Karou

Karou

Med-Surg

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All Content by Karou

  1. When should nursing homes be allowed to evict residents?

    Karou replied to Emergent's topic in Geriatric, LTC

    Yeah, I am with everyone else who believes there is way more to this story than the article presented. It can be appropriate for a facility to "refuse" to re-admit a resident back. Once accepted,...

  2. anonymous caller accused me of stealing drugs for years and tying to sell to.

    Karou replied to blinky's topic in Nursing Career

    Yeah I would be most concerned that this anonymous caller is stalking you and potentially intending to harm you. I would speak to the police

  3. Solutions for Drinks at Nursing Station?

    Karou replied to ImNicoEh's topic in General Nursing

    We can have covered drinks at the nurses station only, none down hallways (since they are patient care areas). Night shift is way more laid back about it. No one has ever said anything to me about my...

  4. Giving report on med/surg floor

    Karou replied to tsm007's topic in Medical-Surgical

    Do you write down when you recorded report? You need to make yourself a cheat sheet. Always start with their admitting diagnosis/complaint. Know the date of any surgical procedure along with incision...

  5. 0200 BP's - Dealing with Tired Rude Doctors

    Karou replied to Jennifer in Cali's topic in Patient, Colleague Relations

    I'm a little surprised at some of the responses this post received. It's interesting. My unit has a specific policy on vital signs. With a few exceptions, most patients are q4hr. 19:00, 23:00, 03:00....

  6. How to handle back to back admissions within 1 hours of each other while having 4 other pt

    Karou replied to new.grad.rn's topic in Medical-Surgical

    First of all, this is a really normal occurrence for med surg. Two hours apart isn't bad. I've literally had two patients coming down the hallway at the same time. Multiple times. Remember that...

  7. New Grad RN... is this patient load safe?

    Karou replied to new.grad.rn's topic in Medical-Surgical

    This is true. Ideally, patients should be sleeping at night. We know that doesn't always (or often) happen, but that's the general goal. Night shift has its own set of problems but is generally more...

  8. False documentation?? I need your help

    Karou replied to distressnurse's topic in General Nursing

    I see you edited your post to add some more information (new info is what I quoted). The problem is that you DID falsify documentation, "honest mistake" or not. You documented a medication as...

  9. False documentation?? I need your help

    Karou replied to distressnurse's topic in General Nursing

    That's why when I do something like that I call another nurse, stay where I am at and leave the mess so they can witness. Then I'll clean it up (for safety) have them waste in the Pyxis (I'll also...

  10. Leaving patient info in a clipboard

    Karou replied to OcMurse93's topic in HIPAA Challenges

    I just looked this up, it looks fantastic!! Does it feel awkward/large in your pocket? I may buy myself

  11. Describe your ideal coworker

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

    I think the biggest thing you can do is be perceptive, notice if a coworker is drowning, and offer help. A positive/cheerful attitude makes you extremely likable. Have your stuff together, don't...

  12. How To Document Sleeping On Night Shift

    Karou replied to Iggy123's topic in General Nursing

    We use "patient appears to be asleep/sleeping". I work at a very large hospital that uses EPIC charting. It's a commonly used option in the flow sheet, especially for hourly

  13. Not enough equipment

    Karou replied to Rexie's topic in General Nursing

    I'd suggest writing an incident report anytime an IV medication is delayed or has to be ran off of the pump because you can't find enough

  14. Nurses Aides & Drug Testing

    Karou replied to Omxilyomx's topic in General Nursing

    Everyone else has given good advice. Wanted to warn you also, that you can be randomly drug tested during nursing school. Especially if you have an injury or make an error at a clinical

  15. Nursing: The Highly Skilled Customer Service Representative

    Karou replied to gleanns's topic in General Nursing

    But I don't have the time. As you so clearly explained, 1/3 of my time is charting. This, after patient safety and care, is an incredibly high priority for me. If it's not charted then it's not done....

  16. Nursing: The Highly Skilled Customer Service Representative

    Karou replied to gleanns's topic in General Nursing

    Hospitals will never pay enough to have a nurse to patient ratio that would allow the nurse to actually be able to do their job at the high standard we are held to. Such a ratio would be so ridiculous...

  17. Do I cut and run?

    Karou replied to karmababy's topic in LTC: Directors, Assistant

    Unless the company is willing to contract with agencies to get some staff in, that sounds like a lost cause. Hired staff are leaving to make more money. Company won't allow agency nurses (they have...

  18. Managing incontinence. Is this done?

    Karou replied to debi49's topic in General Nursing

    I agree that an indwelling foley is not appropriate or indicated for this patient. The fact that she could not perform foley care herself (which needs to be done twice daily) would be like begging for...

  19. Have any of your patients ever told you that you're a good nurse?

    Karou replied to EquinoxSolstice92's topic in Patient, Colleague Relations

    When a patient tells me I am a good nurse, it's not usually because of my nursing skills, but rather my people skills. I smile, listen, and comfort. Those get me more compliments than anything else....

  20. Worried about phenergan IV push

    Karou replied to Jaellys's topic in Patient Medications

    I suppose my facility is still in the dark ages, because we give phenergan IVP all of the time. We do have a policy for administration- never in the hand/wrist, must be diluted in 10cc ns followed by...

  21. That's MY JOB!

    Karou replied to %D#2's topic in General Nursing

    Seriously good job for advocating for that patient! That does take guts to do. Heparin is a high alert medication and this was a major safety issue. Because of you, this patient got to an appropriate...

  22. Are they training me to be a nurse or a doctor?

    Karou replied to Lemon Bars's topic in Diploma, ADN, BSN

    I just realized you were the OP in the thread where you wondered if you're wasting your time learning how to do thorough head to toe physical assessments. You seem educated, intelligent. How much did...

  23. Too soon to leave?

    Karou replied to %D#2's topic in General Nursing

    Darn, for some reason I thought you were a Texan. Oops! Well, good luck with the application. Your current job sounds pretty

  24. Leaving at 6 months in?

    Karou replied to slippersocks's topic in First Year After Licensure

    Others may disagree with me, but I say you should do what is best for you. You are correct that L&D/women's jobs do not come up often. It can be difficult to transition into if you don't get hired...

  25. Too soon to leave?

    Karou replied to %D#2's topic in General Nursing

    Not too soon at all (in my opinion). You have described the facility you work at before, I don't blame you for wanting to leave. You're in Texas, right? I think since you have been at the AL facility...