LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. Pain meds IV push

    LouisVRN replied to krista312's topic in General Nursing

    I would worry about leaving a narcotic in a 50 cc bag and leaving it unattended. Even if I have to push a med slowly it will take maybe five minutes not the fifteen minutes a 50cc bag would take...

  2. can a med-surg nurse work in telemetry?

    LouisVRN replied to Ms.RN's topic in General Nursing

    Imo at my hospital no. There is no way id be working tele without training. Our policies are completely

  3. Maybe its just the floor but...

    LouisVRN replied to ChiTownRN5's topic in First Year After Licensure

    This is a good lesson, if you want something done right you do it

  4. poor report

    LouisVRN replied to LouisVRN's topic in General Nursing

    We do bedside report but we have to get report on 5 pts in about 20 minutes from multiple nurses so there is no time to fully assess the equipment let alone do a skin assessment looking for a surgical...

  5. Single moms and every 3rd weekend

    LouisVRN replied to belle005's topic in General Nursing

    At our hospital instead of every third weekend the requirement is 3 weekend shifts a month. However a lot of our staff members myself included like to work weekends because of childcare issues so we...

  6. Night shift question

    LouisVRN replied to tenhunderd's topic in General Nursing

    Tuesday at 11pm! Good luck enjoy nights it is

  7. Nursing home/LTC getting more acute

    LouisVRN replied to adoglover's topic in Geriatric, LTC

    I am seeing this trend in the hospital as well. Our med surg unit is taking pts that 3 years ago when I started would have been admitted to tele or step down. Step down and icu are taking pts that...

  8. What have other nurses done that have freaked you out?

    LouisVRN replied to texas_lvn's topic in General Nursing

    At my job we frequently have the Oxycontin versus Oxy IR debate. Especially if the doctor only writes something like Oxycodone 20mg

  9. What have other nurses done that have freaked you out?

    LouisVRN replied to texas_lvn's topic in General Nursing

    This should go for doctors too! I've seen so many doctors dictate full "assessments" while I was in the room the entire time and the doctor did not get within 3 feet of the patient. I had a doctor the...

  10. Anyone ever seen a 17.2 for an INR

    LouisVRN replied to LVN2beRN's topic in General Nursing

    I had a 14.something in a patient that was supposed to be transferred to rehab s/p ischemic stroke (insurance issues were the only reason pt was not dc'd that day). Neuro assessment was different than...

  11. Behaviors you've learned to lose when at work.

    LouisVRN replied to nola1202's topic in General Nursing

    I've been told people can when they've set something up wrong or are using equipment correctly because I will get a "look" at the piece of equipment and then the red pen will come out to draw a box...

  12. MD's orders

    LouisVRN replied to BA_anthropology's topic in General Nursing

    I probably would have asked if I could step to the side to allow him to assess the patient. Or told the patient I would continue pushing the medication after the assessment. i would definitely not...

  13. what do you talk about at work?

    LouisVRN replied to nola1202's topic in General Nursing

    Yeah i have to say we spend most of the time at work talking about work. Especially as we have a lot of newer nurses, so we talk a lot about interesting cases, past and present, how doctors like...

  14. How comfortable would you be...

    LouisVRN posted a topic in General Nursing

    How comfortable are you suggesting additional diagnostic testing to a doctor? We recently had a patient undiagnosed with multiple issues and were discussing some of his symptoms. I suggested a...

  15. Behaviors you've learned to lose when at work.

    LouisVRN replied to nola1202's topic in General Nursing

    Yeah, it should be that as long as the job is done with the minimal standards necessary to make it safe to the patient it should be okay. But like for a sterile dressing change, if I come in and its...

  16. New Grad RN, 17 weeks pregnant with upcoming interview

    LouisVRN replied to skschultzRN's topic in First Year After Licensure

    I know this my situation is not exactly the same is yours but I will be sitting for a promotional interview on my due date. (I don't think my manager realized it was my due date when she scheduled...

  17. How comfortable would you be...

    LouisVRN replied to LouisVRN's topic in General Nursing

    I think my biggest fear in mentioning anything in this particular situation was the fact that the disorder that matched the symptoms is extremely extremely rare and I am not sure if the doctor would...

  18. How comfortable would you be...

    LouisVRN replied to LouisVRN's topic in General Nursing

    Thanks for all the responses. I am very comfortable suggesting procedures/meds/tests to doctors on a normal basis when it is currently in line with their current plan of care. Just wasn't sure if it...

  19. what do you talk about at work?

    LouisVRN replied to nola1202's topic in General Nursing

    We talk a lot about everything. We are a pretty small night crew that generally works together. We talk about our families, new policies, interesting things we've seen or cases that we've had,...

  20. Behaviors you've learned to lose when at work.

    LouisVRN replied to nola1202's topic in General Nursing

    Trying to get everyone else to be perfect or at least as much of a perfectionist that I am. Dressings look sloppy, IV tubing expired and hanging everywhere, things not done per P&P, orders not...

  21. Interview questions to a RN...help, please!!

    LouisVRN replied to tauro1985's topic in General Nursing

    1. what is your perception of the role of the registered nurse? assess the patient, note any changes or things that would warrant intervention, intervene, monitor for results, changes in patient...

  22. how many shifts in a row?

    LouisVRN replied to anotherone's topic in General Nursing

    6, it was fine. Although I think it was because I was going on vacation afterwards. 4 days I don't mind so much (when I'm not pregnant) 5 or more I better have something I'm looking forward to doing...

  23. How do you cope with work and co-workers:(

    LouisVRN replied to lifein08's topic in Patient, Colleague Relations

    Honestly I love most of my co-workers. I'd say 90% of them go to work each day and do the best they can for their patients. The ones that choose to go to work and be negative and complain, I try to...

  24. shared governance

    LouisVRN replied to princessp's topic in General Nursing

    I will give you some advice, and that is it will only work if you get a lot of support from management and the higher-ups. The bedside nurses get extremely frustrated putting their time and effort...

  25. Loma Linda RN residency 2012

    LouisVRN replied to d33ng's topic in California Nursing

    Unfortunately I can't give you much advice. But had I not been married with a child on the way i would have moved to California just for the opportunity to work at Loma Linda and have the opportunity...