LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. RELAX! We don't bite! I honestly have really enjoyed having male co-workers. Sadly they are both seeking different employment opportunities at the moment and I will miss them, but on the positive side...
  2. Take your spouse to work day.

    Agreed! My husband is a computer programmer and comes home at the end of his 8 hour day and tells me how tired he is. I get off a 12 hour night shift and am bouncing off the walls with excitement. In...
  3. calculation problem

    Assuming your available is 500mg of Thiamine per 5 cc. The ratio is easy as it is 100mg/1 cc Thiamine, therefore, you will need to add 10 cc or 1000mg of Thiamine to each bag of 500 cc. So you will...
  4. Pushing Dilaudid?

    IMHO I absolutely feel that this is something worthwhile in ever hospital. As nurses we struggle so much to help our patients in pain and there is nothing more frustrating than calling the doctor and...
  5. Pushing Dilaudid?

    if this is a po dose then although extremely high, i wouldn't be too adverse to it, although i would have suggested that the doctor try a different medication. some people just don't respond well to...
  6. Pushing Dilaudid?

    I do not like taking care of anyone that claims to be in pain, whether they actually are, think they are, or just want to get high. Frankly, giving medication every two hours, documenting an initial...
  7. Quirky Habits?

    At work I'm a clean freak, I want my lines labeled and organized, anything superfulous removed, IV bangs dated and initialed with a patient label. I want the pumps set perfectly. At home, it half the...
  8. Medication errors

    I have seen 90 units of lantus q hs as a dose. Written by an endocrinologist no less, so giving 100 unit dose would not be out of the question. Although criticial thinking might come into play as the...
  9. Bleb reduced almost instantly

    For some reason, I have no idea why, I have never been able to get good blebs. For school once I had to get four injections to get one they thought "might" be accurate. I would definitely get another...
  10. Nurses with tattoos

    LOL sounds just like me. I'm the person on our floor that has pretty much the entire policies and procedures manual memorized. I am the elected shared governance leader and serve on a lot of the...
  11. Inept New Grads?

    I know this is probably a novel concept but have you tried pulling them aside in a non-threatening manner and asking why they are slow? Do they not know where things are? Are they having a hard time...
  12. Hospital Expansion

    My hospital is starting a six story expansion to be completed, hopefully, within the next three years. I am taking part in a committee that will try to make the new tower as "user-friendly" for staff...
  13. Lovenox is very expensive, if i recall correctly, over $100 per injection, still minute to the financial, let alone physical reprocussions of a DVT/PE/MI. That being said, the ever popular protonix is...
  14. Hospital Expansion

    Excellent Link!! I'm going to print it and take it to my next committee meeting! Thank
  15. why is a person so evil?..... venting here

    I don't believe you should fault her for this, in every place I know of you are OBLIGATED to report a med error if you catch it, regardless of whether or not there is a committee looking for them as...
  16. Hospital Expansion

    For anyone that can answer, other than the closer proximity to other co-workers WHAT IS THE ADVANTAGE to a centralized nursing station? We have three nursing stations on our 27 bed floor. I think that...
  17. why is a person so evil?..... venting here

    I dont think unless that patient was in someway in immediate danger, nurses ever need to degrade one another in front of or to the family. If I have a concern about another nurse of their practice I...
  18. Hospital Expansion

    And this is exactly why I posted here! I would have NEVER even thought about
  19. ob/gyn or neuro

    I am biased as well. I work med-surg and love it! You truly get everything, we have a lot of ob/gyn and occasionally get neuro patients as well. It never gets boring because there is always something...
  20. Top 10 Myths of the "MURSE"

    I have to say we have 3 murses on our unit currently, and am sad to say we will be losing two to different departments shortly. I have greatly enjoyed all my murse experiences. Yes, some females will...
  21. Worried Patient

    She has a point, she is at an increased risk of getting a potential fatal disease. But our genes predispose us to all sorts of things that could kill us. The fact that she has a point is valid, but...
  22. Major Vent

    I am an no way saying that my care is any less efficient or sensitive to these patients, I try to make concessions to be sensitive to everyone's needs. And if they are visiting I have ABSOLUTELY no...
  23. Airborne vs. Droplet Precautions

    Lice is contact only. I don't know about the order to correctly remove PPE, I always double glove in any kind of contact room, remove gloves, remove gown with second set of gloves, then faceshield,...
  24. Tips for being a great Nursing Assistant

    I would say on the DO list: do make yourself available, admit when you need help or havent had time to do something, only what you are trained/feel comfortable doing, be friendly with staff and...
  25. Feeling called to nursing...some questions

    Honestly, if you want to teach we need you on the floor! There are daily opportunities to try to help patients better understand their medical conditions, diets, procedures etc. I am a wife and mother...