Karou

Karou

Med-Surg

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All Content by Karou

  1. Several questions about piggybacks, Y siting, rates, and IV med admin

    Karou replied to Dangaard's topic in Patient Medications

    Are you working at a hospital? Are you still in orientation? With as many questions as you have about administering IV fluids and multiple medications, I suggest you ask someone to give you a lesson...

  2. Other departments trying to skip on work with RN's "blessing", aka lazy people wanting som

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

    Ours will not remove NGT canisters period. If something is extremely soiled, they expect us to attempt a clean first so it's not so bad for them. They don't wipe down IV poles/pumps,...

  3. Conflict with fellow nurse regarding Dilaudid administration, please help!

    Karou replied to NYCRN21's topic in Pain Management

    That sounds like one miserable, very ill and unfortunate patient. I feel terrible for him. I wonder why the nurse would not give him Tylenol? Most of our physicians would hold IV narcotics for a...

  4. Other departments trying to skip on work with RN's "blessing", aka lazy people wanting som

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

    Slightly off topic but since several other posters have mentioned it... Does anyone know why housekeeping won't/can't clean body fluids when they turn over a room? Or bags on IV poles? Our...

  5. Is it possible to work fulltime as a CNA while going to nursing school?

    Karou replied to alybcupcakes's topic in Medical Assistant, CNA/MA

    I worked full time as a CNA for most of my LVN schooling. Dropped to part time at the end. Worked mostly full time as an LVN while getting my ADN. How flexible is your job with your school schedule?...

  6. Holding prn meds for attention seeking behavior

    Karou replied to cbeebee's topic in General Nursing

    So much information is missing. She had a scheduled and prn order? What was the scheduled med and what was the prn? Where was her pain and was it chronic or acute? Was she showing any signs of over...

  7. Other departments trying to skip on work with RN's "blessing", aka lazy people wanting som

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

    Everything falls to the nurse. RT: tells me that patients breathing tx from the ED are expiring this shift, can I message the doctor now? She won't see the patient again until I do. And does the...

  8. How do you deal with Munchhausen-type pts?

    Karou replied to mmc51264's topic in General Nursing

    I have had many patients I suspect have faked and or forced illness. Apparently it's extremely difficult to get a solid diagnosis. We had one patient with multiple admissions and actual proof of...

  9. Starting in LTC?

    Karou replied to theviolinist's topic in General Nursing

    It's not wasting your degree to work in LTC. Hospital positions are difficult to get for new nurses, and LTC is a good viable option. It is an incredibly understaffed and difficult environment to work...

  10. Elephant in the China Shop

    Karou replied to hcworker's topic in General Nursing

    We have had other first time posters come up with similar topics in the past. I agree that although the OP starts out with male and female mentioned, the focus becomes almost exclusively male. That's...

  11. Elephant in the China Shop

    Karou replied to hcworker's topic in General Nursing

    I have a lot to say, but am not taking the bait. We have had several posters start similar topics in the past and in the end they all seem to have the same idea: female nurses are sexual deviants who...

  12. How Important is it that your patients and their families like you?

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

    It's important to me mainly because my hospital places huge emphasis on customer/patient satisfaction. A patient is more likely to "like" me for emotional reasons (personality, chatting, tone of...

  13. Pt asks: Is my surgeon any good? Your response is...

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

    Came back to this thread because of the posters who suggested responding by asking if the patient is anxious about surgery. That is such an excellent response. Totally diverts the question (for those...

  14. color coding staff

    Karou replied to reecie54's topic in Scrubs, Uniforms, Gear

    My school dress code was all white. You are right, patients loved it! Hospital staff complimented it too. It was the worst to keep up with though. White doesn't want to stay white. The white top and...

  15. color coding staff

    Karou replied to reecie54's topic in Scrubs, Uniforms, Gear

    We are color coded. I don't think it makes a huge difference. Patients still call most caregivers "nurse", despite our scrub color and huge "RN" letters on our name tags. Some patients get it, and...

  16. Endorsing to the next shift.

    Karou replied to dudette10's topic in Nursing Professionalism

    I acknowledge they nursing is a 24/7 job, and that it is necessary for some things to be passed off to the next nurse. It is sometimes appropriate to pass off tasks, like blood draws, EKG, occasional...

  17. Why do hospitals continue use the incentive spirometer?

    Karou replied to felixis12's topic in General Nursing

    I have seen patients improve by using their incentive spirometers appropriately. The key in that is correct technique and frequency. Many nurses don't take the time to thoroughly educate patients in...

  18. Respect for New Nurses

    Karou replied to Taylorgrn15's topic in Patient, Colleague Relations

    Have you talked to the DON and/or ADON about any of this yet? What that CNA did was neglectful and reportable. You can't leave someone lying in bed for six hours like that. It doesn't matter what this...

  19. So...What Kind of Nursing Task Do You LIKE?

    Karou replied to VivaLasViejas's topic in General Nursing

    I like giving bed baths and showers. It makes me feel good to know that I have thoroughly cleaned someone who really needed it. It also is the easiest way for me to asses skin. I like charting. When I...

  20. Be honest, what pt behaviors do you find annoying?

    Karou replied to CrunchBerries's topic in General Nursing

    I hope you called security on this guy! Did you press charges? That's unreal. In the future I hope you don't reach for a needle when a patient is violent back away and out of the room as fast as you...

  21. Pt asks: Is my surgeon any good? Your response is...

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

    Just an observation related to researching your surgeon beforehand... Many of my patients go to the ED with no idea what is wrong and without surgery on their mind. They end up with whichever surgeon...

  22. Night shift charge nurse issue

    Karou replied to MilliePieRN's topic in Medical-Surgical

    I think it means to sign off on their assessment. Hospitals that still use LVN's require an RN to "sign off" to say you agree with their documented assessment of the patient. So if something goes...

  23. Pt asks: Is my surgeon any good? Your response is...

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

    He is very qualified and has been here x amount of years. We get many of his patients and take very great care of them. The OR staff is

  24. Be honest, what pt behaviors do you find annoying?

    Karou replied to CrunchBerries's topic in General Nursing

    Two more. Patients who try to use their position/title to prove how important they are. Had a patient threaten staff recently that he could make some phone calls and cause trouble for us. He was a...

  25. What to do when u find an unresponsive patient

    Karou replied to LucasNewGrad's topic in Patient Safety Issues

    I don't understand... Did this patient have a pulse?