azhiker96 BSN, RN

PACU, ED

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About azhiker96

azhiker96 has 17 years experience as a BSN, RN and specializes in PACU, ED.


Married, three kids

Latest Activity

  1. azhiker96

    The Wage Gap Myth

    Young women out earning young men in some major cities
  2. azhiker96

    The Wage Gap Myth

    My daughter is a college professor at a fairly liberal university. She has told me of a few instances where males were paid more than her even though she has better qualifications, teaches more classes, obtains more grants, and oversees more graduate...
  3. And a new guy moved into first place for ridiculous. Chief complaint was "I missed work today and need an excuse that I was at the ED. I thought about saying I had a cold but then you'd have to swab my now and I don't like that. So I told them I hurt...
  4. azhiker96

    ETOHer...(and other slang)

    I’ve also sometimes called it Status Dramaticus. It can be addressed with the appropriate IM med depending on pt Hx.
  5. azhiker96

    ETOHer...(and other slang)

    Hyperdraumademia is evident on inspection. I treat room temperature BP until it’s BP compatible with life. Most of our drunks and ODs end up MTF, metabolize to freedom.
  6. Healthy 30 something male came in complaining that he had felt light headed at work 8 hours prior to entering our doors. He also had his discharge paperwork from the ED he had visited before coming to us. They had given him a liter of NS and a full w...
  7. azhiker96

    Should all EDs have a Triage Nurse?

    I think all ERs should have a triage RN. When I work triage we occasionally have bypassed registration or sent a family member there while taking a pt to critical care. Most times we get an initial set of vitals but if they look sick enough we even b...
  8. azhiker96

    Should nurses be getting involved in the Reopen America protests nationwide?

    The shutdown is not without long term negative effects. Rural hospitals are hurting. This one in southern Arizona is the only hospital between Tucson and Nogales and might shut down. https://www.azcentral.com/story/news/local/arizona-health/2020/04/...
  9. azhiker96

    ICU Nurse Fired For Refusing 3rd Patient

    I have refused a new admit in PACU three times because it would create an unsafe staffing. I could have been fired but taking the patient would have put the patient and my license at risk. It also would have violated national standards by ASPAN. We ...
  10. azhiker96

    Giving Narcan to Your Own Patient

    Good experience. I've seen patients go apneic from 2 mg of Morphine and had pt's ask for Benadryl after a 6mg Dilaudid push. Individual patients respond differently. I would second the comment about a lower dose of Narcan. In the field or ED with an ...
  11. azhiker96

    Supervisor Asked Me to Falsify Records

    Depending on how hard your supervisor pushes this issue I'd also consider calling the compliance hotline or filing a Midas report. You should never be asked to document medications or treatments you did not give or perform.
  12. azhiker96

    Federal Marijuana Ban Lift Effects on Nursing

    I don't think disability discrimination comes into it. People with chronic pain can legally take narcotics with a prescription. However, BONs and employers don't allow nurses to work while under the influence of narcotics.
  13. azhiker96

    Verifying Medications in PACU

    We give the meds the patient needs. I know pharmacy reviews the orders as quickly as they can but for the good of the patient I don't wait for that to occur. We have an EMR but also the ability to pull any medication for our patients. As a critical ...
  14. azhiker96

    School Shootings

    I think metal detectors and armed security is a good evidence based solution. That has been in use for several decades at many inner city schools. It was implemented in the US in response to gang violence. Israel implemented school security in the 1...
  15. azhiker96

    Murphy's Laws of Nursing | Life of a Nurse

    If a patient is a hard stick either: A. Get a call from the lab that it is hemolyzed. B. The doctor adds on another lab 15 minutes later that requires a new draw. Never try to influence which patient you get in PACU. If you do the Karma of the PACU ...