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Search Results Type: Posts; User: canoehead

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  1. Tips 'n Tricks: Pearls the Newbies Need to Know
    If you have a trauma coming in, go pee. You may be busy for the next 3-6 hours, or more.
    Sep 14
    Forum: Emergency Nursing
  2. How to remember everything, when giving report?
    We don't have computer charting. I just tell the patient's story, as I remember it, and whip through the chart as I talk to confirm I'm on the right track. I also flip through the labs as I say them,...
    Sep 14
    Forum: Emergency Nursing
  3. CPAP on the unit
    Why, in the name of Pete, didn't the RT say that the circuit has the exhalation port? After all this discussion and stress, NOW I understand why the hospital type mask can't be used. I don't mean...
    Sep 14
    Forum: General Nursing Discussion
  4. CPAP on the unit
    We could have gotten a home mask from the patient's vender the next working day. I came on shift at 7p, and a mask that would have lasted one night would have been perfect. The RT on duty stated he...
    Sep 14
    Forum: General Nursing Discussion
  5. Full Moon
    I'm at a cabin far away from the chaos, took my comforter out to the hammock, after a moonlight swim. It's absolutely gorgeous with the scent of woodsmoke and the stars are visible. Overhead I see...
    Sep 10
    Forum: General Nursing Discussion
  6. CPAP on the unit
    Our hospital allows use of the home CPAP machine and mask without any restrictions. I've asked for a replacement mask before when the patient's equipment was just repulsive, and possibly why they...
    Sep 10
    Forum: General Nursing Discussion
  7. Just looking for some advice
    Get some nursing time under your belt so you aren't a new grad. Go casual if you have to. If it works out, after a few months you can tell the hotel that you finally found employment in your chosen...
    Sep 9
    Forum: First Year After Nursing Licensure
  8. CPAP on the unit
    I recently had a man with broken ribs as a patient, he told us he usually has CPAP overnight, and brought his machine and mask in. I was on night shift, and when I assisted him with the setup it was...
    Sep 9
    Forum: General Nursing Discussion
  9. This is NOT about PVT
    What is PVT? I remember a 4 year old with disseminated varicella, over her entire body and in orifices. She was miserable, even on a morphine drip, and not a darn thing we could do. Her mouth, in...
    Aug 29
    Forum: General Nursing Discussion
  10. Terminated for Violation - HELP!
    I feel pretty strongly that based on what you've said, you did not violate any privacy acts. I would consult a lawyer...you may feel like you just want it over with now, but in a couple months you...
    Aug 29
    Forum: Nurse Colleague / Patient Relations
  11. I've been a nurse since.....(fill in the blank)
    I've been a nurse since before computers, before IV pumps, and we still had smoking rooms for patients, right next to the nurses' station.
    Aug 23
    Forum: Nurse Colleague / Patient Relations
  12. reported a nurse stealing narcs and not giving meds, shes friends with the DON :(
    Once you've notified your employer and nothing was done, my next choice would be to ask the BON what to do. Give them the hypothetical situation, and ask them who needs to be notified, and in what...
    Aug 23
    Forum: Nursing Issues On Patient Safety
  13. How do I handle poor standards of care at a new job?
    Inside the door vrs outside the door, an argument could be made both ways. It's not something I'd get in a twist about. The discussion itself was not helpful for the patient to hear. EKG would be...
    Aug 21
    Forum: Emergency Nursing
  14. Ideas for improving flow...
    I worked in a 7 bed ER with a similar staffing pattern. And we didn't have patient assignments. But it wasn't as confusing as what you describe. If you pick up a chart to do orders, take the chart...
    Aug 13
    Forum: Emergency Nursing
  15. Nursing and the Ebola Virus
    If we treat Ebola aggressively, the system is going to run out of blood/blood products quickly. We'll have to cohort patients, and deal with how to contain any visitors. I'd rather have them sleep...
    Jul 31
    Forum: General Nursing Discussion
  16. Do you "tell" Facebook where you work?
    I don't admit to where I work, and I list my hometown as being in another country. "No, boss, that wasn't me...."
    Jul 31
    Forum: General Nursing Discussion
  17. Ebola
    Is anyone prepping for this outbreak? Any discussion from administration about possible patients, or how/where to isolate suspected cases? I'm thinking that if we wait for it to arrive it'll be past...
    Jul 31
    Forum: General Nursing Discussion
  18. Destroyed by previous experience. Should I try nursing again?
    It sounds like you'd be a gem on a unit with patients there for a long time who appreciate some personalized TLC. Keep plugging away, there is more than one way to get to the top of a hill. Starting...
    Jul 26
    Forum: Nursing Career Advice
  19. Stupid mistakes
    If you are using three or more vials, get someone to double check. Repeat back any verbal orders the doc gives. Then they know you heard correctly and you're on it, and you get clarification.
    Jul 25
    Forum: Nursing Issues On Patient Safety
  20. When is your shift over
    I would have said, "Hey Joe, Mrs X is here, and asking for you." If he didn't immediately get up, then say "what can I help you with?" and do anything emergent "Joe, I'm going to start CPR now,"...
    Jun 20
    Forum: Emergency Nursing
  21. Inspiration is the Fancy Half of Breathing
    Google "nurse staffing ratios" for research articles proving that more nurses means better care. (My cut/paste options aren't working) www.hopkinsmedicine.org states that patient satisfaction does...
    Jun 19
    Forum: Nurse Colleague / Patient Relations
  22. Are you allowed toasters?
    We can have toasters, but they can't be plugged in unless someone is standing there. More inconvienent, we can't put the kitchen dishes in the microwave, so no reheating meals that have gone cold....
    May 31
    Forum: Emergency Nursing
  23. Fake crying and bad acting in the ER
    Bless this thread. I had a patient with ABD pain who didn't get whisked right in to a bed. He then developed leg pain making his walk to the waiting room slow and painful to watch. When that didn't...
    May 28
    Forum: Emergency Nursing
  24. IV sites for Abd CT
    We're very lucky in that if we can't get the 20G AC we never hear a peep about it, the tech or the radiologist use an ultrasound to get the access they need.
    May 28
    Forum: Emergency Nursing
  25. There's just one more thing....
    NOADLS, that sounds like a strategy that will get around via the nursing grapevine. You may lose out on your dream job if it does.
    May 7
    Forum: Nursing Job Search Assistance


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