SilleLu

SilleLu

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All Content by SilleLu

  1. 12 hour shifts vs 8 hours.. Pros & Cons

    SilleLu replied to Nursedee1's topic in LPN, LVN Corner

    agree with above...having 4 days off every week more than makes up for a few long days. 12 hour shift allows more time to get everything done as

  2. Not sure if this is stupid question or not but..

    SilleLu replied to EP10's topic in First Year After Licensure

    My hospital also provides this free of charge. However, I personally would not let mine expire unless I had a job offer and start date and the hospital specifically stated that they would provide the...

  3. Do nurse practioners round with doctors?

    SilleLu replied to RN to be soon's topic in Nurse Practitioners, NP

    Most of ours split up the list then Dr. will sign off on patients the NP saw. I almost never see them

  4. Early Morning Nurses (and Nursing Students)

    SilleLu replied to oldsockventriloquist's topic in General Nursing

    Avoid caffeine after 4 pm the night before, two alarms. No more than one snooze. Coffee and wake up slowly while browsing online or reading/watching news. If I have trouble falling asleep night...

  5. Can a nurse get in trouble if....

    SilleLu replied to Ariel143's topic in Rehabilitation

    I discharge patients daily to subacute care...maybe one patient in over a year that had a trach, the rest did not. Does your facility have some sort of policy that prohibits non-trach patients? Do you...

  6. What do I do

    SilleLu replied to MaryEllen17's topic in Pre-Nursing Students

    I graduated at 42. If you are bored with your current major now, do you want to spend the next 40+ years working in that field? 30 is not too old to start a nursing career if that is where your heart...

  7. Is this request unreasonable? Diabetic question.

    SilleLu posted a topic in Patient, Colleague Relations

    I really do want honest opinion here, I swear! Receiving a diabetic patient (insulin dependent) from ER, serum glucose was approx 220 five hours earlier, pt has been NPO for at least same 5 hours. No...

  8. Is this request unreasonable? Diabetic question.

    SilleLu replied to SilleLu's topic in Patient, Colleague Relations

    Ok, thanks for the input, sounds like I was just overly nervous because of another recent brittle and let that skew my judgement, I appreciate your

  9. Is this request unreasonable? Diabetic question.

    SilleLu replied to SilleLu's topic in Patient, Colleague Relations

    I wasn't worried about the 220, like I said, I even told her if it was high I'd get the insulin orders. Only fluids were abx and NS bolus. Yes, my concern was that she could be low, nurse did not...

  10. Has anyone messed up really bad in a clinical and still passed

    SilleLu replied to mdiada's topic in General Students

    Talk to your instructor, you want to make the first move here to show that you are aware of the mistakes and that you have a plan for correction. "Nurse Instructor, I feel I struggled with x, y, and...

  11. New grads precepting???

    SilleLu replied to ThePrincessBride's topic in General Nursing

    I have had to precept a few times as a new grad. Usually the situation is many orientees on the floor at the same time, all the regular preceptors already assigned an orientee, some of the other...

  12. Am I right or my teacher?!

    SilleLu replied to Tobenursemj's topic in Nursing Student Assistance

  13. reconstitution drug problem

    SilleLu replied to blackout156's topic in General Students

    you got

  14. reconstitution drug problem

    SilleLu replied to blackout156's topic in General Students

    (total volume to infuse x drip factor)/total minutes to infuse = gtt/min Hint: You do need to do an additional calculation to get the total

  15. Is it too much to ask?

    SilleLu posted a topic in General Nursing

    If your abdominal pain is always "14" for days on end, could you at least look uncomfortable, or moan a little when I walk in the room? I mean, I get it, pain is what you say it is, I'm not the pain...

  16. Is it too much to ask?

    SilleLu replied to SilleLu's topic in General Nursing

    I can just imagine the When Harry Met Sally scenario...not sure I could keep a straight face at a performance, so probably for the best then don't even

  17. Is it too much to ask?

    SilleLu replied to SilleLu's topic in General Nursing

    That is sweet and sad all at the same time...hope your patient does well, glad she is '0' at least, what a trooper! I wish mine were just confused about the pain

  18. Is it too much to ask?

    SilleLu replied to SilleLu's topic in General Nursing

    Yeah, I don't want the Diva either...was meant to be funny....I'll even take just a little grimace. I'll let you know when I earn my pain police badge, it would look super cool on my

  19. Documentation

    SilleLu replied to nurse4sale's topic in General Nursing

    VS stable, Resp nonlabored, no accessory muscle use, chest rise equal bilateral, wet cough severe at times, nonproductive. Lung sounds coorifice and

  20. did I do the right thing?

    SilleLu replied to dcwang's topic in Nursing Student Assistance

    Yes, there were other people to assist the seizing patient so you did not need to leave your patient. Take it a step further though, what could/would you have done had you been alone in the

  21. Can a doctor "order" a nurse to not assess something?

    SilleLu posted a topic in General Nursing

    Doctor's order specific nursing assessments all the time...vital signs q4h, neuro checks q2h, orthostatic BPs, AWA and opiate withdrawal scoring, etc. They can't order us "NOT" to do these things,...

  22. Can a doctor "order" a nurse to not assess something?

    SilleLu replied to SilleLu's topic in General Nursing

    Thanks KatieMI, good example. I did think of that after the fact...stop the actual "scoring" but put everything I noticed about the patient into a nursing note. Still covering the same ground, and not...

  23. Can a doctor "order" a nurse to not assess something?

    SilleLu replied to SilleLu's topic in General Nursing

    See, that's what I wanted...can we as nurses be ordered to not assess? Are there some assessments that require a doctor's order? I wanted the answer to the broad question, not just to my specific...

  24. Can a doctor "order" a nurse to not assess something?

    SilleLu replied to SilleLu's topic in General Nursing

    The original situation was regarding AWA. Patient day 4 since last drink. Scoring high enough to require IV meds had they been ordered via protocol as usually happens. Some IV meds available (and...

  25. Can a doctor "order" a nurse to not assess something?

    SilleLu replied to SilleLu's topic in General Nursing

    Patient was not anywhere near comfort care, but good point that there is a reason for not