Karou

Karou

Med-Surg

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All Content by Karou

  1. Be honest, what pt behaviors do you find annoying?

    Karou replied to CrunchBerries's topic in General Nursing

    I've got a few pet peeves I recently identified by forgot all except this one right now- Patients who act as if they are the only patient. Even if across the hallway someone is dying, and they know...

  2. Has nursing made you negative?

    Karou replied to milesims's topic in General Nursing

    In some ways it has. I am not so naive to people and their intentions. It's hardened me in that way. I am frustrated by watching people destroy themselves and feeling like my role as a nurse is not...

  3. Insight on Dilaudid?

    Karou replied to LifeIsBeachy's topic in Patient Medications

    When I was hospitalized years ago, I received morphine (no idea on dosage) and instantly threw up everywhere and it did nothing for the pain, but it made me very foggy and confused. Then they gave me...

  4. Contraindicated?

    Karou replied to Danielle12684's topic in Patient Medications

    Did anyone ask the physician about the Imodium? Was it something the doctor intentionally ordered, or was it part of a standard order set and perhaps overlooked? If I had a patient admitted with...

  5. Nurses smoking weed?

    Karou replied to bunnynurse's topic in General Nursing

    No, that's asinine. 1. I would never risk my job for that. What fool would? 2. I abstain from any mind/mood altering recreational drugs (including alcohol, which is far more dangerous in my opinion...

  6. Am I being a baby?

    Karou replied to RNbubu's topic in General Nursing

    I would find a new job. There should be a CNA to help with so many of these tasks. You can't turn and clean a total care patient yourself... You shouldn't! This requires 2 people. It's ridiculous that...

  7. Night Shift Survival

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

    Blackout blinds + blackout curtains make your bedroom a dark den of delicious night. Blackout blinds are expensive but worth it! Eye mask, earplugs, fans for white noise as appropriate. Shower before...

  8. No pain meds in ER??

    Karou replied to ShaneTeam's topic in Emergency

    Oh yes! They come to the unit and we hear about it non stop, even once they've gotten their dilaudid here. I'm not sure if the change will last or if it's made any difference down in the ER. For the...

  9. Nurse takes pic of patient's...

    Karou replied to Penelope_Pitstop's topic in Nursing News

    What's interesting to me is that if this had been a male nurse taking pictures of his female patients genitals, he would probably have to register as a sex offender. There is more than a HIPAA or...

  10. No pain meds in ER??

    Karou replied to ShaneTeam's topic in Emergency

    Interesting. Our ER stopped stocking dilaudid as a way to be less appealing to drug seekers. Not sure how effective that has been. They will still do morphine and other drugs but dilaudid has to be...

  11. RN to Teacher

    Karou replied to missnurse92x's topic in General Nursing

    There are a few different ways to get into teaching. Since you already have a college degree (BSN or ASN) it's not as difficult as starting from scratch. Start looking into your local colleges (maybe...

  12. Thrown From the Tower!!

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

    I haven't read your other posts OP, I don't really care to. I am pretty full of your entitled attitude from this one alone. The part that tipped me over was your bragging about your husband and...

  13. Sending res to hospital- did I make the right call?

    Karou replied to suzw's topic in Geriatric, LTC

    A seriously good question (for your DON) is how long would all those other "in house" interventions have taken? Call for x-ray, waiting for x-ray to actually come, get stat antibiotics delivered from...

  14. Haldol, Pneumonia, PD

    Karou replied to Rnfortuna's topic in General Nursing

    Am I the only one getting the vibe that the OP possibly has a family member with PD who was given Haldol? This seems personal. Safety is priority #1. When a patient is delirious and becoming a danger...

  15. My Patients vs Our Patients

    Karou replied to Rexie's topic in General Nursing

    Ugh, I have worked with people like that. If it's a bed alarm I will always respond no matter who the patient belongs to. Beeping IV's are like nails on a chalkboard so if I hear one, I'll hunt it...

  16. med error!!!

    Karou replied to alwayslearning55's topic in General Nursing

    I would not have made a fuss over this if I were the receiving nurse. Sure, it was an error, because blood went past 4 hours, but in the grand scheme of things it's very small. You said you start...

  17. Who do you work for the patient or the facility?

    Karou replied to hppygr8ful's topic in General Nursing

    Holy cow, that's a ridiculous situation. This patient should never have been accepted at your facility. If the patient had arrived you surely would have had to send them back!! The hospital can't wean...

  18. 8 or 12 hour shifts

    Karou replied to LPNTOBE2017's topic in General Nursing

    12 hours for me! The benefit? Only working three days a week instead of 5. I hated 8 hour shifts 5 days a week. I felt like I lived at work. 12hrs gives me more of a chance to relax and recharge on my...

  19. Not enjoying clinical

    Karou replied to loveflowers's topic in General Students

    It's possible that your feelings about clinicals ("don't enjoy it, dread it, can't wait for it to be over") aren't well hidden and your attitude is picked up by patients and the hospital staff. If...

  20. "Best Practice" would be to have more nurses.

    Karou replied to Emergent's topic in General Nursing

    Administration is always having fancy ideas about new policies and adding tasks without putting any thought into the time and amount of staff required to do it. Not that long ago a poster started a...

  21. charge nurse role responsiblities

    Karou replied to Guest02/04/2016's topic in Medical-Surgical

    I still have questions I asked that you didn't answer. Most importantly, what did YOU do in these situations. 1. Did you ever call the doctor about your concerns? What did the physician say? What did...

  22. How do you memorize and understand medications?

    Karou replied to xmilkncookiesx's topic in Nursing Student Assistance

    You memorize them with time and repetition. In practice, you do not have to memorize every medication. You have to know how to look it up before administering any unknown or unfamiliar med. There are...

  23. Do you still have to do dosages math by hand as an RN now?

    Karou replied to xmilkncookiesx's topic in General Nursing

    IV Heparin is probably the most complex math I have to do. Bolus or initiate a drip based off weight. Drawing up the bolus itself causes a pause, especially if it's less than 5,000 units. Then the...

  24. charge nurse role responsiblities

    Karou replied to Guest02/04/2016's topic in Medical-Surgical

    Are you a new nurse? Where I work, it is never the charge nurse who determines if a patient needs to be transferred to a higher level of care. That decision is made by the physician. The only...

  25. Sentinel event

    Karou replied to Jordym919's topic in Patient Medications

    Everyone else has given some fantastic tips. I will add, when a patient tells you something doesn't appear correct or is unusual, take a moment to do a second check. If you ever give a partial dose...