LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. Bilateral Lower extremity Cellulits?

    LouisVRN replied to CoffeeRTC's topic in General Nursing

    I've seen many different cases of cellulitis, some from blisters from high heels, some from bug bites, some from stasis/lymphadema, others seemingly idiopathic, the main things are to prevent further...

  2. lovenox

    LouisVRN replied to becky0124's topic in Patient Medications

    I would just keep rotating sites, using the two syringes. You aren't supposed to give more than 1cc subq and usually regardless of the dose they are 1cc. Your hospital doesn't carry different doses of...

  3. Do you admister oxygen on your floor to a pt complaing of chest pain?

    LouisVRN replied to Blackheartednurse's topic in General Nursing

    We always give morphine if the patient has it available regardless of their perceived pain level as I was told it decreases respiratory workload and can slow and relax the

  4. Family member in room at night

    LouisVRN replied to cicatrixx15's topic in General Nursing

    I always like when family stays, even if they dont help. I think that they know them way better than I can and can sometimes notice changes I may assume are a persons baseline (ie. confusion, slurring...

  5. Caring for Violent patient

    LouisVRN replied to ekgoodwi's topic in Patient, Colleague Relations

    Exactly what he/she said. Explain in minute detail, and ask permission to touch them as you would any other patient. If the patient is intent on doing something ask if they would like you to return...

  6. IV Morphine Push

    LouisVRN replied to Sweetie2005's topic in Patient Medications

    I know for sure that our primary sets hold 5 cc. If you administered it into the closest port to the patient, and it was 2mg/1 ml, and you didn't dilute it, it would probably reach the patient in 5-10...

  7. Almost Fainting

    LouisVRN replied to cashew1's topic in General Nursing

    The only time it happened to me I was pregnant, for the life of me I couldn't figure out what was wrong. It was my first semester of nursing school and I was helping a LTC resident eat an egg sandwich...

  8. nurses hide from high-needs pt

    LouisVRN replied to CeilingCat's topic in General Nursing

    I agree, as much as I try to be with my patients as much as possible and see that every last one of their needs are met, the fact is that especially in med-surg there are probably a lot of patients...

  9. nurses hide from high-needs pt

    LouisVRN replied to CeilingCat's topic in General Nursing

    Welcome to med-surg, sounds like a typical patient on my unit. In my experience it is less the nursing needs of this patient than their attitude and unwillingness to cooperate with the staff that...

  10. Things you only learn on the floor...

    LouisVRN replied to leonurse's topic in General Nursing

    That 9/10 you can tell when someone is going to crash by looking at them. That there is nothing that is "normal". That talking to the patients and getting to listen to their pscyho-social needs you...

  11. Wrist Fracture question

    LouisVRN replied to kb1234's topic in General Nursing

    Using, the ABC method, obviously the only one applicable would be C. Therefore elevate to the level of the heart, provide pillows for comfort, check capillary refill, pulses, sensations (does he have...

  12. Orientation Med Test

    LouisVRN replied to BraeRN's topic in General Nursing

    If its anything like the typical it will be finding dosage calculation for a given Rx of __mg/kg and then the persons weight. For example lets say the person weighs 220lbs, and is supposed to have...

  13. Wrist Fracture question

    LouisVRN replied to kb1234's topic in General Nursing

    Are you talking about nursing interventions? If so I don't think immobilization fits, that's a medical intervention. As far as nursing interventions go I would think, knowledge deficit, potential for...

  14. Psych/ETOH/Drug

    LouisVRN replied to nebrgirl's topic in General Nursing

    Yes to a degree, we will have our frequent ETOH flyers seen by SS, CM, and usually a psych consult for good measure, but in the end it only helps if they are open to

  15. EEK! There's a woman in my room!

    LouisVRN replied to 58flyer's topic in General Nursing

    I will let a patient or family member care for their hygiene needs if that is what is desired by both parties. When my dad was recently hospitalized I was more than willing to help with his...

  16. Backbiting

    LouisVRN replied to celticgirl's topic in General Nursing

    I can agree and disagree with you. There are people I honestly HATE getting report from. This is not a secret. It is not because they forgot to hang the 1800 antibiotic once. It is because they forgot...

  17. I've been bullied all my life, and it continues...

    LouisVRN replied to asdjkl's topic in Patient, Colleague Relations

    Honestly, if you have PTSD that is easily triggered, working as a nurse with patient contact may not be what is best for your mental health. There will always be psych patients or psych family members...

  18. pls help

    LouisVRN replied to hopeless case's topic in General Nursing

    Depends on her stage of pregnancy. Obviously in early pregnancy there are not many physical assessments to be made that would differ from general health screenings, check cervix, check for any signs...

  19. What do you know/have you been taught about Sepsis?

    LouisVRN replied to clemmm78's topic in General Nursing

    Honestly, the biggest thing on my floor where I work (Med-Surg) we have a lot of patients that meet the criteria for SIRS, however no one seems to look at the big picture, elevation of blood glucose...

  20. Sickle cell

    LouisVRN replied to inteRN's topic in Emergency

    I thought it was because almost all narcotics, especially those in the morphine family can cause itching as a side

  21. Signing out meds you do NOT administer yourself?

    LouisVRN replied to celticwoman61's topic in General Nursing

    Not unless I was being held at gun

  22. Nursing mgrs who interview floor nurses - which candidate is more desirable?

    LouisVRN replied to klone's topic in General Nursing

    I would have to say I would like someone with some motivation to do something, although with the amount of money it costs to train someone and finding someone who meshes with the team, I'd still be...

  23. I just want to be a great nurse...

    LouisVRN replied to KansasFNP's topic in General Nursing

    I feel that my charge nurses and the staff nurses I work with feel that way about me, unfortunately working nights don't see management much, but I'm always the one they volunteer to do committees,...

  24. I never know how to answer this question

    LouisVRN replied to Blackheartednurse's topic in General Nursing

    Regardless of the position you are interviewing for, whether it be nursing or waitressing, try to spin your truthful answer into a positive. For example if what you said about working PEDS is true,...

  25. Gloves and infection

    LouisVRN replied to ilovenursing2009's topic in General Nursing

    If I walk in the patients room I have gloves on. It doesnt matter if I'm bringing them juice, writing on their board, giving them educational material or starting an IV. I always wear gloves when I do...