LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. Dealing with the death of a patient...for the first time

    3 years working on a med/surg unit this month and I've yet to have a patient die (knock on wood). Having not experienced it and the more time that passes the more I wonder about how I'll react. I've...
  2. Should I wear support hose?

    Since becoming pregnant I can't live without my TED hose. They make my feet/legs hurt SOO much less. I too wear ankle socks over them. When they are on I don't notice being particularly warm, and this...
  3. Pulsatile Vs. Continuous Flush

    Also agree with cindyloo. Our policy for central lines is
  4. Theme music

    For a bad
  5. The weirdest thing, probably graham crackers and a juice cup...was going to be a midnight snack that got too busy for and forgot about. At the start of my shift I once went into a patients room with...
  6. To answer some of your questions. Yes, some nurses do not like teaching, some of them do not believe it is part of their job description and some of them just suck at it and shouldn't be allowed to...
  7. Turning a pt with hip fracture/broken hip

    I work ortho as well and agree with everything the previous poster said, however just wanted to add that it is extremely important these patients are turned or they will literally lay in one spot from...
  8. Administering pain meds to a sleeping pt

    I will ask the patient on my first round, if they are taking pain medication, if they want me to wake them up for it. If they say yes, I wake them up every time they are due for it, if they say no, I...
  9. Pregnant and promotion

    I am currently 8.5 months pregnant and the promotion I've been hoping for has just opened up. Do you think that being this far along and them knowing that I will have to soon take a leave will work...
  10. There could also be a lot of HIPAA violations or definitely the potential for. Granted really no different than medical records but still. Also while I wish a lot of our physicians would be more...
  11. Correcting Another Nurse's Charting Error??

    I will do it once in a blue moon, for example in a code situation. If I am able to confirm with the nurse that the medication was given and was removed from the omnicell/code cart and just forgotten...
  12. What supplies do you carry on you?

    I work med/surg so I'm sure its a little different but my stethoscope, pulse ox, tape, coban, alcohol wipes, saline flushes, and usually a pair of scissors and some 2x2s just in
  13. Pregnant and promotion

    Oh, I've already applied :) I was just looking for opinions as to whether or not people thought that it would hurt my chances of actually getting
  14. Dilaudid Max Dose

    Ours has a policy that initial dose may not be higher than 2mg IV unless there has been a pain management/pharmacy/palliative care
  15. When an employee is a patient

    Definitely seems like there is more to this story. But on the information given me it seems that you were more of the problem than your boyfriend. Food concerns are never a priority, even for a...
  16. Water Pitchers

    We pass and fill all the water pitchers and besides meal times are required to obtain snacks as well. The other day, granted we were actually slow, I had to track down a vending machine with Cheetos...
  17. I've been a nurse 3 years and have yet to have a needlestick injury. Most people I know who have had exposures will admit that they let their guard down, they were busy, they were distracted, the...
  18. I work nights on a post-op/ortho unit, basically everyone on our unit requires assistance of some kind with getting out of bed/ambulation/transfers etc. And we sometimes, especially with low census,...
  19. Commuting, which schedule works best?

    I would definitely do the 12s. I could not imagine working 10s (which basically with drive time would be what you would be working) and only having 2 days off. I think if I could work 2 days 2 nights...
  20. Abnormal pupil shape/response

    I just have to point out that your observation that one neuro deficit frequently equals another neuro deficit is only some of the time. My husband has nystagmus which is quite pronounced and has no...
  21. Abnormal pupil shape/response

    I have also encountered this problem. Most recently with a woman admitted for what should have been outpatient surgery but due to a long list of co-morbidities, including multiple MVAs with head...
  22. Giving LDR nursing a bad name........

    I would say do not fill out the survey the survey's are meant for patients and usually only the scores matter, the comments get very little attention. Instead I would encourage you to call the manager...
  23. I had another patient recently, kind of a crotchety older gentleman who clearly did not like being in the hospital and made it very apparent to everyone who went in his room. He had been admitted day...
  24. Infusing medications with blood

    Nope, wouldn't do it and would have asked the nurse to see a policy where that was
  25. MD not present for code??

    The conversation and the fact that he left for coffee and would be back in 20 minutes should be documented in the incident report. The fact that the doctor was notified should be noted in the...