LouisVRN RN

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 detected before delivery and if so did they do a c...

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, and I are going in different directions. The push ...

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 be willing to explain your thinking to the doctor...

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

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 to conduct the RR while they see the rest of thei...

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 trained on Telemetry as they are going to start d...

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 wonder if I'd like anything else as much.

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 to go chart or when their questions are met with s...

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. Most of them have been doing it for years and welcome...

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 pain after medicating patient B. I have had one pa...

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 like to get back to bed during bedside report i tol...

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 nights I try to get off are Halloween, usually not a p...

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, then light breakfast around 8 when I get off, if I'...

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 lot of helping set up trays, helping pt's turn in be...

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 supposed to see it when you are assigned the patie...

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 anything else. The eye story would have to be the...

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 104 year old with dementia who can't remember the...

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 floor.

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 happen again at some point - time. I was there finishin...

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 very good learning experience and at a very good poin...

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 experience for a code.

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 concerns. Pt verbalized concerns regarding having n...

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

I as well went immediately to a diagnosed/undiagnosed psych issue.

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 not a low acuity pt. I try to mix and match the on...