Karou

Karou

Med-Surg

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All Content by Karou

  1. Using Both Ports Of Central Line

    For some reason when I worked in LTC, this myth of the "red port" being for "blood draws only" existed also. Two incompatible medications can run simultaneously through a central line/PICC line....
  2. Do RNs do a lot of heavy lifting?

    I do heaving lifting constantly. It depends on where you work, and what type of unit if in the hospital. In LTC you won't have to do much lifting. NICU/nursery won't be heavy, obviously. I work...
  3. How do I deal with "needy" nurses

    You seem to be taking the OP's post personally, maybe projecting your work situation on to her. Have you really never worked with a needy nurse? On my unit, the RN usually has 5 patients and the PCT...
  4. Pre charting is not possible with the electronic charting system that my facility uses. It's literally not possible to chart ahead of time (ex- chart at 04:00 when it's only 02:00). You can still...
  5. How do I deal with "needy" nurses

    There are nurses will will run a PCT ragged. I especially notice it when the PCT is assigned to both my patients and the "needy" nurses. There are nurses who will call a PCT to empty a urinal, get...
  6. The sloppy image of nurses today

    Oh good grief. Who has the time to make themselves like a beauty queen before work? After 12 hours most of my makeup is gone, my scrubs are well worn, and I look dead tired. I may be sweating if I've...
  7. sitting with drug seekers.

    Must be sarcasm. This can't be
  8. Please help :(

    I am so sorry for your loss. It's your employers responsibility to ensure enough staff coverage, even unexpected staffing issues. Perhaps have a contract with an agency for these exact situations....
  9. 16 Ice creams

    I also wanted to add that as far as "patient satisfaction" goes, this patient is NEVER going to be satisfied with her care. Her press ganey would be in flames even if every single person bent over...
  10. 16 Ice creams

    I felt stressed just reading this. What a nightmare. Your unit sounds terrible with patients that acute, and your ratio. Wow. Makes me grateful for some of my rougher nights! Do you have a patient...
  11. Things for being on duty

    Much of this depends on your work setting. What kind of facility or hospital unit will you be working on? I have a Littmann stethoscope. A pen, a dry erase marker, a permanent marker, a watch, and...
  12. How much urine to collect when cathing

    I have heard from urologists that emptying a large amount of urine quickly from a distended bladder can cause bladder spasms and pain. I have also seen urologists insert and drain two liters from a...
  13. I saw the original post on my Facebook feed, shared by several nursing coworkers and friends. I agree the nurse made several good points, but her delivery was so off putting that I instantly...
  14. Very scared

    You've already put your two weeks notice in (good). Sounds like they hired you to specifically to have a warm body in an empty seat. New grads, with very little exception, have zero place working in...
  15. I started out making $7/hr more as a RN than I did starting out as an LVN/LPN. I can't compare pay checks because as a LVN I worked 8hr shifts, and I currently do 12hr as a RN. Also, the weekend and...
  16. Even the Stoic Have a Breaking Point

    I cried just reading this... My heart breaks for the family, for you, and for your coworkers. What a senseless
  17. Forgot to put narcotic back in Pyxis

    You didn't include the type of unit that you work on, and I am curious. The only two areas that I can think of off of the top of my head where this could be acceptable are burn and ortho surgery. This...
  18. Pt.s Ordering Food from Outside Hospital?

    Being able to make decisions for themselves and refuse certain aspects of their care/treatment is a patients right. Even when they make really poor choices. Eating a salad tonight instead of a bunch...
  19. Underage drinking question? please help

    THIS 100%. The OP made several extremely poor choices, but this alarmed me. OP's statement that, "I am a good kid, I never go anywhere or do anything besides study." Is very contradictory to her...
  20. PTAs dealing with bodily fluids or not?

    What's a PTA? Physical therapy
  21. Ethics: Brain bleed sign out AMA

    So, did you or anyone ask him why he was refusing? That's missing from your post, and that's really vital information to ask. He could have a perfectly rational reason for refusing treatment. He is...
  22. Highest temp

    I hate temporal thermometers! They can be wildly inaccurate, especially if used improperly. So many people will get a nice 98.1 with them and move on, ignoring the tachycardia and shivering patient...
  23. Would you call out sick?

    Some facilities require to call out if you are throwing up or having diarrhea within a specific time frame. Please call in so that you can heal/rest, and don't get your coworkers or patients sick... A...
  24. Medication error

    We use Alaris pumps, but I have never had this happen when the channel door is closed/locked and the pump hasn't been turned on. Maybe it was a faulty channel or tubing set? I hope you work in a non...
  25. Ethics: Brain bleed sign out AMA

    I don't think this is an ethical issue. You have an AOx4 patient refusing medical care. As long as he was thoroughly educated on the risks of refusing transfer and treatment, and this was all...