LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. Appropriate Shoes for Interview

    Agree with the oxfords or a matte black leather tennie. Have you considered a nice black boot with a low
  2. Nursing Care Plan (Post-op) Hemicolectomy

    Some of my choices would be activity intolerance, acute pain, the potential for ineffective airway clearance/breathing pattern related to most patients' desire to t/c/db use due to pain, the risk for...
  3. Brain cancer metast. from lung, Diagnosis??

    Obviously first and foremost, tissue perfusion (altered cerebral). Gas exchange, impaired, Risk for injury, family process, altered, grieving, anticipatory all come to
  4. Preceptor problems

    Honestly I do a lot of precepting on my unit even though I only have 2 years experience. One of the first things I do is tell them of the mistakes I made and the most common mistakes made on the unit....
  5. Vent- new grads who don't struggle at work

    IDK as a new grad, I felt like I never struggled like I've seen some of the nurses on our floor. Not that I didn't at times feel overwhelmed, but I knew I could handle it. Then again, I've seen some...
  6. Stories of your critical patients

    As far as what you will see as far as critical patients on a med surg floor? Let's see, I've been a nurse for 2 years on a busy med/surg floor the most critical patients I have seen that I can...
  7. Administration vs Interaction

    I work nights, and I really do feel that this makes a difference. Also our med-surg floor is primary care, meaning we have no CNA/LPNs or ancillary staff, so anything our patients want/need we do....
  8. Pets in the office? (LTC)

    I am really on the fence about this. My sister is a herpetologist, I am very comfortable around reptiles including venomous ones and ball pythons are not big enough to cause physical harm other than...
  9. Safe PT to Nurse ratio, what is yours?

    We have 5 usually, no techs/CNAs or other ancillary
  10. The retro nurse's outfit has returned

    You know, other than agreeing that half the staff would look like Media stars and the other half horrendous, I wouldn't mind wearing it. Practical...no, but half the things I'm required to do aren't...
  11. Oh no. Accidentally left work with diazepam!

    Wow so true what everyone said here. Definitely don't try to hide it and think that you can get away with it. Your managers may never know, pharmacy may never know, but YOU will always know. So true...
  12. *Weird* Patient Allergies

    I once had a patient tell me he was allergic to snow crab - I told him he was safe at the
  13. Frustrated new L&D nurse

    Turning the pit off with the first sign of decels is important and is worthy of an incident report, just because its not what everyone does, doesn't mean its right. This is one thing I do remember...
  14. I just want my son to be happy, whenever anyone asks me I tell them I think he's going to be a doctor, model and athlete, but at 3 who
  15. Signing orders off

    At are hospital all orders must be noted by an RN, although this has lead to some confusion. I learned to note off an order only if everything from that order had been transcribed correctly into the...
  16. Lowest BP?

    Yeah I've found that too, first thing I do if anything's out of whack is take a manual on the opposite arm or legt if opposite arm is
  17. Lowest BP?

    30/16 on a patient in adrenal crisis. She was DNR and didn't want to be given high doses of steroids. I was really afraid I was going to lose her during my shift as this was her pressure at 1930 as...
  18. what should i do?

    It's definitely understandable that you are feeling this way. I would be worried about any new grad that didn't. That being said it does get better. I am sorry you don't feel like you have the support...
  19. I would fully disclose and include a short description of the problem. I checked that I had had previous problems with blood pressure because I was pre-eclamptic. When I went in for my physical though...
  20. I work on an ortho floor, whenever my patient complains of numbness and tingling my questions to ask are: Is this something different from you baseline? (A lot of patients have some form of neuropathy...
  21. Turning a pt with an unstable femoral fracture

    We are an ortho floor and see a lot of this, some doctors like their patients in traction prior to surgery some don't. Most do not feel much pain until they are moved, so turning them every two hours...
  22. I always chart the nursing staff by the acronym we are assigned, first initial, last initial and a random number. That way should a patient get a hold of the chart for whatever reason they aren't...
  23. Help?? What should I do.

    I would request time off work, flexibility throughout the nursing program and your nursing career is
  24. Having only worked med/surg, I'll throw in my . We do bedside report which means its a chance to write my name and spectralink number on the board, introduce myself, ask about their pain, ask if...
  25. Should have never gotten out of bed.

    I have a nurse like that, I always say " (fill in name here) please let me finish giving you report then I will be happy to answer any questions you may