blackribbon

blackribbon

Med/Surg, Gyn, Pospartum & Psych

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All Content by blackribbon

  1. You are NOT allergic to...

    blackribbon replied to BuckyBadgerRN's topic in General Nursing

    Not always so easy when the patient is admitted at 3am after being in the ER for 12 hours and has pain rated at a 8, nausea & potential vomiting, or is so tired they can't hold their eyes open. I...

  2. Nursing is becoming stupid

    blackribbon replied to canigraduate's topic in General Nursing

    Our floor has implemented "bedside reporting" because the patients are happier. Ummm...there is a lot that needs to be said at report that can not be said at the bedside...even down to very...

  3. Why aren't we assessing patients?

    blackribbon replied to bluebelle0604's topic in Medical-Surgical

    One of the first "time management" skills I was taught on the floor was how to cut and paste the previous shifts assessment. I refused to do it and was constantly being questioned about how long it...

  4. Blood transfusion: troubleshooting

    blackribbon replied to Aneri J.'s topic in Medical-Surgical

    Are you able to transfuse on a pump? Then you have control over the rate. We start at about 100ml/hr and after 30 minutes, if they are tolerating it well, up the rate to 150ml/hr. My bags are...

  5. ileostomy output

    blackribbon posted a topic in Wound, Ostomy, Continence

    I had a patient this week with what is supposed to be an ileostomy. She was in for abdominal pain around the area of her stoma radiating to her back and was c.diff positive. The main nursing activity...

  6. Med-Surg Roll Call

    blackribbon replied to RNPATL's topic in Medical-Surgical

    I have been a med/surg nurse for a year. Started in a teeny tiny 15 bed unit but low census meant I was spending more time floating to the psych floor toward the end. Six months later, I got a...

  7. That one random nugget of information from nursing school that you've never forgotten..

    blackribbon replied to blah_blah_blah's topic in General Nursing

    19 years ago, 3 days after the birth of my eldest...I had 5100cc (yes, that is 5 liters) drained out of my bladder continuously and without a bladder spasm...I did have a foley for 2 days to allow the...

  8. Are too many certifications a bad thing?

    blackribbon replied to Ruger8mm's topic in Nursing Professionalism

    The line is when people start avoiding you. Then you know you have crossed it. If you come across in real life as you do on paper, I would quietly avoid you unless you were specifically asking me...

  9. Why do Nurse Managers refuse to hire an Admissions/Discharge Nurse?

    blackribbon replied to Grasshopper11's topic in Medical-Surgical

    We have an specialty nurse during the day that can be called to help with admissions. Ironically, it is on nights that we get most of our admissions...especially, the type that aren't just in...

  10. Are too many certifications a bad thing?

    blackribbon replied to Ruger8mm's topic in Nursing Professionalism

    I have a friend from nursing school ... magna cum laude grad ... masters degree in finance and math along with many years in corporate world before he decided to become a nurse because it is something...

  11. Are too many certifications a bad thing?

    blackribbon replied to Ruger8mm's topic in Nursing Professionalism

    Yes but every certification I looked into required that you have your license for 2 years...I have the hours for my med/surg but I still have to wait one more year to take the test. Personally, I...

  12. Help, I hate Vomit - Can I still be a nurse?

    blackribbon replied to Nurse Beth's topic in Career Advice Column

    I focus on the poor patient and how they must be feeling, not the vomit. I used to carry around a Burts Bees lip balm (eucalyptus) in my pocket to put in my nose for strong odors like c-diff issues....

  13. chronic pain, depression, and suicide attempts

    blackribbon replied to blackribbon's topic in Psychiatric

    The patient in question had been waiting 8 months for this appointment at the pain clinic because he was on medicaid. I know this to be a realistic scenerio because I once had to wait 6 months to see...

  14. chronic pain, depression, and suicide attempts

    blackribbon posted a topic in Psychiatric

    I am very frustrated. I admitted a patient last week who was suffering from significant chronic pain issues (plus other health issues) related to an accident 5 years ago. He woke up in the middle of...

  15. morbidly obese patients

    blackribbon posted a topic in Medical-Surgical

    I have been a nurse for almost a year and currently work on a women's gyn and med/surg floor at a major hospital. The last few weeks I have been assigned a couple patients who are very morbidly obese....

  16. morbidly obese patients

    blackribbon replied to blackribbon's topic in Medical-Surgical

    I actually do watch that show and lived around the corner from that hospital in Houston. I can walk away from a verbally complaining patient. I just haven't perfected the art of walking away from...

  17. Med-Surg sentence

    blackribbon replied to ThePrincessBride's topic in Medical-Surgical

    My recommendation is to stick it out for a year. I am 6 months into my GN residency program although I just passed one year med/surg nursing (first job was a contingency job in a hospital that was...

  18. Med-Surg sentence

    blackribbon replied to ThePrincessBride's topic in Medical-Surgical

    15 minute checks is appropriate nursing care for non-suicidal psych patients...suicidal ones require 1:1; anything less is bad medical care and the hospital would be liable if they found a way to harm...

  19. Med-Surg sentence

    blackribbon replied to ThePrincessBride's topic in Medical-Surgical

    As both a med/surg nurse and psych nurse, where else would you put a suicidal patient who is medically unstable? When I work the psych floor, I am horrified when they try to give us medical patients...

  20. morbidly obese patients

    blackribbon replied to blackribbon's topic in Medical-Surgical

    I think you and I agree on this thing. I did set boundaries but I put her last so I could address more of her "needs". The charge nurse would help me ... we went in as a group and dressed her wounds...

  21. morbidly obese patients

    blackribbon replied to blackribbon's topic in Medical-Surgical

    She was lonely and had significant medical issues (I have no doubt she is in the early stages of dying). I don't know that I consider it "manipulating" so much as being legitimately needy. Time and...

  22. Hoarseness vs hypocalcemia? Which will kill you first?

    blackribbon replied to LM NY's topic in General Students

    An NCLEX question would present you with symptoms which in this case would be a post surgical thyroidectomy patient with hoorificeness and is complaining of tingling around their mouth or in their...

  23. Help With Clinicals

    blackribbon replied to bryony's topic in General Students

    I felt lucky to check off even 5 new things each rotation...I only did one straight cath (male) while in school but ended up giving 4 newborns their first baths (most students don't do any). I can...

  24. Help With Clinicals

    blackribbon replied to bryony's topic in General Students

    You are getting to place IVs? Lucky you...we weren't allowed to do them in nursing school at all. I learned on the job. As for shortage of nursing skills because it is a weekend?...don't make that...

  25. Hoarseness vs hypocalcemia? Which will kill you first?

    blackribbon replied to LM NY's topic in General Students

    This sounds like a NCLEX scenerio that I kind of remember...first, circulation and airway/breathing are always the priority function...so do a respiratory assessment first ... if it is just a sore...