we have to waste...
  24. nursing field with "teaching" aspects

    I work on a med/surg floor. One of my biggest regrets is I don't have more time to teach. Not to mention, I work nights, who REALLY WANTS to learn about how to administer a Lovenox injection, the...
  25. Honest thoughts on Job Market

    IMO its all about who you know. Where I work a lot of the hospitals are hiring, if you know the right people to get an