melinated

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1. Describe your last day at work in 50 words or less !?

   melinated replied to DutchgirlRN's topic in Med-Surg

   8 pts, one ER admit pt 1. total hip post op day 2. marked right side weakness, stat CT reveals brain mass pt 2. gastric banding (easy) pt 3. total hip but also has sickle cell. very hard to keep pain under control- even w a PCA pt 4. another banding...

2. how old is too old?

   melinated replied to saltwaterstat's topic in General Nursing

   im 31 yrs old...LPN..in school to get RN...work on busy medsurge floor, primary nursing. i hang blood, start IV's, hang abx, draw blood, basically everything except drawin from a central line or lifeport, iv pushes, and i must have an RN sign my car...

3. Med-Surg Roll Call

   melinated replied to RNPATL's topic in Med-Surg

   i am an lpn and have been working on a 42 bed med surge floor for almost 2 years. we do primary nursing and our ratio ranges from 6-9 pts. most of the nurses on the floor are RN's with the exception of about 3 nurses, including myself, however we are...

4. Refusing unsafe RN:pt ratio

   melinated replied to RN2B07's topic in Med-Surg

   i usually have from 7-9 patients....on rare occasions may get stuck wit 10-12. where i work we can protest our assignment, which doesnt mean u r refusing but means that u have documented that u feel unsafe with whateva amt of patients. that way...if ...

5. Central lines/ PICCs

   melinated replied to purseOnalityRN's topic in Med-Surg

   i would wonder if running all 3 at maximum rate of infusion at the same time might send the pt into chf?

6. NPO and meds

   melinated replied to RN2B07's topic in Med-Surg

   it all depends...BP meds are tricky. if i cant get a doc on the phone, i may give the BP ones and hold the colace. if the pt is npo and on insulin some endocrinologists may start the pt on D5 or something and make you continue the insulin coverage. a...

7. swan lines

   melinated posted a topic in MICU

   do u feel comfortable using swan lines? what is ur hospitals protocol for checking proper placement? reason: grandmothers pulm art was ruptured during a wedge pressure check. i am a nurse, but not ICU knowledgable...just lookin for opinions. THANKS!

8. Describe your last day at work in 50 words or less !?

   melinated replied to DutchgirlRN's topic in Med-Surg

   not a usual amount, had FULL census. usually its 8

9. Describe your last day at work in 50 words or less !?

   melinated replied to DutchgirlRN's topic in Med-Surg

   bed 1: hyponatremia, AMS, posey'd fluid rest, family giving water non compliant bed 2: PN bed 3: pseudo obstruction, PE s/p colostomy now, pt coughed abd site leaking and fever 103.3, cvp removed and no IV acess at the moment bed 4: L ext cellulitis ...

10. I like Med/Sug-Isthat wierd?

    melinated replied to JustJen's topic in Med-Surg

    as a new LPN (1 year) on med/surge floor i have learned way more than what nursing school prepared you for, and i absolutley love it. readin other replies, i totally relate. the flow of the day CAN change in a quick NY minute! it's so true! no lunch,...

11. Are LPN's/LVN's real nurses?

    melinated replied to Faeriewand's topic in LPN/LVN

    i am a LPN for a year now, working medsurge, and doing everything the RN does except pushes,transfusions and chemo. we barely ever do team nursing ( nice idea but not enoughstaff) and i handle districts ranging from 8-10 patients. basically...we do ...

12. What is your least favorite kind of med-surg patient?

    melinated replied to DutchgirlRN's topic in Med-Surg

    pts with CBI

13. What is your least favorite kind of med-surg patient?

    melinated replied to DutchgirlRN's topic in Med-Surg

    the non compliant diabetics and copd'ers wound vacs are annoying too!