Karou

Karou

Med-Surg

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All Content by Karou

  1. Nurse Extern opportunity

    Karou replied to Kaligirl02's topic in General Nursing

    YES! Even though it might be a massive pay cut, DO IT! It is getting increasingly difficult for new grads to get hired into the hospital setting. If you work as an Extern then you will get better...

  2. the value of a good attitude

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

    It isn't always easy. In the moment, I try to respond positively. I smile, say thank you to whomever I'm dealing with. Even if they are being particularly nasty and obviously trying to coax a...

  3. Do you need a doctors order for this?

    Karou replied to Cynnie24's topic in Geriatric, LTC

    Agree with other posters that it depends on your facilities policy. Some LTC facilities have orders to replace foleys monthly or on a schedule. So maybe you have a policy on changing them on a PRN...

  4. Adult Depends/Underwear

    Karou replied to grad2012RN's topic in Patient Safety Issues

    I agree with other posters in that she sounds like she needs a higher level of care. I second the idea for an occupational therapy eval, if possible. In the meantime, is a bedside commode an option?...

  5. Things you'd LOVE to tell coworkers...and get away with it!

    Karou replied to General E. Speaking, RN's topic in Patient, Colleague Relations

    With all of the resources you have on day shift, you were "too busy" to Finish your admission Give xyz medication that was due at 18:00 Re-site an old/infiltrated IV Call the physician about this or...

  6. Bullying - What is it?

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

    In reply to the OP... I think we need more context. Were they all from the same person? In my opinion, most of your examples depict rude behavior, but each example itself is not bullying. Combined,...

  7. What's the biggest mistake you've ever made as a nurse? What did you learn from it?

    Karou replied to Mini-Murse's topic in General Nursing

    I have made many mistakes, but one of my more recent ones really stands out in my mind. The mistake involved a beta blocker and a tachy surgical patient. Patient was to go for lap chole in the...

  8. What's the biggest mistake you've ever made as a nurse? What did you learn from it?

    Karou replied to Mini-Murse's topic in General Nursing

    Really?? I work med-surg and we put NPO after midnight orders in all the time for surgical patients if the physician forgets. If I know a patient is going for a lap chole at 08:00 and I am the night...

  9. gfs scrubs are kinda see through

    Karou replied to robert1043's topic in Scrubs, Uniforms, Gear

    Am I the only one who thinks this nurse just doesn't believe her wardrobe is inappropriate? I could see a girlfriend rolling her eyes when her boyfriend calls her out on see through underwear or seems...

  10. Recurrent dreams about work.

    Karou replied to dudette10's topic in General Nursing

    Sometimes it is hard to tell if my dreams are actually me dreaming, or if they are my thoughts as I am drifting off to sleep. When I go to bed I start analyzing my entire day. Every medication,...

  11. ADN Nurses Being Forced to go Back to School?

    Karou replied to tnbutterfly - Mary's topic in General Nursing

    Wow, what a heated topic! For what it's worth, I have never heard a physician ask a nurse if she had an ASN or BSN. I have never heard of it happening either. However, I am a newer nurse with only two...

  12. Caring for almost 400lb Quad

    Karou replied to RNurse1234's topic in Patient, Colleague Relations

    Are you working home health, LTC, or in the hospital? Do y'all have hover mats? They are inflatable and go under the patient. Once positioned, you inflate them with air via a portable plug in...

  13. Vaping as opposed to cigarettes?

    Karou replied to Carpediem1012's topic in General Students

    When a patient asks me if e-cigs are better than cigarettes, I always tell them that there is not enough research available for me to say yes/no, but if they are interested in quitting smoking that I...

  14. Do Nurses Get Traffic Tickets?

    Karou replied to rachelita's topic in General Nursing

    The only time I have been pulled over I was wearing scrubs and received a ticket. I had been on my way to class. I ran a red light as I was driving behind a large truck. It was at a four way...

  15. Night Duty Sleep Patterns

    Karou replied to Janetheregistnurse's topic in Health, Stress Management

    Everyone is different, but here is what I do... I usually keep a "night schedule" even on my days off. I am a night owl naturally and this seems to work for me. On days when I get off work (07:00) I...

  16. What is the better antiemetic zofran or phenergan?

    Karou replied to Infofreak411's topic in Patient Medications

    My patients seem to get better, more consistent relief with phenergan. That being said, I avoid it when possible. As a once or twice time order it seems fine but many of my patients come in with...

  17. Caring for Obese Patients

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

    Wow! That is a really difficult patient to care for, overweight or not. If he were in the hospital I would get patient advocate involved... Anytime a patient/resident wants to hand pick their care...

  18. Caring for Obese Patients

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

    I understand how caring for obese patients can be difficult and exhausting at times. With the proper staffing and equipment it doesn't have to be impossible though. After reading all of these comments...

  19. Addressing patients by their first name...

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

    I know the ER is a different ball game from other areas but here is my experience on a med-surg unit in the south... I almost always call my patients Mr. Last Name, Mrs. Last Name, or Ms. Last Name....

  20. Misconceptions with bilat mastectomies?

    Karou replied to fltopp1's topic in General Nursing

    When my mother had a bilateral mastectomy in January, her surgeon explicitly told her that since he only removed the sentinel lymph nodes, that she can have her BP taken on either arm. No problem....

  21. When's the doctor coming in??

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

    My initial reaction is to get annoyed with this question. I work night shift and I have NO idea when the doctors round, I probably wouldn't recognize 75% of them if they saw them! Then I try to think...

  22. Vocera

    Karou replied to flonitengale's topic in General Nursing

    If someone calls me on vocera while I am in a patient's room then I answer with, "I'm a patient's room, I will call you back". I haven't had a problem with that. I have ignored vocera calls (example:...

  23. Who's for banning rotating shifts?

    Karou replied to Lev's topic in General Nursing

    I was talking about this the other day. I would HATE to do rotating shifts. The degree of hate would depend on the frequency of the rotations. I can't imagine how miserable I would be if we rotated at...

  24. NOC nurses need sleep too!!!

    Karou replied to NurseQT's topic in General Nursing

    Only those who have ever worked night shift seem to understand how important eight hours of sleep is during the day time. It's especially worse if no one in your family works in healthcare or has ever...

  25. Nurse Extern

    Karou replied to Karou's topic in Nursing Career

    I have received some great advice! Thank you all. I met the Extern and we had our first shift together. It turned out to be a busy night with two of our six patients requiring a lot of interventions,...