Karou

Karou

Med-Surg

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All Content by Karou

  1. How are you assessing alcohol withdrawal?

    Karou replied to nj3456's topic in General Nursing

    We use CIWA. I do see patients occasionally under medicated either due to the nurse being afraid of over-sedation, or the nurse not being able to reassess in a timely manner. I think there needs to be...

  2. Instructor accidentally gave me a high mark on an exam

    Karou replied to JacquelineJax's topic in Canada Nursing Programs

    I am sorry ((hugs)). That happened once in school to me, but it was some kind of error that caused it to happen to about 50% of the class. Ten points higher than normal. It was chaotic because...

  3. Per Magnet Directives, Nursing first Cleans Bodily Fluids, then Housekeeping

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

    I work at a magnet facility that requires this. Never thought it was in any relation to it being magnet though. We throw towels down to soak up to the worst of it, then call housekeeping for a mop...

  4. Electric Wheelchair

    Karou replied to aiker31's topic in LTC: Directors, Assistant

    I don't have a sample policy because I no longer work there, but we did have a policy in LTC that PT/OT assess the patients use of the chair to determine if they could operate it safely or not. We...

  5. I saw another nurse assault a patient

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

    This whole thing is so fishy to me. You are coming up with as many reasons as you can to NOT report this. First it was your competition in the job, which you now sort of back pedal to clarify meant...

  6. Bedside Reporting

    Karou replied to Bluebell.'s topic in Medical-Surgical

    Are you in ICU? There is no way anyone in my med surg floor has any time to assess wounds jn bedside report. I would be steaming furious (and it happens) if the oncoming RN wanted to do a skin...

  7. Major Med Error

    Karou replied to keynurse's topic in Patient Medications

    Keynurse, no one has any clue which individuals you are responding to. You can hit the "quote" option to reply to each post and that will let that user know you are replying to

  8. How do you deal with being called a "snitch" by your co-workers?

    Karou replied to 1Jessie86's topic in Patient, Colleague Relations

    Unfortunately, you can never assume you will remain anonymous when reporting a complaint. Even if anonymity is assured, word gets around and you will be surprised how quickly you are found out. It's...

  9. Patients taking selfies in clinical areas

    Karou replied to whichone'spink's topic in HIPAA Challenges

    Did they have a policy for that? I don't understand that at all. It's his body. His skin. His camera. Can someone explain to me why this could ever be something a patient is not allowed to

  10. Patients taking selfies in clinical areas

    Karou replied to whichone'spink's topic in HIPAA Challenges

    I am in my 20's and feel like my generation and those sense has this huge need to plaster the entire lives on social media. I am certain the day will come when someone decides to share a birthing...

  11. I Don't Get the Anxiety Part of Nursing

    Karou replied to missmollie's topic in General Nursing

    I made a reply but I accidentally cancelled it. Ugh! I will try again. I agree that your intentions are good, but you come off as naive and a little ignorant. I am glad that you have developed great...

  12. IV starts in arm with a DVT

    Karou replied to freezin's topic in General Nursing

    I wouldn't say an upper extremity DVT is rare, but I definitely don't see them as often as a leg thrombosis. Is it really that common that yall get dialysis patients with a upper extremity fistula one...

  13. Cops and Nurses

    Karou replied to GundeRN's topic in General Nursing

    I write a lot of checks and for five years wrote my DL # with every car payment that I made. Now I know it by heart! I get poked fun of for writing checks but now I will be proud that it's caused me...

  14. At my wits end...

    Karou replied to DierkyBrewster's topic in Geriatric, LTC

    Forgot to quote this part. That's exactly why I wouldn't have documented anything at all. It's not really a medical issue. By charting it, you made it important. If that makes sense. So then someone...

  15. At my wits end...

    Karou replied to DierkyBrewster's topic in Geriatric, LTC

    I probably wouldn't have written a note on that at all. Especially if you have people go pick through charts like that. Because if it was important enough for you to document, someone is bound to...

  16. New Grad, disciplinary woes

    Karou replied to furelite's topic in General Nursing

    I honestly feel like your manager is overreacting. Not everyone will like you, often for reasons you have no control over. This family member sounds petty to make such a fuss over a personality issue...

  17. IVs in the breast

    Karou replied to kasekin's topic in General Nursing

    Ouch! Do you know what medication it was? Just curious if it had been a

  18. IV starts in arm with a DVT

    Karou replied to freezin's topic in General Nursing

    No, a known DVT in an upper extremity is a contraindication for IV access. Once a DVT is discovered we have to remove any IV access (PIV or PICC). The arm already has a DVT and is at risk for further...

  19. Vital signs/Less interruptions for patients during night shift

    Karou replied to BSNbeauty's topic in General Nursing

    Care clustering. Time vital signs with scheduled medications. Be sure PCT and RN are on the same page about when to do things like take out trash, empty urinals, bed baths or turning, ect... Cluster...

  20. Hourly Rounding--pushing back

    Karou replied to CharmantUn's topic in Patient Safety Issues

    Sleep is so important in the hospital, and so difficult to get. Care clustering helps. I ask about quality of sleep with my physician assessment, and if a patient is having difficulty sleeping I ask...

  21. IVs in the breast

    Karou replied to kasekin's topic in General Nursing

    I don't have any evidence, just observations. Twice I have seen IV's placed at the breast. The first time was with a difficult stick patient who needed something IV that I can't remember. Maybe anti...

  22. Jealous Friends...

    Karou replied to Upward_Bound's topic in School, College Programs

    This just can't be real. I think that at this point the OP is just enjoying shocking everyone. I have to believe this is an act, because I can't believe any adult aspiring to enter into the nursing...

  23. The courage to say "I don't want to do this"

    Karou replied to everlongRN's topic in Post Graduate Students

    "I need to have more time for my family. Our finances are limited with me working in education, and I have to make my family a priority right now. I do not have the time to dedicate to this program, I...

  24. Hourly Rounding--pushing back

    Karou replied to CharmantUn's topic in Patient Safety Issues

    AIDET is a joke. I wish I could go back in time and come up with it so I could be filthy rich. It's almost offensive to me. The material is so cheery and fake that it's gag inducing. The few people...

  25. Why don't nurses bond?

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

    Well, I don't know how fair it is to say "firefighters are bonded like family", and nurses aren't. There is plenty of drama within their profession also. TV probably isn't the best resource. If we do...