LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. Do you write up med errors?

    I write up pretty much every error that is against policy. I see no other way of patterns changing or additional education being offered. I also make every attempt to let the person know I wrote them...
  2. Question about total patient care.

    What do you mean by total patient care? We have whats called primary nursing on our floor, which from what I can find seems to be similar, basically the RN is responsible for ensuring any consults...
  3. One of the most important things is to make sure he is turning from side to side to prevent skin breakdown. Also like the OP said, knowledge deficit regarding hip precautions and use of (I'm assuming...
  4. How to get over a pt complaint

    I've literally felt horrible about this since it happened and don't know how to move past it. I had a patient the other day who complained to the DON (who happened to be doing rounding) that it took...
  5. How to get over a pt complaint

    that's probably very true. i'm very ocd about my patients, my documentation, their rooms and charts. before i leave in the morning all the trash is taken out, iv lines are labeled, the patients have...
  6. How to get over a pt complaint

    I really do care, very strongly about all of my patients. I think thats what bothers me the most. And our DON is kind of intimidating, especially considering I almost never see them working nights. I...
  7. How to get over a pt complaint

    Yes, our hospital is very "customer-service" oriented, usually I like that though. I don't know I just feel horrible about it. If he thought I was taking too long why didn't he tell me? I could then...
  8. Being a patient advocate.

    Honestly, I find it easier to just try my hardest to be an advocate for them, I sleep better at night and I can truthfully tell them I tried. Just my ETA: On my floor I am known for making food runs...
  9. Being a patient advocate.

    Honestly, I find it easier to just try my hardest to be an advocate for them, I sleep better at night and I can truthfully tell them I tried. Just
  10. How can I assist a nurse under stress?

    Any help with housework, yard work is always so nice, nothing like getting home and be able to sleep! Honestly, for me the best thing is getting a hug from my son (He's 2) and when I come home and...
  11. Ethical dilemmas encountered by nurses

    The biggest ethical dilemma I think in nursing in general is the line of patient autonomy. That being said I'm all for patient autonomy and thus haven't really faced any ethical dilemmas, I try to...
  12. Those that prefer to work with men

    I find most of the men I work with to be very straightforward which in nursing is a good thing, if they want help they ask rather than wandering around sighing and saying how busy they are. If they...
  13. Scared to go back to work

    I'm a fairly new nurse, I have about two years of experience but am very well respected by my peers and management where I work, I do a lot of precepting and am known for advocating for my patients...
  14. Scared to go back to work

    Just to let everyone know, my first two days back were great. I can honestly say I love the people I work with and they make everything better :redbeathe I am so happy to be back at work doing what I...
  15. Graduation Songs

    Vitamin C - "graduation" and Rascal Flatts "My wish" would both be good. Although have to say, loved the suggestion of "Welcome to the
  16. charting resting with eyes closed vs "asleep"

    I agree without the majority of the other posters have said. It is impossible to determine if the patient is sleeping/sedated/in a coma by visual assessment alone. I always chart, "Pt lying in...
  17. The fact is working in a hospital in direct patient care, sooner or later you will make a mistake. We are not infallible. I can say personally, to the best of my knowledge I have only made one med...
  18. Feacal Management Systems???

    You'd think/hope that would be the case, however I have seen such horrible breakdown for these patients especially the incontinent dementia/handicapped/para pt that cant let you know when he/she has...
  19. Excuse me! Yoohoo! Hey you! Doctor Person!

    I hope you told his/her instructor, that's completely
  20. Are they trying to get rid of me? Will I make it as nurse?

    As a regular preceptor I'm sorry to hear that you feel that you were treated that way. I know part of my role is to try to get my preceptee (whether be a new grad or transfer) integrated into the...
  21. It is debated on our floor whether or not RNs are able to do this. The pts on our floor are not monitored, and we have no policy mentioning it. Is this a state by state thing? Or is there a general...
  22. 1. Too many mistakes with heparin drips to count. 2. No charting done on a patient within 24 hours. We are required to chart a minimum of every 4 hours. 3. Finding narcotics in pts beds. 4. No...
  23. First day of clinicals tomorrow, so confused!

    When you do a physical assessment just remember to go head to toe, especially being your first time I'm sure you wont be expected to do everything perfectly. Your pt may prefer to wait to get a...
  24. Scared to go back to work

    Thanks everyone. I definitely feel that in the long run this will make me a better and more empathetic nurse. I have talked to my charges, the clinical supervisor regarding the situation and they all...
  25. Wheels, I'm sorry as well to hear about your recent health trials. From my experience we have a lot of frequent fliers. Some of them, the ones that are mean, kicking, biting, unappreciative, we do...