kanzi monkey

kanzi monkey

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About kanzi monkey

kanzi monkey has 5 years experience.


Latest Activity

  1. The Controversy: Mandatory Flu Vaccines

    When you had the flu, how was it diagnosed? (Apologies if this has been asked before, long thread, don't want to get caught up in any ill-activities against an already-dead horse...)
  2. Why is it inappropriate to stand up for yourself?

    "Shared" conversations are often not linear if you expect actual communication to happen. Of course patients need to be re-directed at times (we all do)-- but sometimes addressing simple interruptions in the moment can help everyone refocus. It depen...
  3. Help! I think I'm going to accidently hurt or kill someone

    Hypertensive emergency suggests end organ damage with SBPs over 180 (ie, heart or kidney failure, focal neuro exam, etc) Your patient had post op pain which was likely contributing to the htn (though i wasnt there, so can't be certain, obviously). Ma...
  4. Why is it inappropriate to stand up for yourself?

    It's great to know that you care how a patient is going to travel when they are discharged. That shouldn't ever be called "unimportant" by nurses OR doctors. Simple question, simple answer, that doc should just be even the *slightest* bit flexible wh...
  5. "He wants his Ativan? Well I'm not giving it to him"

    It's a good lesson because this kind of thing is going to happen ALL THE TIME. On every level. When you are a nurse, you will have similar interactions with providers, who may have similar interactions with their attendings, or with the PCP or specia...
  6. Got into ACNP program

    I do one week on, one week off. I'm on the east coast. I think there are a range of options out there, you just have to find them. Nothing is unheard of, really. Sorry your life decisions are being questioned by strangers in an online forum. Lol, onl...
  7. Dealing with drug seekers without alienating them

    Yes, but would you be willing to prescribe it? It does take a lot of effort and time to tease out the right treatment for patients with pain who are also opiate addicted (not just tolerant). I think it's irresponsible to say "pain is what the patient...
  8. Your facility policy is then mandating that its sick employees risk exposing others to their illness (ie, the flu in an outpatient clinic waiting room or ED or urgent care, etc). There is also the cost to healthcare in taking time and resources for e...
  9. Should I call off?

    But don't go see your doctor! Don't infect people in the waiting room or waste the office time for a note. You are sick. If your job requires a note, then management needs education about limiting sick exposures and appropriate use of healthcare doll...
  10. Patient abandonment

    A patient...a human being died. Ummm, congratulations that it turned out great for you? Maybe you should work on phrasing? God forbid you come off coarse...
  11. RRT on DNR

    Some people are DNR but not DNI (thinking of chronic COPDers for example). Who comes to the RR? We have an ICU doc, pharmacy respiratory, and hospitalist. Everyone can look at the patient together and see if there is a non-CPR intervention that can h...
  12. Flu Vaccines. A Hassle?

    If there is a case report I don't know about it. I won't look into it because this was my patient and this was a while ago. I think you understood my point, however. This thing, no matter how unpleasant, happened. However, to put all logic and reason...
  13. How about this plan: 1. Volunteer to receive specialized training for instituting and following CDC implemented protocol for Ebola victim care. 2. Have necessary equipment and on hand CDC specialist available for any/all complications/questions/conce...
  14. *rolling my eyes*

    I do blame the second infected nurse for flying on a commercial airline 2 days after the ebola patient she cared for died. That makes no sense. I blame her and I blame the hospital. I blame the hospital for not recognizing the urgency, for not having...
  15. Flu Vaccines. A Hassle?

    I don't. He was a few years into his diagnosis and I helped him through a complication. The history was documented in our EMR, however, and it was chilling. Understanding how histories are taken and diagnoses are made (especially of rare events) will...