Karou

Karou

Med-Surg

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All Content by Karou

  1. Urine from drainage bag?

    Karou replied to DierkyBrewster's topic in Geriatric, LTC

    Depends on your facilities policy. We can obtain from the bag only if the foley was just inserted. Otherwise, must be drawn from the tubing/sample port. This is entirely facility and policy specific...

  2. RN in LTC

    Karou replied to the nurse who lived's topic in Geriatric, LTC

    I agree with other posters than an RN with LTC experience looks a lot better than an RN with no experience. If you have a large gap in your resume after graduating then potential employers will want...

  3. Nursing assistant reconnected dirty IV line

    Karou replied to jamsandwich2015's topic in General Nursing

    What did the CNA say when you asked them about it? In the future you can remind this CNA that you don't want your patients lines disconnected by them, that you want to do it yourself to ensure its...

  4. Is this real? Vein light

    Karou replied to ladysushi's topic in General Nursing

    It's real but can be a pain to use. The machine is huge and heavy, difficult to move around. It is nice that it's hands free when you are inserting so you can keep the light on and have two hands to...

  5. Does NPO pertain to nothing swallowed or nothing in the stomach?

    Karou replied to fatrabbit's topic in General Students

    Usually the physician will specify this in the NPO order. Sometimes NPO means nothing by mouth, but the patient will be reviewing meds/nutrition via NGT/G-tube. These patients (like yours) have...

  6. Should Nurses have to clean patients rooms after a patient dies or is discharged??

    Karou replied to Pride/hardwork17's topic in Patient, Colleague Relations

    It's legal but ridiculous. Prime example of forcing nurses to take on more tasks and stretch nurses further without any additional compensation. If you haven't had training in disinfecting/cleaning a...

  7. Correcting Others mistakes?

    Karou replied to remotefuse's topic in General Nursing

    Oh I just noticed that I had assumed she was pausing the heparin and hanging the antibiotics. Silly of me!! If they are compatible, it may be necessary to infuse each on their own pump, y-sited over...

  8. Correcting Others mistakes?

    Karou replied to remotefuse's topic in General Nursing

    In the heparin scenario, I would have asked the nurse why she didn't insert a second IV, and why she was leaving the heparin drip off to infuse the antibiotics. If they weren't compatible then the...

  9. What are the top 10 diagnoses you manage?

    Karou replied to jessimee's topic in Medical-Surgical

    COPD, CHF, DM, UTI/pyelonephritis (presenting with AMS if elderly), SBO, pancreatitis, cellulitis, DVT/PE, GI bleeds, ESRD/dialysis... That's off the top of my head/most frequent medical admitting...

  10. Is it illegal to place a towel over a patient's face?

    Karou replied to poolnurse's topic in Patient Safety Issues

    What about putting a mask on a patient who is spitting? I never thought about if this is right or wrong. Saw it once with a confused, violent, restrained patient. Staff had put a simple mask on the...

  11. Accidently took home a patients' insulin!

    Karou replied to iliket0fuu's topic in Patient Medications

    That's possible. And what will you respond with? By telling them that you understand the severity of your mistake and have came up with a plan to ensure it doesn't happen again. Mistakes happen, you...

  12. Accidently took home a patients' insulin!

    Karou replied to iliket0fuu's topic in Patient Medications

    This is why I empty my pockets every shift before I leave. In the past I have gone home with insulin, other medications (half vial metoprolol, refused protonix) work phone, and (once!) narcotic box...

  13. MAR how should it read?

    Karou replied to newrnontheblock's topic in Patient Medications

    I don't know, and that's why it's confusing. I really don't think # of tablets has a place in the order at all. If it's there then it needs to be more specific. Like metoprolol 50mg, 2 tablets to =...

  14. My DON came to my house today

    Karou replied to mtjoanna's topic in Geriatric, LTC

    Your DON is an idiot. Does she like sentinel events? Would she rather coddle a doctor than care for a resident? Good grief. I would not want my family member at a facility where nurses and staff are...

  15. My DON came to my house today

    Karou replied to mtjoanna's topic in Geriatric, LTC

    What is your facilities policy on critical labs? We have a specific strict policy that we must call within 30 minutes to notify the physician and he/she must respond an hour after notification. It has...

  16. MAR how should it read?

    Karou replied to newrnontheblock's topic in Patient Medications

    It's still not clear to me. I think it can easily be interpreted as two 25mg tablets to = 50mg, or two 50mg tablets to = 100mg. Way too much confusion and room for

  17. What would say to a nurse shadowing you

    Karou replied to cloa513's topic in General Nursing

    I think the OP is for real... I don't think we are being trolled. They had a post a few years ago that was similar. That makes me all the more confused. The older post was actually better written and...

  18. MAR how should it read?

    Karou replied to newrnontheblock's topic in Patient Medications

    At my hospital its doses only. It will never specify the number of pills if it requires more than one. However, a warning will pop up if you forget to scan multiple tablets, or if it's supposed to be...

  19. Question about weekend schedules

    Karou replied to melc0305's topic in General Nursing

    Where I work the official policy is that you work 2 weekend days a month. Some people don't even have to do that, because we have many nurses who want to work weekends only for the extra money. I work...

  20. What would say to a nurse shadowing you

    Karou replied to cloa513's topic in General Nursing

    I am so confused. If this visitor has a basic understanding of English (a thousand words?) and is here to shadow a nurse, what are you there for at all? I don't understand your purpose/role. If he can...

  21. Drug seekers

    Karou replied to russianbear's topic in General Nursing

    I don't find dilaudid 1mg IV along with Percocet being all that alarming. By six hours the dilaudid has long worn off. He probably has a tolerance built up also, requiring more frequent and stronger...

  22. Really, is this real?!?!

    Karou replied to FlossyRN's topic in General Nursing

    With those insane ratios, I wonder what the patient outcomes look like on the OP's unit? I am really boggled at this. Three fresh CABG patients at once? In addition to 3-5 more patients? All the while...

  23. Really, is this real?!?!

    Karou replied to FlossyRN's topic in General Nursing

    My hospitals cardiac step down ratio is 1:3. General med surg is 1:4-5 for days and 1:5-6 nights. I could not imagine the ratio you work with for true cardiac step down patients. On my med surg floor...

  24. Difficult Patient - Definition

    Karou replied to JacobJohnson's topic in Patient, Colleague Relations

    Yeah, this is impossible to define objectively because it's completely a subjective thing. Difficult to you isn't the same as difficult for me. I may be okay with certain types of difficult and not...

  25. Might be a violation, maybe.

    Karou replied to AcuteHD's topic in HIPAA Challenges

    Exactly. If I were trying to tell someone across my living room (say, husband) that I had just purchased a birthday present for my daughter (who was on the couch) I would take that conversation...