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Search Results Type: Posts; User: sharkdiver

From Date
  1. Hard Time Dealing With Patient Rights
    This is absolutely incorrect. A competent patient has the absolute legal and constitutional right to refuse any test, treatment or procedure for any reason they may choose, without prejudice to...
    Jul 20
    Forum: Nurse Colleague / Patient Relations
  2. My patient does not comply.
    THIS! (emphasis added to quote by me). One of my pet peeves is the term "non-compliant". By definition it implies that medical staff have some legal authority to require patients to follow their...
    Jun 25
    Forum: Patient Education
  3. Air vs. Oxygen for breathing trt
    Yep - that's why we had a 10 minute hard limit on the bottom time on the 10/80 trimix. We preplanned it very carefully with appropriate safety reserves. Sorry for sidetracking the thread.....
    Jun 15
    Forum: General Nursing Discussion
  4. Air vs. Oxygen for breathing trt
    Unless you have them on high PPO2 levels for extended lengths of time, I wouldn't worry too much about oxygen toxicity. For example, because they see the highest concentrations of O2, the lungs...
    Jun 14
    Forum: General Nursing Discussion
  5. No!  It is NOT OK.
    Color me confused..... In several responses you state that you respect patient autonomy, but in the reply above you clearly deny that right. The patient always has both a choice and the final...
    Jun 3
    Forum: General Nursing Student
  6. No!  It is NOT OK.
    I agree with you that it really isn't that serious an issue, but that said, semantics can make a difference and clarity in communications is important. To that end, the OP makes some very good...
    May 26
    Forum: General Nursing Student
  7. Guys, do you take this personally?
    Actually, that's not quite accurate. The patient always has a choice, and still has the right to postpone a procedure and request rescheduling that allows for same gender care. Hospitals always say...
    Sep 28, '12
    Forum: Men in Nursing
  8. Guys, do you take this personally?
    I agree that nurses are refused for all kinds of reasons, and never said that you had to like it. It happens to both male and female nurses, and there's really nothing that can be done to change it....
    Sep 14, '12
    Forum: Men in Nursing
  9. Guys, do you take this personally?
    The issue you're describing is gender modesty. Gender modesty is something that is ingrained to some extent in most individuals in our society. There any number of influences, including cultural,...
    Sep 13, '12
    Forum: Men in Nursing
  10. What are your thoughts on patients who request no male nurses taking care of them?
    Personally, I don't see a problem with this type of request from either gender. As others have said, if it makes the patient more comfortable, why not? I'm sure there are extreme exceptions, but...
    Jun 28, '12
    Forum: Men in Nursing
  11. Colonoscopy awake, pain-free, no amnesia or hangover
    Question for you: Is there anything that would preclude a CRNA from administering remifentanyl? Given it's short half life and non-accumulative properties I would think it would be a fairly easy and...
    Jun 7, '12
    Forum: Gastroenterology Nursing
  12. Ruptured Appendix
    Did a little research. A recently released study in the UK concluded that antibiotics are a safe and effective initial therapy for patients with uncomplicated acute appendicitis, which...
    Jun 5, '12
    Forum: Emergency Nursing
  13. when patients go off the floor...
    Just to be clear, I never said you were lying to the patient, I said the facility was - there is a difference. Here's a link to another discussion on the subject: ...
    Mar 31, '12
    Forum: General Nursing Discussion
  14. when patients go off the floor...
    This is a good example of how good intentions can cross into unethical behavior. The premise that if a patient leaves AMA their insurance will not cover their stay is a complete myth - an urban...
    Mar 30, '12
    Forum: General Nursing Discussion
  15. when patients go off the floor...
    Just a point of clarification. You can't legally force a patient to sign an AMA form....or anything else for that matter. Sure you can try to talk them into it, but if they refuse there's really...
    Mar 28, '12
    Forum: General Nursing Discussion
  16. Colonoscopy awake, pain-free, no amnesia or hangover
    remifentanil has a couple really neat properties. it is ultra-short acting with a half life of approx. 4 minutes. additionally, unlike other synthetic opioids which are metabolized in the liver,...
    Feb 19, '12
    Forum: Gastroenterology Nursing
  17. HIPAA in "semi private" areas
    OK, just to put a slight twist on this....suppose the patient clearly states that they want privacy for any discussions with their provider(s) regarding their care and are not comfortable discussing...
    Dec 6, '11
    Forum: General Nursing Discussion
  18. a question about cardiac arrest w/asystole!
    Statistically, the odds aren't good. The survival to discharge rate for cardiac arrest w/asystole when the event occurs in hospital is less than 10%, and 60% of those will likely suffer significant...
    Nov 15, '11
    Forum: General Nursing Discussion
  19. Uncomfortable feeling during dilitation check?
    Definitely not my area of expertise, but I had a thought.... In the event where it is traumatizing or unnecessarily painful for the patient, especially in situations when it is of little relevance...
    Sep 25, '11
    Forum: Ob/Gyn Nursing
  20. Male nurse in L&D
    This may be your opinion, but it is not factually correct. There is a legal exception to the equal employment regulations that in certain circumstances allows hiring based on gender, and L&D is one...
    Sep 14, '11
    Forum: Ob/Gyn Nursing
  21. Patient's wearing underwear
    You might try a web search. There are a couple resources out there that, if I recall correctly, state that the patients underwear regardless of material, is no more a risk for static electricity than...
    Sep 12, '11
    Forum: Operating Room Nursing
  22. Male nurse in L&D
    You are. As I have said previously, a patient has the absolute legal right to refuse any specific caregiver for any reason. Further, you should be able to do so without any snide comments,...
    Sep 12, '11
    Forum: Ob/Gyn Nursing
  23. Male nurse in L&D
    Correct - I meant to write "hires only females" And yes, I was referring to moving on from that patient.....
    Sep 9, '11
    Forum: Ob/Gyn Nursing
  24. Male nurse in L&D
    First off, unless I misread the OP he's a nurse, not a midwife, applying for a staff L&D position. Secondly, if every L&D in his area or state hires only males for L&D there is almost certainly a...
    Sep 8, '11
    Forum: Ob/Gyn Nursing
  25. Male nurse in L&D
    Absolutely correct. It's called a "BFOQ" and legally allows hiring based on gender if the employer can show that they meet the criteria. It's the same exception that allows, for example, a heath club...
    Sep 8, '11
    Forum: Ob/Gyn Nursing