veronica butterfly

veronica butterfly ADN, RN

Med/Surg, Urg Care, LTC, Rehab

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All Content by veronica butterfly

  1. DO NOT pass on the poop

    veronica butterfly replied to durantetodalanoche's topic in General Nursing

    Wow, sounds like all of you are perfect nurses, have perfect shifts, perfect staffing, perfect policies on overtime... Of course, it's not good nursing to leave someone lying in poop or to pass on a...

  2. Is giving meds early common??

    veronica butterfly replied to Bonnie86's topic in Medical-Surgical

    I've been Med/Surg for 6 years and change my plan of attack daily and depending on the patients. Every day on Med/Surg is so different and I really rely on my intuition. This last weekend I had two...

  3. Feeling defeated, lost and stupid.

    veronica butterfly replied to Bonnie86's topic in Medical-Surgical

    12 hour day shifts are KILLER! (I just got home from one!). Day shifts are invaluable for experience and learning though, I hope you try and hang in there for awhile. It will get better, I

  4. Feeling defeated, lost and stupid.

    veronica butterfly replied to Bonnie86's topic in Medical-Surgical

    Hang in there, Bonnie! Med/Surg days feel crazy to everyone and it sounds completely normal how you're feeling. Keep in touch with your manager about how she thinks you're doing, or if you had a...

  5. Medical/Surgical Patient Worksheets

    veronica butterfly replied to Torig's topic in Medical-Surgical

    I use vertical columns, 4 to a page, double-sided so 8 total. The vertical makes sense to me... I have Room _____ Pt Name_________ age_________Doc________ Admit date_____ Code_______...

  6. port-a-cath dressing change--needle change?

    veronica butterfly posted a topic in Medical-Surgical

    When doing a weekly dressing change to a port that is being continuously infused, do you change the huber needle? Our procedure says we are supposed to, but none of our nurses concur. Are we just...

  7. Transferring A Patient to Stepdown/ICU

    veronica butterfly replied to SwimNurseRun's topic in Medical-Surgical

    Be sure to use the resources around you, respiratory therapy, charge nurse, and your coworkers. If you are having a gut feeling that someone isn't doing well, have someone come and take a look at...

  8. Just looking for some other opinions on a topic that came up on Oprah

    veronica butterfly replied to mentalhealthRN's topic in General Nursing

    I saw this show too. She talked about how depressed she was and at times she didn't have much desire to keep living. She is on public assistance and the medications make her feel sick, she doesn't...

  9. preventing skin breakdown on coccyx of dd teenager

    veronica butterfly posted a topic in Wound, Ostomy, Continence

    Hello! I am a med/surg nurse and a mom to a 14 year profoundly developmentally delayed boy who has intractable seizures (lennox gaustalt). He is not able to walk, but can sit up. Spends much of his...

  10. How do you choose a specialty??

    veronica butterfly replied to nwnikki's topic in Medical-Surgical

    I think you've got to trust your gut. Is there one area that appeals to you? or that you understand more? If you don't feel any 'pulling' yet, maybe you need to stay put where you are until...

  11. Telementry on med/surg floor

    veronica butterfly replied to regularRN's topic in General Nursing

    Our Med/Surg floor at a regional medical center has always had telemetry patients. When I first starting working there 4 yrs ago, the RN was not involved really. We had these pts with heart monitors...

  12. Most important, commonly used meds in real world?

    veronica butterfly replied to SiennaGreen's topic in Medical-Surgical

    For pain... Dilaudid, morphine, percoset, toradol for GI... protonix, prilosec, pepcid B/P...atenolol, HCTZ for nausea.... zofran, inapsine, phenergan insulins.... glargine, regular, novolog Good...

  13. drawing blood from picc or port

    veronica butterfly posted a topic in Medical-Surgical

    At your facilities, do you always need a doctor's order to be able to draw blood from picc lines or portacaths? We do at mine, and often when someone is admitted to the hospital, that order is...

  14. drawing blood from picc or port

    veronica butterfly replied to veronica butterfly's topic in Medical-Surgical

    Yes we take the cap off and draw out blood with a luer lock syringe that fits perfectly on the picc

  15. Irrigating foley catheter

    veronica butterfly replied to nursenatalie's topic in Medical-Surgical

    Depending on what is going on, I adjust my 'technique'... I usually start gently, but if I am working on getting clots or sludge out, I usually have to irrigate a little more aggressively. If the need...

  16. Med Surg for intern summer?

    veronica butterfly replied to Student179's topic in Medical-Surgical

    Are there any areas you are particularly interested in? Otherwise, telemetry/cardiac units, oncology, or emergency department if they will take interns. Those would be departments where you'd see a...

  17. Post-op care of pt's with epidural

    veronica butterfly replied to nbnurse95's topic in Medical-Surgical

    Our main general surgeon always wants us to give the sub-q heparin... She is smart as a whip and wonderful doc, however, I always document that I spoke to her and she wants the heparin given. ALWAYS...

  18. Irrigating foley catheter

    veronica butterfly replied to nursenatalie's topic in Medical-Surgical

    What is the thought that normal saline would cause sediment or crystallization when it is completely isotonic? It's the same as body fluid

  19. Chemotherapy on med/surg unit

    veronica butterfly replied to veronica butterfly's topic in Oncology

    Wow, not sure about the billing, that's a great question. And no, we do not have doctors on the floor on evenings and nights. We just have to page them... I am union too, that's also a good point....

  20. Chemotherapy on med/surg unit

    veronica butterfly posted a topic in Oncology

    I work at a small hospital on a med/surg unit that takes all sorts of patients. We have an outpatient Cancer Center attached to the hospital and we occasionally get their patients overnight for...

  21. Bizarre Admitting Diagnosises

    veronica butterfly replied to MedicalLPN's topic in Medical-Surgical

    One of my first patients after I came off orientation as a new RN. "fractured member" No bones you say? That's what I said. Guess this guy woke up with his morning maleness and rolled over on it,...

  22. Nursing schools in Minneapolis/St. Paul, Minnesota?

    veronica butterfly replied to pumpkin1984's topic in General Nursing

    For me, a 2 year degree at Minneapolis Community and Technical College. Metro State is on the same campus, it's sort of a working adult college and they offer a nice BSN program that you can...

  23. Chemotherapy on med/surg unit

    veronica butterfly replied to veronica butterfly's topic in Oncology

    Thank you, that info does

  24. chemotherapy

    veronica butterfly posted a topic in Medical-Surgical

    Do any of you administer chemotherapy on your general med/surg floor? My hospital is hoping to certify some of us so that we can start giving chemo. But from what very little I've learned so far, it...

  25. chemotherapy

    veronica butterfly replied to veronica butterfly's topic in Medical-Surgical

    Thanks for your replies. I think it can be done but everybody has to be really sharp and on the ball, which IS difficult on med/surg. We have so many new grads (I was 2 years ago), and it takes you...