Karou

Karou

Med-Surg

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All Content by Karou

  1. How do you handle narcissist patients?

    Karou replied to mikala3's topic in Patient, Colleague Relations

    My unit gets at least 1-3 patients like this a week. They are often frequent flyers so we already know their history. We have to all be on the same page about their care and set very firm boundaries....

  2. Report: Where do you work and what do you want to know

    Karou replied to Oh'Ello's topic in General Nursing

    I work on a med/surg unit. From the ED I first want to know their complaint (what made the pt come to the hospital) and their admitting diagnosis. Did they come from home, NH, or wherever. Mental...

  3. I got reported to HR

    Karou replied to katie92's topic in Patient, Colleague Relations

    I think the way you asked her about it could easily be interpreted as offensive. You could have been more polite and came across as sincere. The half joking thing, "did your MOMMA name you THAT?"...

  4. Quiet Hospitals?

    Karou replied to meadow71's topic in General Nursing

    We have designated "quiet times" and the traffic lights. The lights got turned off because normal hospital noises like the tube station or elevators were setting them off. The designated quiet time...

  5. No visiting hours?

    Karou replied to NursesRmofun's topic in General Nursing

    Our Med Surg floors have no limits on visiting hours. Most people visit in the daytime. A few will stay overnight like a spouse with the patient. We only ask anyone to leave if they are disruptive to...

  6. Quit during orientation

    Karou replied to Themostsupreme's topic in General Students

    I worked as a CNA in a LTC facility through nursing school. It helped me immensely during school and contributed to the way that I practice as a nurse. Great way to get a foot in the door and learn...

  7. Floating Policy

    Karou replied to NGYSUN's topic in General Nursing

    As a med surg nurse I can only float to other med surg or tele floors (we have about ten different ones). If necessary we can be made to float to PCU or step-down it are given "easy" patients. I only...

  8. Open mouth, insert foot...

    Karou replied to Christy1019's topic in General Nursing

    I babble and have word vomit a lot, so I say a lot of stupid things that embarrass me in front of patients and coworkers. I do this so often that I can't even remember a specific example. I just...

  9. IV push failure - how I am failing

    Karou replied to Brandazzle1's topic in Patient Medications

    You made a mistake, now you won't make it again. Hopefully you have easy access to a drug guide resources so you can look up your medications. You may not have started the heparin infusion but you...

  10. What's the meanest thing a patient has said to you?

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

    Alert/oriented patient who was impossible to please told me, "I hope you can never have children because if the way you treat me is any indication, then you would be a terrible mother". She repeated...

  11. Nursing Bag

    Karou replied to StaceyTr88's topic in Scrubs, Uniforms, Gear

    Vera Bradley is great. Well made with tons of pockets. You can also machine wash them, which I have done several times even with purses and large totes. I buy from Vera Bradley once a year, online,...

  12. Forged name in nursing home

    Karou replied to Dreams89's topic in General Nursing

    I would start applying for a different job as soon as possible. That may be difficult with you being 30 weeks pregnant, but I would still try. Your workplace and supervisors sound like the type who...

  13. New Nurse Rocking it!

    Karou replied to NurseCalamity's topic in Geriatric, LTC

    You did a great job on assessing your resident, communicating with the physician, and getting her the medical care that she needed. That being said, I hope you remember this the first time that you...

  14. Anyone hate nursing school then love being a nurse?

    Karou replied to SeattleJess's topic in General Nursing

    I liked my LVN program but hated my LVN-ADN bridge. Hating nursing school doesn't mean you will hate being a nurse. Although, if it's the paperwork and politics that you don't like, there is plenty of...

  15. Engagement Ring help!

    Karou replied to a_nurses_bf's topic in General Nursing

    I never wear my engagement ring. It has nothing to do with protecting patients from skin tears or infection control... It's because I am clumsy and forgetful and would probably loose it. I loose all...

  16. "My Tech" or "My Aide"

    Karou replied to dreamer30's topic in Patient Care Technician, Assistants

    Where I work the techs will say, "my nurses", and the nurses will say, "my techs". Not a big deal to me. Even when I was a CNA I never minded when the LVN's referred to me as "their" CNA. We tell the...

  17. Nurses: What Helps You The Most?

    Karou replied to 1life2love's topic in General Nursing

    Someone who takes initiative, doesn't need to be told to do routine tasks that are expected. Who is neat and doesn't leave a mess in patients rooms. Who actually rounds and asks what the patients...

  18. Which was more stressful: nursing school or actually working as a RN?

    Karou replied to fatrabbit's topic in General Nursing

    I felt like nursing school was more stressful than working as an RN. Academically, school was not difficult for me, but clinicals were torture. This was only true during my LVN-ADN bridge and not my...

  19. Flushing JP Drain

    Karou replied to mugs's topic in General Nursing

    We occasionally flush JP's per physicians order, but they always have a three way stop cock where we can attach the flush to. Although the bulb is a regular JP, the tubing looks different. When we...

  20. Nursing students eat their young too.

    Karou replied to Destined4More's topic in Nursing Student Assistance

    All sorts of people like to put down others to make themselves feel better. When you have a large group of people (nursing students) where there are sub groups (GS and TS) it seems natural that there...

  21. Nursing Dose

    Karou replied to guest449786's topic in Patient Medications

    This frustrates me more than anything else. The patient isn't getting the correct treatment. The next nurse suddenly has an agitated or distressed patient in pain, and there appears no reason why the...

  22. Nursing Dose

    Karou replied to guest449786's topic in Patient Medications

    I assume that the administering nurse would chart the prescribed amount and falsify the charting. The witnessing nurse would either not actually watch the waste or would be in agreement to falsify the...

  23. Nursing Dose

    Karou replied to guest449786's topic in Patient Medications

    I have heard of nurses doing this. It is never referred to directly, but indirectly... Something like a "therapeutic" or "nurses" dose. To clarify, I am not talking about ranged orders. I am talking...

  24. combative patients

    Karou replied to clarinets's topic in General Nursing

    I am assuming that the patient was confused. If you weren't able to re-orientate him and he repeatedly removed the oxygen then you should notify the nurse. Continuing to replace it could agitate him...

  25. Bad experience as CNA :(

    Karou replied to gizm0's topic in Medical Assistant, CNA/MA

    Being a CNA in a NH was more difficult for me than being a floor nurse at the hospital. It was brutal. I experienced everything that you described from the three says orientating to the patient load...