Karou

Karou

Med-Surg

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All Content by Karou

  1. Male patient refuses Female Nurse

    Just to clarify... If you were to need surgery, you would require an all male surgical team? Scrub tech, anesthesia, assistants, pacu nurse, pre op nurse, ect?? Because anyone involved in your...
  2. Male modesty double standard

    I am not fully understanding... "Trauma room" in the ED? "Resuscitation"? As in, live saving measures/coding? Are these suspected criminals? Violent? Victims of trauma? I would expect police officers...
  3. AT&T Will Keep Your Grandma Out of the Nursing Home

    I don't necessarily think this has more/less privacy then ALF/NH, but it has the potential to have less. I wonder if they can turn it off when they wish to? In a NH you can close your door for...
  4. When being a patient...

    THIS also! I know it comes from a place of love and pride, but I really don't need everyone that my family knows to know that I am a
  5. scared to death

    Do you work LTC? That's a tough area for a new grad. First off never, ever check off a med as "given" when you haven't yet. This leads to an increased risk of med errors by omission. It is way too...
  6. AT&T Will Keep Your Grandma Out of the Nursing Home

    The idea is not bad but I think it's creepy... I see too many potentials for abuse of this kind of technology. I am interested to know more about how it works and what kinds of things are in place to...
  7. Where to start when you don't have experience.

    Agree with PP who said start where you get hired It's just that jobs are not easy to come by for new grads so you can't be too picky. That being said, if you end up in the position of being offered...
  8. When being a patient...

    My mother proudly tells any health care provider that I am an RN. I'm not sure that I like that. Just recently she was receiving post OP discharge instructions and mentioned to the PACU nurse that I...
  9. I would be careful about this. While I am not religious, I think this response could come off very offensive to a patient. A better response would be, "I am so glad that you feel better" and leave it...
  10. Who has time for that? Ain't no one got time for chit chat! Just kidding. I am I'm the Bible Belt, so you would think I get this problem a lot. I don't though. My unit is very multi-cultural and we...
  11. I know there are patients and situations like this. Can you contact the MD to get this medication scheduled? That way you aren't putting the off going nurse in the uncomfortable situation of giving a...
  12. When I worked LTC I worked all three shifts/PRN. I understand the pressure you can receive from other shifts to leave your patients sedated. I agree with the way you handle it. Always go off YOUR...
  13. I have a bigger problem thinking that I'm immune to everything. I don't bat an eye at active MRSA, shingles, c-diff, ect... I use contact precautions in those situations and am very confident that I'm...
  14. Temporal Thermometer Cleaning

    We use alcohol swabs as well. I hate temporal thermometers though and will use oral whenever
  15. Male patient refuses Female Nurse

    First of all, I am very sorry for your experience. I would hope that is NOT the norm elsewhere. I am a female nurse and have had only one patient refuse me as a provider because of my gender....
  16. YES. Even when it's patients that I want to sympathize with, that really tug my heart strings, it's draining. Worse is pretending to be empathetic to manipulative or dramatic patients/family members....
  17. I caused skin tear

    I was going to say I have seen a patient get a skin tear from tape. Also socks, bed sheets, shirts, ect... In elderly patients, especially those with fragile skin, it happens. Chronic steroid users...
  18. Scenario - input, please!

    If the hydrocodone order said 1-2 tablets then I would give the second tablet. If their pain were still unrelieved after that the I would call the physician for further orders. Agree that a medication...
  19. I just erased my whole post because I am massively passive with people that I don't like at work. I overcompensate my dislike with fake friendliness. My only advice... Try to confront the person...
  20. I'm keeping in mind that there are at least three sides to every story. While it is very basic to take a set of vitals before calling a physician, it isn't a fatal mistake. It is a stupid mistake,...
  21. Wow there is some amazing information on trach care here. Thanks guys! As for the straight cath patient can you call the physician for parameters? Like to bladder scan for symptoms of retention and...
  22. Bladder Scanner

    We do not have to have a physician order to bladder scan, that's silly! In my opinion that is a part of nursing assessment. Good lord next you will need an order to assess someone's lung sounds using...
  23. The most valuable thing(s) you've been told

    I always take them seriously and give it a look. However in my experience I have had better success going where I feel comfortable versus where they prefer it. If I see a good vein where they are...
  24. Just my thoughts... I don't think you have to like science to be a good nurse. I don't really like microbiology or chemistry as general classes. I took them because they were required and I did well...
  25. 4 Eyes Assessment

    I think that sounds like a great practice. I do this sometimes. With my "total care" type patients I go in with the PCT or another RN and we turn the patient to get sheets out for under them, clean...