Karou

Karou

Med-Surg

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All Content by Karou

  1. Haematuria post female catheterisation

    Karou replied to Blueberries's topic in General Nursing

    If it were bleeding caused by the trauma of catheter insertion then you would have noticed blood sooner than the next day. It probably got pulled /yanked on either by the patient or accidentally...

  2. Do you carry around your stethoscope?

    Karou replied to tarotale's topic in General Nursing

    I would say 25% of my patients have had a chest X-Ray in the ED when they get admitted to my floor. Not most of the, but a good percentage. How can you say that the importance of assessing...

  3. Do you carry around your stethoscope?

    Karou replied to tarotale's topic in General Nursing

    I'm pretty shocked that there are nurses who admit to not carrying/using a stethoscope. I work on a med surg floor and use my stethoscope to auscultate lung/heart/bowel sounds on each of my patients...

  4. How to handle/ clean infectious vomit

    Karou replied to Healthcare102's topic in General Students

    Use gloves when cleaning any bodily fluid. Wash your hands afterwards. If the patient is projectile vomiting then I might wear a mask. Otherwise, no. Someone correct me if I am wrong but a general...

  5. Rant about toenails

    Karou replied to DBK99's topic in Medical-Surgical

    It's such a weird thing, I agree. Toenails don't grow overnight, so why do some patients/families suddenly need their toenails trimmed STAT? Did they just notice it now? We also have a policy against...

  6. RRT on DNR

    Karou replied to bxh5164's topic in Medical-Surgical

    I don't even understand why you are being questioned on this. Of course you can and should call an RRT on a DNR patient when appropriate. You did the correct thing! I have had fairly healthy patients...

  7. Anxiety about diseases

    Karou replied to ka2rn's topic in Patient Safety Issues

    I think you should talk to someone (your doctor) about anxiety/depression because your paranoia isn't rational. I mean that in a non offensive way. It's just not rational to be that afraid of catching...

  8. Fun with charting.

    Karou replied to Bortaz's topic in General Nursing

    Most of the errors that I see are the result of copy/pasting or template use. I am a big fan of pedal pulses being 2+ on a BKA patient. It's also always impressive when a physician documents a head to...

  9. Complaining about your employer, loudly, at nurses' station

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

    I agree with you and your employer. It's unprofessional and distasteful to complain about where you work where patients can overhear. It can't possibly make a patient think highly of the facility if...

  10. Text messages from nurse manager

    Karou replied to Katniss88's topic in Patient, Colleague Relations

    I think it's rude and unprofessional of them to text you. When I am called by work I let the phone go to voicemail. Sometimes I will listen to it afterwards, sometimes I don't. My days off are mine to...

  11. Felt so Bad for Resident...so Impressed with CNAs

    Karou replied to flashpoint's topic in Geriatric, LTC

    That just breaks my heart. God bless those CNA's! If I were working with them I would get them each a small treat or give them a thank you card for that. So often in LTC the caregivers are closer to...

  12. Can't Shake Off Rude Patient

    Karou replied to bboy45's topic in Patient, Colleague Relations

    When I started out as a CNA I was eighteen, petite, and very naive. I encountered many residents like this working in LTC, but one that really got to me. She would refuse to allow me to put her to...

  13. Ever accepted a job you knew was a mistake?

    Karou replied to Lucky724's topic in Nursing Career

    Once. I ended up calling after my second day of orientation (third day I was going to be in my own) and quitting over the phone. I didn't even care if I got paid for orientation. I wouldn't have set...

  14. Indecisive

    Karou replied to shermainenevels's topic in General Nursing

    In my area they no longer hire LPN/LVN's in the hospital setting. Even when they did, LTC is where you made the best money. Some rehab facilities hire as well but I am not sure about how much they...

  15. Protonix beads for g-tube

    Karou replied to sistrmoon's topic in Patient Medications

    Does your facility have a policy for not using tap water? What is their rationale? I am curious because in the different settings I have worked (LTC, rehab, medsurg hospital), I have only used tap...

  16. lovenex

    Karou replied to zeb2's topic in Patient Medications

    We have an hour before/after window as well. If something happens that causes it to be delayed beyond that (patient off floor in testing, not arrived from pharmacy, ect...) then I will call pharmacy...

  17. patient's making false allegation

    Karou replied to teeroze201069's topic in General Nursing

    Wow, I am sorry. It sounds like although you were cleared of the abuse charges, that they were looking for a different reason to fire you. I hope the other staff involved in not seeing the missed...

  18. So disappointed in hospital RNs and MDs

    Karou replied to carachel2's topic in Patient, Colleague Relations

    Are you sure about that? If so, think again. Most of an assessment is not obvious and does not require a stethoscope. I am assessing my patients starting from the moment I first walk into their room...

  19. Giving meds early/late

    Karou replied to Birdy2's topic in Patient Safety Issues

    I would call pharmacy about the antibiotic. Tell them that it just arrived and you will administer it, they can retime the future doses. Antibiotics should never be "missed" but if necessary can be...

  20. patient's making false allegation

    Karou replied to teeroze201069's topic in General Nursing

    I had a similar thing happen to me in LTC. It was an impossible scenario described by the resident... As in, I wasn't working the day she stated this occurred on. The allegation was made when state...

  21. NPO after midnight

    Karou replied to withorwithoutyou's topic in Medical-Surgical

    Second what the above poster said. NPO means nothing by mouth. IV medication, IVF, or for,a of if nutrition are perfectly okay to administer. If a patient is going to be NPO for a while then they...

  22. RN on NOC shift

    Karou replied to nursepatty36's topic in General Nursing

    I don't know about California, but in Texas the LVN/LPN just has to be able to reach an on call RN over the telephone if

  23. Safely administering medications for coworkers violating hipaa if we're not asssigned pt ?

    Karou replied to Cynnie24's topic in HIPAA Challenges

    No violation in either situation. When administering medication to another nurses patient, you are automatically now providing care to that patient and can look up any information necessary to...

  24. IV pushes

    Karou replied to #NurseB's topic in Patient Medications

    Always go by the pharmacy recommendations and guidelines for how fast any medication should be given. "Slamming" every med into running IVF is really bad, very unsafe practice. Depending in different...

  25. PRN med order question

    Karou replied to sassyann85's topic in Patient Medications

    What a messy order. The physician should be called to clarify. 1mg q4hr with max of 2mg in 24 hours is weird because that really means the patient can only get it twice in a 24 hr period. Ordering it...