Karou

Karou

Med-Surg

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All Content by Karou

  1. "What to Expect When You're a Patient"

    Karou replied to Graduatenurse14's topic in Patient, Colleague Relations

    Our policy is against this as it is viewed as providing medical care to a non-patient. You will get into a lot of trouble for even taking a non-patients blood pressure. We literally can't take their...

  2. "What to Expect When You're a Patient"

    Karou replied to Graduatenurse14's topic in Patient, Colleague Relations

    Oh sorry, one more! We have to prioritize and re prioritize our care constantly. That may mean that I have to take someone to the restroom and give another pain medication before I can refill your ice...

  3. "What to Expect When You're a Patient"

    Karou replied to Graduatenurse14's topic in Patient, Colleague Relations

    I just finished three shifts in a row with more than one very difficult patient, so I am not going to shake my head and tsk tsk at you OP for what is obviously a frustrated vent thread. Here is what...

  4. Quit great job to stay home with baby?

    Karou replied to Sangrita RN's topic in Nursing Career

    If I could financially afford to stay home with my baby, then I would. I would love to be able to do that until my child became school age. As long as you are stable enough financially, I would...

  5. Starting an IV with Lidocaine or Not?

    Karou replied to hayest's topic in Patient Medications

    We have lidocaine spray that we can use for IV insertion. I work on a med-surg floor and we rarely use it. Most of my patients are pleading for "only one stick!" and warning, "you only get one try..."...

  6. would you give this bp med?

    Karou replied to lynnburg's topic in Patient Medications

    I probably would. First I would look at their baseline. Then, how long have they been on this med? What has their pressure been like before and after receiving it? What is the beta blocker being...

  7. 500 cc of Vanco/Ns over 2 hours via pump via picc line

    Karou replied to lumbarpain's topic in Patient Medications

    Like other posters, my biggest question is what is the dose of the vancomycin? What about the idea of 500cc over two hours via a PICC line concerns you? Is it the rate? The rate is 250cc an hour....

  8. our sweet elders

    Karou replied to mvm2's topic in Patient, Colleague Relations

    I can understand your feelings. I grew up loving and respecting my elder family members. As a nurse I feel extra protective of my elderly patients, and will go above and beyond for them. It's one of...

  9. How do you sign your name?

    Karou replied to ohiobobcat's topic in General Nursing

    I use my first and last name. I was always told that you need to sign your name as it appears on your nursing license. So that's what I

  10. Nurse Extern

    Karou posted a topic in Nursing Career

    Hello Allnurses! This is my first post to make myself, so I hope I am putting it in the correct spot. My question is for Nurse Externs or those who have mentored one. I would like to hear about your...

  11. Falsification of Documentation?

    Karou replied to lowetidern's topic in General Nursing

    Sometimes a photo can be better than a nurses recorded charting for a wound. One nurse might look at a wound and describe it how she/he sees it, but another nurse looking at the same wound could...

  12. Falsification of Documentation?

    Karou replied to lowetidern's topic in General Nursing

    I see the CNO's request as blatant falsification of documentation. I would refuse. From what you said, she asked you to take new photos now (how many days from admission would that be?) with the...

  13. Diluting IVP Natcotics?

    Karou replied to _Andvari's topic in Patient Medications

    I dilute all narcotics in a 10cc NS flush. Depending on the patient, I may push it slowly or a little faster. It doesn't phase me anymore when a patient complains, "What are you doing? The other...

  14. What do you think about managers and employees being friends on Facebook?

    Karou replied to Nurse Beth's topic in General Nursing

    I am friends with several of my coworkers on facebook. As a rule, I never friend request anyone, but I do accept if they request me. I am afraid they would think I am rude or find it offensive if I...

  15. Students asking for free money

    Karou replied to l.a.m.b's topic in General Students

    I know this thread is already off topic but I found your reply to smartnurse to be very offensive, presumptive, and judgmental. Do you know that she did not apply for scholarships and grants? Do you...

  16. getting unwanted advice from non-nursing staff

    Karou replied to onthemark's topic in Nursing Professionalism

    Wow. Boundary issues and practice issues. The physical therapist is out of her scope of practice for attempting to administer a medication to this patient. As the nurse it is your responsibility to...

  17. zofran vs phenergan?

    Karou replied to Nursetobe25's topic in Patient Medications

    Depends on the physician, but it's common for me to see both zofran and phenergan ordered. I personally start with zofran first and use phenergan as a second option if that does not work. However, I...

  18. What grinds your gears about your coworkers?

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

    Just a few things that bother me... Unlabeled IV tubing. Or when it's such a mess that I have to spend ten minutes untangling and sorting it all out. Old, outdated PIV's. It happens. But it would be...

  19. Healthcare Facilities running out of medications + supplies

    Karou replied to calivianya's topic in Patient Safety Issues

    Some of these, just wow! We have had to adjust to shortages of hydralazine, normal saline, LR, CBI 3L bags... But they were just shortages. We still had them available if necessary. The real problems...

  20. Dealing with drug seekers without alienating them

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

    I educate my patients on the risks/side effects of IV narcotics (respiratory depression, hypotension, ect...) I will explain why I am concerned about a specific observation (like hypotension) and why...

  21. Is it OK to discipline nurses extra for calling in sick on a holiday?

    Karou replied to Nurse Beth's topic in General Nursing

    I am probably one of few people who have a problem with this. If I happen to be confined to the bathroom, projecting liquid out of both ends on Christmas Day then yes, I am calling in. The fact that...

  22. When to piggyback This

    Karou replied to Birdy2's topic in General Nursing

    Everyone has given you some fantastic information! I don't have much to add, except for some advice on when to piggyback with continuous IVF, versus when to use a second channel. We use Alaris pumps...

  23. Areas of nursing you would NOT like?

    Karou replied to Nursetobe25's topic in General Nursing

    Never wanted OR, L&D or pediatrics. OR doesn't fit my personality and I really enjoy my patient/nurse interactions, which you miss out on in that area. As a woman who has never been pregnant,...

  24. Tolerance and acceptace of gay nurses and patients

    Karou replied to anon456's topic in Patient, Colleague Relations

    I live in Texas (Bible Belt) and I am pleased to admit that I have not noticed this attitude at my workplace, although that kind of prejudice is prevalent in my area. My coworkers, if they harbor...

  25. skeptical of another nurse

    Karou replied to The Bell Jar's topic in General Nursing

    She could have been working at 2 agencies doing 24 hours of work straight (two 12's). We had a PCT doing that once, caught her sleeping in a patients room. After calling her agency they had no idea...