Published Oct 20, 2015
jessimee
40 Posts
Hi Med-Surg nurses! I am a strictly peds nurse who is starting her career over in adult med-surg. What are the top 10 diagnoses that you deal with on a daily basis on a med-surg floor? (The floor I am considering accepting a position on does not take any ortho surgeries, but everything else is fair game). What should I get familiar with? TIA!
MilliePieRN
190 Posts
AMS, CP, PNX, appy/chole, sbo, cellulitis, cdiff, necrotic body parts.... There are more, of course, just a few to get you started.
elizzyRN
24 Posts
These are the most common ones that come to mind for the med-surg floors at my community hospital: chest pain r/o ACS, CHF, COPD, pneumonia, postop abdominal surgery, altered mental status.
AJJKRN
1,224 Posts
Might I ask why you are working at the bedside as an NP?
Karou
700 Posts
COPD, CHF, DM, UTI/pyelonephritis (presenting with AMS if elderly), SBO, pancreatitis, cellulitis, DVT/PE, GI bleeds, ESRD/dialysis... That's off the top of my head/most frequent medical admitting dx.
Surgical would be colectomy, bowel resection, colostomy/ileostomy placement, appendectomy, amputations, I&D of wounds/debridement, thyroid/parathyroid, lap chole (if complications), TURP, ect..
Sure! There are a few reasons--I am only certified as a pediatric primary care PNP and it is just too limiting. I didn't enjoy spending my days cooped up in an exam room. I also want the flexibility of not having to work 9-5 (or 8-7 as it turned out often). And, I want to learn adults. Critical care fascinates me. Some day, I may put the Master's degree to work and become an acute care NP of some sort. But I didn't find being an NP to be the be-all, end-all of nursing.
Gampopa
180 Posts
Lately it's been SBO, AMS, chest pain R/O, pancreatitis, EtOH abuse, sepsis, PNA, UTI, N/V/D dehydration, cellulitis, hip fx.
Scarlettz, BSN, RN
258 Posts
A lot of the stuff already mentioned:
CHF
Pancreatitis
Cellulitis
Chest pain
DM
This is why I want to try and wait out the masses going to NP school and get a masters in leadership done soon so if I want later on I can do a post-masters NP program. My area is way too saturated and people from varying schools are having ridiculously hard times finding good preceptors/clinical sites.
I have also witnessed some pretty savy ways that hospitals (mine anyways) are getting away with employing nurses without advanced practitioner degrees to do similar work of the NP's we used to employ that worked side by side with our hospitalists.
SarahMaria, MSN, RN
301 Posts
Schizophrenia, Bipolar d/o, Asperger's, Psychosis, Pedophilia, Antisocial PD, Narcissism, Schizoaffective d/o, Borderline PD, ADHD
Lola Lou, BSN
99 Posts
CHF, COPD, CVA, Chest Pain, Pneumonia, SBO, Pancreatitis, Cholecystitis/lithiasis, & Comfort Care. I've worked the last four days. My brain cannot come up with a 10th example:)
NurseJamie8
32 Posts
COPD exacerbation, pneumonia, cellulitis, DKA,UTI, Cdiff, neutropenia (work on a med oncology floor), and some surprising cases of aseptic meningitis. And very soon lots of flu cases. I'm sure there is more but there are the most common ones