LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. Wondering about extent of charge nurse help/support

    LouisVRN replied to beeble's topic in General Nursing

    IMO the charge is a resource to go to, whether it be putting a page out for a doctor, walking you through a new procedure, de-escalate a patient situation or calling staffing to see if there is a...

  2. Research topic (presented internally)

    LouisVRN replied to rbytsdy's topic in General Nursing

    You'll have to let me know what you decide and what the results are. I'm coming up with some unit based projects as well and of course they have to be evidence based. At the moment looking for ways...

  3. Caring for a COPD patient

    LouisVRN replied to Simply Complicated's topic in Pulmonary

    Having never worked ICU I can't give you much advice on the patient care aspect. However I have learned to ALWAYS listen to families, they can detect subtle changes in their loved one long before I...

  4. Research topic (presented internally)

    LouisVRN replied to rbytsdy's topic in General Nursing

    Is it an issue you have to gather your own research for? Or do a meta-analysis and present someone else's research? On my med-surg unit some issues I'd like to see quantitative data on are SCIP and...

  5. To Fall or Not To Fall?

    LouisVRN replied to Tait's topic in General Nursing

    At our facility a fall is "any unplanned descent to the floor or a lower surface". So yes that would classify as a

  6. Experienced nurses: teach us your time management skills

    LouisVRN replied to HeartsOpenWide's topic in General Nursing

    No, you definitely wouldn't allow a person to sit in their own blood all day, but the person is not going to die if they do. While something you'd definitely want to address it would not be priority....

  7. Experienced nurses: teach us your time management skills

    LouisVRN replied to HeartsOpenWide's topic in General Nursing

    I work 7pm-7am on a busy med-surg/ortho unit where time management skills is a common problem and cause of poor nursing care and patient complaints. We do bedside report, during bedside report I make...

  8. Trying to boost morale advice wanted!

    LouisVRN replied to burnoutward's topic in General Nursing

    We had some issues like this recently as well. I would say try talking to people on your unit that will be constructive and see if there is anything that is small that just needs to be addressed. For...

  9. What is your splurge?

    LouisVRN replied to Otessa's topic in General Nursing

    Tombstone is not my thing, I have no interest in the history of the southwest, having lived here my whole life. The sonoran desert is beautiful in its own way though. I'd highly suggest checking out...

  10. Discharging patients/unit projects

    LouisVRN posted a topic in General Nursing

    At your hospital are you held to standards regarding discharging patients? ie. patients should be discharged in 2 hours. What do you think the main barriers you meet towards speedy discharges? If...

  11. what I wish I could say to my AAOX3 patients!

    LouisVRN replied to Lola77's topic in General Nursing

    It's so funny because all our patients and other staff call our floor "the hilton" as we have hardwood floors, crown molding, private rooms which are large, couches, recliners, a writing desk. I once...

  12. What is your splurge?

    LouisVRN replied to Otessa's topic in General Nursing

    Louis Vuitton and Tiffany's and high end makeup!!

  13. Patient Handoff Process

    LouisVRN replied to NursingNotes's topic in General Nursing

    We do bedside report. "Hello Mrs. Smith, this is Jane, she is a registered nurse, and she will be taking care of you tonight. Is it okay if I discuss with her what brought you in to see us and what's...

  14. If you can say one thing to your boss, what would it be?

    LouisVRN replied to rn4ever?'s topic in General Nursing

    Please please please hire me as charge nurse if there is ever a position open. I have shown you and you have commended me on what a great employee, co-worker and nurse I am. Give me the opportunity to...

  15. Shared Governance

    LouisVRN posted a topic in General Nursing

    Looking for ideas/solutions regarding bringing shared governance to a unit. How should I go about getting people to participate? What kind of projects have your unit shared governance done? I would...

  16. Possible Solutions to Nursing School Wait lists?

    LouisVRN replied to jm0203's topic in General Nursing

    With the difficulty new grads are having with finding a job, I don't know if forcing more through the program at a quicker rate would be beneficial. I agree that having students become unwilling...

  17. Patient made me feel like low life

    LouisVRN replied to FiduciaRN's topic in General Nursing

    "c*******er ? I'd like to buy a vowel, Pat! No really, what is that? Can someone PM me that bad word? :lol2:" LOL I'll help you out. c*cks*cker. Now you only have to buy two vowels I had a...

  18. Can't get it out of my head

    LouisVRN replied to MissJessica,RN's topic in General Nursing

    I don't necessarily think its unhealthy to keep seeing the image provided it doesn't bring up all the same emotions again. I have a lot of patients that I can "recall" due to something in my mind...

  19. White Supremacist patients

    LouisVRN replied to vashtee's topic in General Nursing

    I don't know, probably wrong, but I feel sorry for anyone that is that hateful. I think there has to be some underlying trauma to people who hate others blindly for whatever the reason. That being...

  20. New RN who may lose her Med Surg job

    LouisVRN replied to Epona's topic in General Nursing

    Ask for specifics of your preceptor and nurse manager. By hands on skills do they mean you do not know how to operate the equipment? IV pumps, BP cuffs, Accucheck machines etc. Or do they mean that...

  21. Play Dr. House

    LouisVRN posted a topic in General Nursing

    So "hypothetical" situation Pt was s/p abd surgery POD > 5 when they stopped producing urine. Less than 10cc/hr x 24hrs. Pt had a foley cath, was bladder scanned, negligent amount of urine in the...

  22. manual BP's?

    LouisVRN replied to Lola77's topic in General Nursing

    Nope, they are definitely more accurate if taken

  23. Play Dr. House

    LouisVRN replied to LouisVRN's topic in General Nursing

    Agreed! Definitely, especially if they aren't my "patient"!! I'm happy with how the situation turned out and pleased that at least although somewhat new my thought processes and interventions were in...

  24. Play Dr. House

    LouisVRN replied to LouisVRN's topic in General Nursing

    So in the end, no clear cut answer. Pt is much better with plans to be DC'd home. :) Renal consult considered adrenal insufficiency as a possible

  25. Play Dr. House

    LouisVRN replied to LouisVRN's topic in General Nursing

    As an update, I don't know much but was told she is doing much better, ambulating unassisted and the plan is discharge tomorrow. I hope she is still there tomorrow night so I can talk to her. To...