LouisVRN

LouisVRN RN

Med/Surg

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All Content by LouisVRN

  1. "true knot"

    LouisVRN posted a topic in Ob/Gyn

    How many times in how many years have you seen a baby with a "true knot" in its umbilical cord? Did it cause any complications during labor/delivery? Did the baby have any complications? Was the knot...

  2. Becoming an ICU nurse

    LouisVRN posted a topic in General Nursing

    I have worked med-surg for the past 4 years, and have loved it. I am currently a med-surg charge nurse and getting to the point where i need a change. I feel like the unit i have been on, while home,...

  3. Standing up to MDs - consequences?

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

    i don't think so. Although this has several answers. First of all imo you have to develop a good relationship with the doctors, and also deliver good quality care to their patients. Second you have to...

  4. Diagnoses you never thought you'd see?

    LouisVRN replied to KarafromPhilly's topic in General Nursing

    SJS, Serotonin Syndrome, and Werncike-Korsakoff's Encephalopathy, as well as 2 cases of Adrenal

  5. Rapid Response - primary RN

    LouisVRN posted a topic in Patient Safety Issues

    In a Rapid Response what is the primary RN's responsibility at your facility? I am working on this as a project as during several of our recent RR on the floor the primary RN has left the charge nurse...

  6. Where would I be a good fit?

    LouisVRN posted a topic in Nursing Career

    I've done Med/Surg for almost 4 years and have been a charge nurse for about 6 months. I don't have any intent on leaving my unit for at least another couple of years, we are in that time going to get...

  7. How did you *know* your specialty and when?

    LouisVRN replied to misscherie's topic in General Nursing

    I always wanted to work OB in school, but was offered a med/surg job and took it out of school. I've been there for 4 years this September and am now a charge nurse and love it. Every now and then I...

  8. Rapid Response - primary RN

    LouisVRN replied to LouisVRN's topic in Patient Safety Issues

    Oh yeah as charge its super annoying to have the icu charge rn, house sup and swat nurse there asking questions about the pt and have to pretty much run after the primary nurse who is trying to leave...

  9. Tips for a new nurse going into ICU

    LouisVRN replied to MedSurger's topic in Critical Care

    I don't work ICU. I'm a Med/Surg Charge nurse. But we get to see the intensivists/ICU charge nurses whenever there is a rapid response/code. And what I've learned is this...ask a lot of questions....

  10. Stopping patient care for another patient

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

    I agree with this. Pt A wanted pain medication. Once they received that they probably would not have minded if you reassessed their vitals, repositioned them, etc when you went back to reassess your...

  11. What NOT to do as a new RN.

    LouisVRN replied to roser13's topic in General Nursing

    On a related note, as a new grad I once was taking care of a pt with an AKA and on a heparin gtt. My shift was over, pt and I had a good night and developed a good relationship, so when he said he'd...

  12. A question to nurses with children

    LouisVRN replied to taramade's topic in General Nursing

    Having 2 young children, I work nights so I can spend all the holidays at home. Even if sometimes it means staying up 36+ hours. We all sacrifice somewhere. But nights works well for me. The only...

  13. Eating on the Night Shift

    LouisVRN replied to westieluv's topic in Medical-Surgical

    My usual eating schedule on days I work: drink coffee when I get up around 9am, eat a light lunch around 2pm, take a nap around 330pm, snack before work at 530 with another coffee, dinner at 1-2 am,...

  14. What can I expect while working at an Orthopedic Department?

    LouisVRN replied to avianale's topic in Orthopedic

    A lot of it will be ambulating/helping pt's with ADLs. Regardless of the type of ortho surgery few of them are independent post-op whether it be due to inability to move, pain, or fear. So expect a...

  15. Is this considered patient abandonment?

    LouisVRN replied to lindsmith88's topic in Patient Safety Issues

    I'm assuming that would depend on the policy at the facility where you work. Are you required to get a verbal/written SBAR of the patient, or is that information available in the computer and you are...

  16. Grossest thing that you've experienced?

    LouisVRN replied to dirtyhippiegirl's topic in General Nursing

    Bostonterrier - having delivered a baby and a placenta, I can say the placenta was pretty gross from that aspect too. With my second child, who was 9.5lbs and natural I dreaded the placenta more than...

  17. I'm SN, but I Can't Handle The Other Students

    LouisVRN replied to SirSpyCat's topic in General Nursing

    Make sure to let the first patient that doesn't follow what your vast knowledge dictates his/her clinical course should be know that you received straight A's and that you will not be trumped by a LOL...

  18. severe skin flaking...anyone seen this?

    LouisVRN replied to luvbug9956's topic in General Nursing

    my first guess was sjs as well. The one pt ive seen with it didn't look like the pics either but you literally had to wade through dead skin on the

  19. First code - help/advice

    LouisVRN posted a topic in General Nursing

    So had my first code this morning. It was unexpected. I am a new charge nurse and wondering if someone could give me advice, ideas for improvement for the next - assuming this will unfortunately...

  20. first code

    LouisVRN posted a topic in General Nursing

    So my first day back and I saw my first code. I guess I should be thankful as I have been a nurse for over three years. I was helping out and just happened to be in the area the code was. It was a...

  21. first code

    LouisVRN replied to LouisVRN's topic in General Nursing

    I take great pride in getting my pts off the unit (M/S) before it gets to that point. I was in more pf an icu setting so thankfully everyone else there really knew there stuff so it was a great...

  22. Why do nurses chart in 3rd person?

    LouisVRN replied to Cobweb's topic in General Nursing

    I don't refer to myself at all in my charting. I only chart what the patient was doing what happened to the patient etc. Ex. Pt pacing in room yelling and swearing. Encouraged pt to calmly verbalize...

  23. Weird little things you do as a nurse

    LouisVRN replied to Cuddleswithpuddles's topic in General Nursing

    Go to a vending machine on a different floor for Cheezits. It wasn't a busy

  24. What was wrong with my patient??

    LouisVRN replied to Dazglue's topic in General Nursing

    I as well went immediately to a diagnosed/undiagnosed psych

  25. Fair Patient assignments

    LouisVRN replied to GoNightingale's topic in General Nursing

    we do it by pt acuity. However you have to look at more than just the disease process - the walkie talkie that calls every 2 minutes is costantly complaining and demanding the doctor can be called is...