veronica butterfly

veronica butterfly ADN, RN

Med/Surg, Urg Care, LTC, Rehab

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All Content by veronica butterfly

  1. Med Surg for intern summer?

    Absolutely! It's a great place to get a wide variety of experiences. You'll learn about a fair number of surgeries, diseases, and also lots of psych and family
  2. Post-op care of pt's with epidural

    Pt's with epidurals are just part of our regular patient load. Only difference I've seen is that some of them are on a continuous pulse oximeter for awhile after surgery, and that we're very careful...
  3. Med or Surg???

    I work on med/surg at a smaller regional community hospital. We get lots of post-ops and lots of medical. It's great experience. Often our ortho surgery patients have lots of other chronic health...
  4. New Grad To Med-Surg, What To Expect

    It's true med/surg can be grueling at times. A lot of places don't have good teamwork, but maybe being a student doesn't help... you don't know people as well and often times students sort of get...
  5. New Grad To Med-Surg, What To Expect

    A medical floor is not a "dumping ground"... It is a place where sick people come to get medical attention and hopefully leave better than they came. But for the grace of God go us nurses. None of...
  6. what to doo

    I would focus on getting as much experience as you can while you're in school. If you've already done med/surg and ortho, don't do med/surg again. Cardiac would be great experience, it would be...
  7. port-a-cath dressing change--needle change?

    Thanks to all who replied. Great advice and thanks for the reminder about not doing a half-a$$ job of pt
  8. From deadening boredom to high anxiety

    I stopped throwing up on my way to work after being on Med/Surg about 7 months. I've been there 2 years now and feel much more comfortable. Most of the time it is crazy and partially out of control,...
  9. Simple things new nurses or experiece nurses are not doing?

    I & O's definitely a pet peave of mine, no hats in the toilets or urinals in sight for the guys.... Dinner trays whisked off and never recorded what people ate and drank. Stool and urine samples...
  10. I know your post is several months old, but I'm replying in case someone reads it that is in a similar situation. You said that on your FIRST day, your preceptor WASN'T even there??? and the next two...
  11. How many patients?

    I work in a "smaller" hospital, a regional medical center which is in an outer-lying suburb of a metropolitan area. ' On days we have typically 4 patients, evenings 4 patients, and nights 6 patients....
  12. Question about infusion rate?

    We don't do this on the med/surg floor where I work. Peds has special pumps that they load syringes in. Do you put the syringe on the port that you normally would hook up a piggyback to?? However,...
  13. Question about orientation

    If you've been a RN in a nursing home, you have run your tail off and you've had to manage your time wisely, so it's probably just that you need to get used to the new environment with all its...
  14. Floor Nursing?

    I love floor nursing, although it is very draining at times. But more often it's incredibly rewarding. Illness does often bring out the worst in people, but I find more often it brings out good...
  15. Irrigating foley catheter

    NS would be best I would think as it is isotonic, same as body's salinity. Here's a "stupid" question.... when we're supposed to irrigate a regular indwelling foley (not a 3 lumen after a turp), does...
  16. x3??

    occult blood--collect the next three stools. cardiac enzymes--for troponins, they are drawn every six hours x
  17. I work at an Urgent Care on call. Any facial cellulitis, especially around eyes or even mouth, nose, etc., is treated pretty seriously. Very close to that important thing, ummm, let's see, what is...
  18. Nurse Rounding

    I had that same patient load last time I worked... Did I get your
  19. Nurse Rounding

    Wow, I love that. We often end up taking patients from several previous nurses (nancy had 201, becca had 203, etc..). How do you manage how much time this takes at the end of a shift? Sounds like a...
  20. Bad Rep for Med Surg

    I've been on med/surg as a RN for a year next month. WOW! I made it a year, unbelievable. I was a LPN for 3 years before, 1 in subacute and 2 in a failry busy Urgent Care. I can't imagine how I...
  21. most difficult skill

    I haven't done it yet, but I feel the day is coming.... Putting in a large NG tube, the kind hooked up to wall suction. I have put in a small ng tube for feeding, that wasn't so bad. It's just...
  22. Was this normal?? (kinda long)

    Also, wanted to say... don't let it scare you off ER nursing. Usually ER's like people with a year or two of med/surg experience because we see everything and learn so much. I'm a new nurse too and...
  23. Was this normal?? (kinda long)

    Some folks have lower seizure thresholds, that is they're more prone to having a seizure when sick. Fevers also can bring one on, most typical with younger babes/kids. Maintain that airway, remove...
  24. Can someone please explain INR & Coumadin therapy to me?

    Wow, excellent reply Angie O'Plasty! That's a good explanation about heparin acting faster and Coumadin slower. Many pt's ask why they are on both. Also I believe each medication affects a different...
  25. Unit Census and Holiday?

    I just got home from fri through mon Christmas weekend. Very low census on Friday and Saturday. Many patients wanted to go home for Christmas and docs d/c'd them. Most nurses and aides "low-needed"...