Karou

Karou

Med-Surg

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All Content by Karou

  1. Entire card of narcotics missing!

    Karou replied to Rachel512's topic in Patient Medications

    Sharing a narcotics cart with multiple nurses seems like a huge potential for trouble. What a bad idea. I agree with another poster that there is a system flaw here that contributed to this mess. You...

  2. Best lotion for dry hands?

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

    I love aquaphor and eucerin lotion. It is greasy though so I always apply it at night. When my hands get especially bad, like they can in the winter time, I will go to sleep with gloves on and let the...

  3. to hold or give insulin?

    Karou replied to ViolinTreble's topic in Medical-Surgical

    There isn't a blanket rule to role insulin if a patient is NPO. That decision is based off of many different factors and determined by the patients physician. A NPO patient can be receiving other...

  4. What is My Family Thinking?

    Karou replied to flashpoint's topic in Geriatric, LTC

    Wow. Your family does not seem to have a realistic grasp of how extensive your cousin's care is. How do they intend on transporting her there, and transferring her? Not to even get started on the ADL...

  5. to hold or give insulin?

    Karou replied to ViolinTreble's topic in Medical-Surgical

    How long had the patient been NPO? I would look at what their BSG trends has been, what medications they were on (any that could raise the BSG), and what IVF they had. You did correct by calling to...

  6. Port protectors and scrub the hub

    Karou replied to varc's topic in General Nursing

    Our hospital recently started using Curous caps for central lines after doing a trial first. I really like them, and they have significantly decreased our CLABSI rates. We also use the caps for the...

  7. Best time to remove an Indwelling catheter.

    Karou replied to RehabMelbourne's topic in Rehabilitation

    For routine orders to discontinue a foley, we have specific instructions included to not remove between 22:00-06:00. Night shift removes them just prior to day shift arriving (06:30). It makes the...

  8. Hygiene After Hospital Shift

    Karou replied to nifty_n's topic in General Nursing

    I have several coworkers who are very specific about their work clothing and hygiene. They will leave their work shoes outside only, get undressed in their garage, then go straight to the shower. I am...

  9. Need help with abbreviation on med order

    Karou replied to Hailbop16's topic in Nursing Student Assistance

    RT is for respiratory therapy. Q4 means even four hours. WA means while awake. So I would translate it to mean that respiratory therapy administration the treatment to the patient every four hours...

  10. strangest question a friend or acquaintance has ever asked you?

    Karou replied to AQEELSMOM's topic in General Students

    Is it weird that I think this is kind of sweet?

  11. clinical instructor problem or is it me?

    Karou replied to studentnurse162484's topic in General Students

    In the future I would say to this instructor, "I need you to slow down, this is too fast and I am not comfortable. I need to review these medications fully in order to be safe." When using words like...

  12. Would you ever ask another nurse to give your pt a suppository?

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

    A little off topic, but I don't get why nurses ever think giving a suppository is dirty work. It takes all of a minute to turn a patient, lube up, and insert. It's one of the easiest medications to...

  13. Dating a former patient

    Karou replied to thepsychtech's topic in Psychiatric

    No. It crosses way too many ethical boundaries and is entirely inappropriate. It could also cost you your

  14. Crowd funding: Yay or Nay?

    Karou replied to roser13's topic in General Nursing

    Wow, lots of heated posts here... My personal view on crowd funding is suspicious in general. It is too easy for people to lie on the Internet about their cause. I also find some of the causes to be...

  15. Doing away with Scrubs

    Karou replied to Kcwestportboy's topic in Nursing Professionalism

    I can sort of understand the idea in LTC. Not wearing scrubs might provide a more casual and home like environment for the residents. It's not practical to me though. Scrubs are more functional than...

  16. IV starts in nursing schools

    Karou replied to DaynaPierceMorgan's topic in General Nursing

    I did learn in my LVN program. No need in my LVN-ADN bridge since we were all nurses already. I think the basics should be taught. This is a skill that is difficult to get competent at and the more...

  17. Med error and disciplinary action

    Karou replied to Trolleydoll's topic in Patient Medications

    That is just ridiculous. I am sorry you are dealing with this. The reaction that you are getting seems way too harsh to

  18. New nurse and feeling discouraged by older nurses?

    Karou replied to x28y31's topic in Patient, Colleague Relations

    This! OP, instead of saying, "I don't know", try saying, "I don't know, but I will look it up right now and find out". It is okay to admit to not knowing something. Just make sure you find out the...

  19. New nurse and feeling discouraged by older nurses?

    Karou replied to x28y31's topic in Patient, Colleague Relations

    OP, I know you said you have been a nurse for 3.5 months, long have you been working? I think a lot of your examples stem from a lack of time management, which will improve the longer you work. I...

  20. How helpful/important is it to work as a CNA before going to nursing school?

    Karou replied to ReadyToListen's topic in General Students

    I really agree with this. If someone is looking for a boost to their nursing career by starting out as a CNA, but really depends on a strong financial income, then I would advise against it. CNA pay...

  21. How helpful/important is it to work as a CNA before going to nursing school?

    Karou replied to ReadyToListen's topic in General Students

    It helped me in several different ways. The biggest way was by causing me to learn how to interact with patients and family members. I am a shy and introverted person, being a CNA forced me to break...

  22. Studer Group "Bedside Shift Report SM"

    Karou replied to DVorahRN's topic in Patient Safety Issues

    When the, "while you're here..." Starts during bedside report I usually tell the patient, "okay one of will get to it just as soon as we are finished giving report on the rest of our patients". I make...

  23. <20 BS Hypoglycemic episode- Need Advice.

    Karou replied to NYMurse91's topic in Medical-Surgical

    Agree with other posters that he sounds very brittle. I wonder what his BSG trends were like before your shift. I have had patients go from hyperglycemia to hypo very fast and without insulin, usually...

  24. feel so nervous

    Karou replied to supaflyz's topic in Medical-Surgical

    The charting will get easier with time. As you learn the EMR and get better at navigating it you will be able to chart more quickly and find information faster. I would recommend if you get any down...

  25. Rejected now what?

    Karou replied to jarya's topic in Pre-Nursing Students

    Expand your search for schools, be willing to move/commute. Ask yourself, "why am I not getting accepted?". Some schools have a point system, go strictly off GPA, or only care about specific class...