LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. I didn't wear them before I got pregnant but now I've found that they make such a difference I'll probably wear them after
  2. I'm pretty sure my preceptor thinks i'm done

    I have to say as a preceptor I am like yours in that orders hold a very high priority for me. Prioritization needs to be Airway, Breathing, Circulation, Pain and Orders in my book. If you don't know...
  3. What's Your Best Nursing Ghost Story?

    The other night I had a patient in one of the rooms that everyone swears is haunted. Guy was completely alert and oriented but liked to talk ... A LOT to anyone that would listen. The previous night,...
  4. It is really not safe to work with patients in any capacity when you occasionally "blank out". Even working case management you have to be on the ball. People are depending on you to get things done...
  5. Overworked nurse

    haha I love that "I think I'm having chest pain" ...."I hope not...that's a lot of
  6. I think it is important 10/10 that the charge nurse is able to handle the initial steps if there is a code, call the code overhead, get the crash cart, get the bed positioned, try to make sure there...
  7. what's a 23 hour observation unit is like?

    Hmm, I wish my hospital had a unit like that, sounds ideal for what i
  8. Patient rights v. Clinical instructor?

    I have to say I agree, and there would be no way i would be forcing a patient to do anything. I would have to emphasize that it is especially important to encourage oncology patients to bathe daily to...
  9. Blood transfusions??? just say no...

    In addition to what has been previously mentioned I would like to add that while I work Ortho/Med-Surg, hanging blood is a fairly uncommon procedure. I would say I administer blood/blood-products...
  10. First Shift -- is this exhaustion normal?

    That kind of depends on what you are asking, if you are asking if after working your @ss off for 12 hours if you will ever feel like putting effort into doing "normal" things when you get home...
  11. How long does it take to give report?

    We usually give report at 7, it can take anywhere from 30min- 1 hr depending on the patients and the nurses you are giving report to. I usually leave between 0730 and
  12. Bedside Nursing and Families

    Thats one of the things I always tell my patients and family members. Family members as obnoxious as they are are often more able to recognize subtle changes. there have been so many times where I've...
  13. I'm glad I listened to my instinct.

    Agreed. i will always follow my gut instincts. that being said I have learned that when I do not believe my supervisor will support me. I do then inform them of the situation and course of action I am...
  14. Where is the shortage??

    Arizona actually has some openings for new grads on a regular basis if you want broiling hot instead of freezing
  15. Injury reports

    At my work no we don't. If I get a paper cut I'm not going to fill out an incident form. If it was anything like a back injury I would because you never know how it may effect you in the future....
  16. Where is the shortage??

    I don't believe there is a nursing shortage any longer. Except maybe in rural
  17. Just let me go!

    Yeah i've definitely made my wishes to be DNR well known. I have no desire to "live" on machines and never recover just to drain my family and the healthcare system of
  18. Giving meds "on time"......

    We do bedside report so i get to my patients and a quick introduction at that time, I'll also ask about pain at that time and check levels on IV pumps. It really depends on the patients i have but I...
  19. Desperate to be a Labor Nurse

    NRP, and AWHONN Fetal Monitoring, maybe ACLS as
  20. Holding all of a patients meds for an hour period of time because they didn't have
  21. How to tell your mom it may be time to stop chemo?

    I'm so sorry you are going through this. My dad was diagnosed with Lung Cancer in Sept 2 years ago and passed away in March of that year. At the end when medically I knew that he was not going to have...
  22. Noting orders VERY late...legally, what happens?

    Ughh...this is one of my pet peeves - from another chart nazi. Can you ask the unit secretary to make a copy of the orders as she enters them if you have a pt with a lot of consults and you know the...
  23. "That having been said..."

    A stupid expression that instantly discounts anything that comes after it "Well we always used
  24. I have to say this is ridiculous. Unless you plan on working the entire med/surg unit by yourself. Seriously, I wonder if you pass if you say "I would not feel comfortable lifting this alone, at this...
  25. No an oncology floor would not be a good fit for you. It is basically med/surg for patients with cancer. Who because they are often compromised from their cancer they dont have the ability to...