Karou

Karou

Med-Surg

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All Content by Karou

  1. New Grad Residency

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

    Most nurse residencies I believe require you to have passed boards before hitting the floor, although you apply and are accepted before you take the nclex. Anyway. I did an 18 week residency. The...

  2. Smelling like smoke

    Karou replied to jojo489's topic in Patient, Colleague Relations

    Okay my honest opinion... You will never be able to get the smell of smoke out of your clothing/hair/anything as long as you live with people who smoke indoors. I have tried what you described and...

  3. I'm supposed to what now?

    Karou replied to jojo489's topic in Geriatric, LTC

    Why are you being asked to do this, and who is asking you? How is this medication specifically ordered (PRN or scheduled)? If the patient is alert and able to state when they are in pain and ask for...

  4. What About Post-Op Bathing?

    Karou replied to medtech000's topic in Patient, Colleague Relations

    I can see why he didn't get a real shower, but he should have gotten at least a sponge bath. We wait for the physician to say weather or not a patient can shower, but if needed we do a sponge bath on...

  5. PICC line flushing question

    Karou replied to newgraduategal's topic in General Nursing

    Depends on your facility policy if you are required to or not. That being said, you really should check for blood return anytime you flush with saline. It is very important to make sure that the line...

  6. The hardest parts of nursing?

    Karou replied to calivianya's topic in General Nursing

    THIS! Lately, I have experienced this too much. It breaks my heart walking into a patients room when I know what the CT/MRI/lab results say, but they don't know yet. I feel like I am being deceptive...

  7. white boards in patients room

    Karou replied to Shoiness's topic in General Nursing

    I could see an issue with having too much information on a white board in a semi-private room. Thankfully, all of ours are private. I think you have to use common sense in what you write and don't...

  8. Held to a higher standard

    Karou replied to kool-aide, RN's topic in Patient, Colleague Relations

    I believe that many people in the general population have poor knowledge on what nurses really are, and what nursing really is. As described by other posters, we are often seen as "angels of mercy",...

  9. PRN window

    Karou replied to Cjhays's topic in General Nursing

    That is ridiculous! I am sure some incident caused that to be added to the EMR, and it was added with good intentions, but that's just awful. Nurses will get so used to overriding those "alerts" that...

  10. white boards in patients room

    Karou replied to Shoiness's topic in General Nursing

    Our white boards are large, double sided templates with Spanish on the back to flip over if needed. They clip into place with a clear plastic sheet cover for us to write on. We write the date. Room...

  11. Major nursing liability

    Karou replied to Cjhays's topic in Patient Safety Issues

    I agree that it would be the current and previous shift charge nurse for not ensuring that the keys were exchanged at shift change. I am curious what happened in this situation. Was there no spare...

  12. ER nurses not calling report anymore...

    Karou replied to plinytheRN's topic in Patient Safety Issues

    We said similar things. Our policy is also that a patient has to go to the floor with a patent IV, but in reality that doesn't always happen. I agree that it should be a given that per policy they...

  13. new use for botox -FYI

    Karou replied to amoLucia's topic in General Nursing

    Had a female patient get her second injection and was admitted with bleeding afterwards. Had to be placed on CBI. She had no problems with the first one though. That is my only experience with

  14. The other side of the curtain

    Karou replied to ZooMommyRN's topic in General Nursing

    It breaks my heart every single time. Recently had a young patient, very fit and healthy, get diagnosed with leukemia. I took care of him for several shifts and watched him go back and forth through...

  15. ER nurses not calling report anymore...

    Karou replied to plinytheRN's topic in Patient Safety Issues

    A thought on admissions at shift change... Okay so most of our admissions occur either right at or shortly after shift change. This isn't always safe, and certainly can be frustrating. I understand...

  16. ER nurses not calling report anymore...

    Karou replied to plinytheRN's topic in Patient Safety Issues

    I just wanted to say that I 100% agree with your comment about skin! Admitted patients will get a head to toe skin assessment in my floor, so why do I need to ask the ED how their skin is? Unless it...

  17. The other side of the curtain

    Karou replied to ZooMommyRN's topic in General Nursing

    I skimmed through and tried to read all of this, paragraphs would help a lot. I am so sorry your husband was diagnosed with cancer, and you had to encounter someone with such awful bedside manner. Who...

  18. Nursing and the Ebola Virus

    Karou replied to 0.adamantite's topic in Disaster Preparation

    I imagine that they have computers in the room to chart on, so they do not have to leave to chart. If they are spending four hours in the room to reduce the frequency of removing/applying PPE then...

  19. Can a Patient Threaten a Nurse?

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

    Document anything unusual and bring witnesses if necessary when interacting with a patient/resident. In LTC if the resident is known to file multiple complaints about staff, then staff usually know...

  20. ER nurses not calling report anymore...

    Karou replied to plinytheRN's topic in Patient Safety Issues

    I am a floor nurse and can't imagine not receiving report from the ED. I am grateful that my facility requires the ED to call and give report before sending a patient. Here is how it happens... The...

  21. Patient satisfaction or patient dissatisfaction

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

    My hospital does inpatient satisfaction surveys weekly that they post for staff to see. They also do a survey after the patient discharges. Any staff with positive mentions get acknowledged. This is...

  22. Spervisor hid meds

    Karou replied to jayl955's topic in Patient Medications

    I'm as curious as other posters what you did when/if you realized the resident didn't receive their scheduled medications. You acknowledged you should have locked the med room door already, what about...

  23. "She'll put your butt in a nursing home."

    Karou replied to nurse42long's topic in General Nursing

    I hate this kind of behavior. It only causes fear and created mistrust of the medical profession. I have had a family member tell their loved one (the patient) that they HAD to take their medication...

  24. What are the top 5 medications YOU administer daily?

    Karou replied to northmississippi's topic in Patient Medications

    Hydrocodone, insulin (novolog and lantus the most), dilaudid or morphine, lovenox, Pepcid or protonix. IV infusions would be vancomycin, zosyn, flagyl. I almost forgot a few PRN's-- zofran, ambien,...

  25. Please Start!

    Karou replied to Pepper The Cat's topic in Nursing Professionalism

    Please at least TRY to start changing central line dressings when they are due. On day shift you have so much more support staff to help. I probably won't be able to do it until after midnight (after...