LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. How do you handle this?

    LouisVRN replied to motownrn's topic in Geriatric, LTC

    Your facility should have a policy on how to handle it. At mine its call wait 15minutes call again wait 15 minutes. Call the house supervisor and document document

  2. Silliest thing you ever did after a long shift...

    LouisVRN replied to elizabells's topic in General Nursing

    Woke up when my son came into my room to wake my husband up. Frantically started trying to give my husband "report" on my patients and telling him, everything would be okay, he just has to take care...

  3. Offensive or not??

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

    Depends entirely on the patient. A lot of times with confused patients it will do one of two things, make them calm down or make them more riled up. If it does the former I keep with it, if it does...

  4. Do you clap for your patients?

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

    Yeah, especially if the patient has been with us for awhile and is well known or had a difficult hospital stay. Most of the patients seem to really like it. Even if I don't know a patient if I see...

  5. Incorrect oxygen set up

    LouisVRN replied to Vtachy1's topic in General Nursing

    A mask is different than a non-rebreather. With a non-rebreather it is essential that the bag is inflated and it won't do that on 2L. Masks are great for mouth breathers! Our hospital has done away...

  6. Smells like...

    LouisVRN posted a topic in General Nursing

    So I've been a nurse 3 years and have worked med/surg all of that three years. During those three years I've smelt a lot more than I ever imagined however the other day encountered something...

  7. Smells like...

    LouisVRN replied to LouisVRN's topic in General Nursing

    I have smelled a gi bleed before and like you said its something I definitely won't forget. Definitely wasn't that. Pt admitted with dehydration and electrolyte disturbances, in part, do you think...

  8. Any nurses out there graduate knowing everything?

    LouisVRN replied to brielle776's topic in General Nursing

    I agree with the poster who stated I don't remember everything I learned in school but I know a lot more about the things I see

  9. RNs that have children aging from 2-18 years old

    LouisVRN replied to kalin's topic in General Nursing

    My DH is thankfully very hands on. I work nights 7pm-7am 3 days a week, which I schedule back to back whenever possible. Usually Thurs-fri-sat nights. During those days my son and husband probably...

  10. Will LTC experience help in med-surg??

    LouisVRN replied to Jasel's topic in Medical-Surgical

    Yes definitely! One of the hardest things new grads have an issue with is time management and prioritization. Working with that many patients you will definitely find your experience to be an...

  11. D5 1/2 NS and insulin coverage

    LouisVRN replied to Little_Mouse's topic in Medical-Surgical

    I'm surprised to hear so many mixed responses on it. We were always told it was not within our scope of practice to hold medications without A) a doctor's order or B) documented contraindications to...

  12. How can this much Demerol be safe????

    LouisVRN replied to tiredofseekers's topic in Medical-Surgical

    We have one doctor that continues to write for IM/PO Demerol as his med of choice. He has been talked to and his orders have not changed. We recently had a pain conference and were told that it should...

  13. Funniest post op patient: Wish all were like her!

    LouisVRN replied to Florence NightinFAIL's topic in General Nursing

    I had a young-20 something post-op appy pt about a 4 months ago ago declaring his undying love for all of his beautiful nurses. I think it made all of the nurses' nights as several of us were about 6...

  14. Patients need better anticoagulation therapy education

    LouisVRN replied to jbowers's topic in Patient Education

    When we have a patient leaving on Warfarin as a new medication we are required to do teaching along with dietary and pharmacy who do separate

  15. Pain and the diabetic foot

    LouisVRN replied to LookForward's topic in General Nursing

    I've found about 90% of the patients have no pain as long as they are kept on their medications for neuropathy. However you start taking those away and all the dilaudid in the world isn't going to...

  16. Touching blood without gloves

    LouisVRN replied to NurseLoveJoy88's topic in General Nursing

    I have gloves on as soon as I cross the thresh-hold to your room regardless of my intentions for going in

  17. assessment or meds first?

    LouisVRN replied to serein's topic in General Nursing

    It depends on the med. I have no problem hanging an antibiotic on stable Mr. Smith then going to assess and medicate a more critical Ms. Jones then coming back to assess and give Mr. Smith the rest of...

  18. Gasp! An uninsured Nurse (rant)

    LouisVRN replied to optimist's topic in Activism, Healthcare

    I agree with the poster that said that your husband's insurance plan sounds far from ideal. $200 for urgent care?!? On my insurance plan (through the hospital I work at) its $35, ER $100, any...

  19. question about vanc, trough, and holding the dose

    LouisVRN replied to avidhunter3's topic in General Nursing

    At our hospital you hold a dose if its over 20ug/mL. But you only hold it until the physician/pharmacy re-configures the dosing. Like if they were getting 1gm q8 hours and the trough came back at...

  20. Management needs to step in

    LouisVRN replied to Manatee111's topic in General Nursing

    Agree with what all the poster's have previously stated. Including have a male staff member if available provide his "bath". Also on our unit they try to assign those patients to male staff members to...

  21. Doulas: love them or hate them.

    LouisVRN replied to Sixxer's topic in Ob/Gyn

    I do not work in L&D but to me this post might as well be about family members. There are some we love. They help and comfort the patient and assist in things like walking them, fetching...

  22. Gifts for OB/L&D

    LouisVRN replied to pdsm's topic in Ob/Gyn

    Hmm, let's see I don't know if you have a Sam's/Costco near you but they make these large boxes of cookies. Bagels are always great too (on any shift, but I have to say I love them on nights),...

  23. There but for the grace of....

    LouisVRN replied to xtxrn's topic in General Nursing

    I've had a couple that stick with me. One was a youngish woman in her 40s with bowel CA and mets s/p bowel resection. I took care of her post-op, first night went as well as could be expected, second...

  24. Wife, mother, nurse

    LouisVRN replied to mRpeNa's topic in General Nursing

    I hate getting out of work late. I like being the one thats sitting all prepared 5 minutes before my shift is over with everything done and all my patients checked on and medicated. My husband does...

  25. why does medsurg nursing have to be like this?

    LouisVRN replied to pale_pilsen's topic in General Nursing

    Honestly I know that med-surg can be tough and sometimes you feel unappreciated and worn too thin, but there are many things about the job I really enjoy as well, for example, you never know what you...