pgotm

pgotm

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About pgotm

Latest Activity

  1. Sedation in ICU... your opinions/ experiences?

    Fentanyl is used the most. We are teaching hospital, and they don't like propofol, plus there is a nation wide shortage. Precedex is rarely used.
  2. Variable staffing based on patient acuity & census in ICU

    I want to have a vent 1:1! :) Wow that is awesome!
  3. Variable staffing based on patient acuity & census in ICU

    I want to come work, where there are aides! :)
  4. Fevers In CCU

    Cooling blanket. I had a septic patient that got up to 104. I was nervous but with tylenol suppository and cooling blanket, it took all shift for the temp to climb back down. I thought we wanted to bring fever down, so we don't fry the patient's brai...
  5. They aren't discharged until they are out the door! :) That's my personal opinion. They can have their paperwork, but I still treat them as my patient. They get all the same treatment.
  6. worst, most corrupt agency ever!

    Time to put in some applications for somewhere else. Do you really want to continue to work for this company? Best not to risk your license for their stupidity!
  7. Always assess, pt's can change at any time. You would rather know that you charted an accurate view of the patient's condition whether it be positive or negative. And of course if you ever have to go to court, your documentation will paint a pciture ...
  8. witnessing a DNR

    Working in Risk Mgmt, I think you need to have your policy revisted. This is not ok in any US hospital in America. If it is, this is a crime! I would contact your administration or risk department for guidance. I think there is some ignorance on some...
  9. If something happens to you, you will not be covered under workman's comp. May want to check in with local labor board about working conditions. Attempt to find greener pastures if possible.
  10. Is this what I'm always going to deal with?

    Be happy doing what ever you want. Just be sure to research your local healthcare market. Where I live in Vegas, most hospitals don't have LPNs. Not sure about outside of hospitals, also the job market is tough for new grad RN's. Some out of school f...
  11. Nurses love to give...

    It is always better to give than receive.
  12. This made me laugh

    giggling in my office, nice way to start the day.
  13. Wrong side/omitted procedure

    i work in risk management, and cringed the whole time, reading your post. unfortunately i'm sad to hear that you gave in and signed the consent. imagine a patient in the same position doing that, and along the way, communication was broken, and anoth...
  14. I work Risk. :) Our policy is to have the detective come to risk. We get a copy of their business card, and give them the information they need. They are in a way covered to get information depending on the situation. It's almost the same when the st...
  15. stress relief kit

    I need that kind of DON!