CNAtoMD

Latest Activity

1. Bradycardic STEMI

   CNAtoMD replied to miamiheatrn's topic in Emergency

   Symptomatic bradycardia has no role for nitrous. This patient is sick and sick as hell and likely to die no matter what you do. First step is pacing them while someone draws up atropine. The next person is hanging fluids and I am putting the PCA on...

2. How do you deal with Doctors that insult nurses?

   CNAtoMD replied to relusanmi's topic in Relations

   You absolutely should have the following when contacting the on call physician. 1) a quick history "Mr. Jones was admitted with x" 2. the reason you are calling "Mr. Jones blood pressure or lab value is X" and 3) the chart open to answer my question...

3. How do you prepare yourself to not become emotional at work?

   CNAtoMD replied to dramakid1315's topic in General Nursing

   Not a nurse but feel that I feel I still can answer. First it is not your life, your family member, or your friend. It seems cold but this is business (just like any other business). Business stays at work and your family stays at home. If you si...

4. Have you encountered useless residents?

   CNAtoMD replied to seks's topic in Relations

   I quoted you because you said you immediately thought PE and many have posed the idea of a d-dimer. My thoughts are that if you have been in the hospital you should never rule out PE by d-dimer. The research has shown that there is a false negative ...

5. Have you encountered useless residents?

   CNAtoMD replied to seks's topic in Relations

   Also as an ER doc you know how many times my ears have been ringing PE or maybe could be, or I cannot say it is not PE? Probably 500 times. How many times have I picked up a PE between 3 years of residency and 2 years of being an attending? 15: 15...

6. Have you encountered useless residents?

   CNAtoMD replied to seks's topic in Relations

   So take this same patient that had CP and was dyspneic on the floor and the resident hear's crackles in the lungs and gave 40IV lasix and they got better? Seems like problem would be solved and everyone would rejoice. Now lets say the same patient h...

7. Departure Gift for boss/Dr.

   CNAtoMD replied to destinyhope01's topic in General Nursing

   First I'm glad you had a positive relationship with a physician, seems from many here they don't have that experience. Second do not buy them anything. Gifts for a physician can often turn cheesy and not needed. Being that this doctor personally w...

8. NP or PA

   CNAtoMD replied to Bteti20's topic in NP Students

   The age old fight x vs. y and is bound to incite an argument of the PA vs. NP. You are posting on a nurses forum so most likely everyone will tell you go the NP route. In reality as it stands now it does not really matter. They have almost the same...

9. Dumbest thing a doctor has done/said to you

   CNAtoMD replied to WorriedNurse25's topic in Relations

   And so I contribute to the actual thread. One from my intern year. Fresh out of medical school about a week into residency and had a pretty sick septic patient that I really wasn't sure how to take care of yet. Pretty sure the nurses liked to screw...

10. Dumbest thing a doctor has done/said to you

    CNAtoMD replied to WorriedNurse25's topic in Relations

    So what do you actually expect from nursing week? What type of gifts do you expect? Real question. I take back that many of the nurses complained about what we bought for nurses week, it was a select few. What got me so mad is that I am involved in...

11. Dumbest thing a doctor has done/said to you

    CNAtoMD replied to WorriedNurse25's topic in Relations

    Sounds like I really got to ya with that anger. I was actually already set on medical school when I started working as a CNA. Seemed like a good job with decent pay for a college student, plus worked at the place my grandmother lived so got to spen...

12. Dumbest thing a doctor has done/said to you

    CNAtoMD replied to WorriedNurse25's topic in Relations

    Whoa whoa whoa. Talk about sweeping judgements. I never said nurses are drunks. I said the nurses called in to get drunk. Heck every year all my medical school friends take 4 days off and head to my cabin to get rip roaring drunk. It doesn't make...

13. Dumbest thing a doctor has done/said to you

    CNAtoMD replied to WorriedNurse25's topic in Relations

    Also over Halloween there was a big party hosted by one of the ED docs. I had to work that night and had to miss the party. Every single doc and resident showed up to work. Six, yes say it with me, six RN's and 4 PCA's called in that night. I kno...

14. Dumbest thing a doctor has done/said to you

    CNAtoMD replied to WorriedNurse25's topic in Relations

    What ignorance. Go through 4 years of college and 4 years of medical school to be 300K in debt and work for another 3-5 years at just above minimum wage. Yea totally in it for the "money". Sure some physicians are in it for the money and those are...

15. Is this normal?

    CNAtoMD replied to sapphire18's topic in Relations

    Very common. Where I did residency I needed 15 central lines to be "signed off" to do them solo. I was supervised by a senior until I hit them which I did probably 6 months into intern year. Still we had a rule that as interns someone supervised s...