NobleLeo

Latest Activity

1. Quit during orientation

   NobleLeo replied to Themostsupreme's topic in General Students

   Quitting during orientation is definitely not the way to make a good impression. I worked as a nurse extern on a med-surg floor with high acuity and a typical patient load of 12 patients if not the entire floor. After I was oriented and the staff fel...

2. Med surg or Post-partum for new grad

   NobleLeo replied to GS2001's topic in General Nursing

   What exactly are you looking for? If you are interested in furthering your career and going for NP in women's health, I think you should start in mother/ baby. However med-surg would be the best start to get the most skills overall in basic nursing...

3. ativan storage

   NobleLeo replied to amyrose209's topic in Medications

   This is so funny. Our Ativan was always in a locked drawer in the refrigerated which was such a pain. My friend even forgot to put the key back into the locked Pyxis drawer which was even funnier to get back in since it was a 1x dose but I digress. W...

4. Lessons Learned as an Expert Nurse Witness

   NobleLeo replied to ElizabethStoneRN's topic in General Nursing

   I come across this frequently. If it wasn't charted, it didn't happen. As I tell some of the new nurses I work with, you need to cover yourself. Even if the doctor does not order anything new, chart that they were notified, and document well that if ...

5. I lack social skills and confidence. Is nursing a possibility for me?

   NobleLeo replied to DerAustin's topic in Pre-Nursing

   I think you need to take some time and relax before you move forward. If you are looking to avoid wiping butts then you won't like being an RN. It will take plenty of butt cleaning before you reach a level where that is minimal. Also you will need to...

6. Would you send this patient to the unit?

   NobleLeo replied to Birdy2's topic in Safety

   Is it acceptable? No, however it is the reality. I work in a small hospital with our only doctor being in the ED overnight and we often get patients who should be monitored but aren't. I know that I just keep that extra eye on a patient I'm concerned...

7. Sliding scale insulin...give or hold?

   NobleLeo replied to Annie Wilkes RN's topic in LTAC

   I would have given it and encouraged at least some juice. You can always test them if you end up being concerned that the patient is dropping to a concerning level. But always listen to people who are aware of how they react to insulin. Some people c...

8. How to keep awake at night-Coffee

   NobleLeo replied to nursenyiva's topic in Stress 101

   I drink Dunkin Donuts all night, every night. I also do squats and lunges down the hallways.

9. Would you send this patient to the unit?

   NobleLeo replied to Birdy2's topic in Safety

   We get patients like these all the time on my med-surg floor. I would have just called the doctor and gotten some K+ bumps and calcium ordered and had an increase in IV fluids. As long as the vital signs remain stable, I would just wait for lab work ...

10. About to graduate, need advise on finding the right job.

    NobleLeo replied to MplsMurse's topic in General Students

    Start applying for jobs now. It's great that you know which area of care you'd like to go in (I was geriatric/ med-surg myself) but don't limit yourself to that one type of job. Look at telemetry or ER as well. Many places require experience and it w...

11. To tell or not to tell!

    NobleLeo replied to XNavyCorpsman's topic in Relations

    I know how you feel. When I started on orientation I was amazed at how little compliance there was with standard practices or things I felt had been emphasized in nursing school such as PPE and medication issues. My best advice for you is to practice...

12. Nicotine Testing

    NobleLeo posted a topic in General Nursing

    So I would like everyone's opinion on this topic since it is becoming much more prevalent in the healthcare field to see hospitals with non-hiring policies of nicotine products. A little personal opinion is that I understand this policy because how c...