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Search Results Type: Posts; User: ~*Stargazer*~

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  1. Pt stable with a very low Bp?
    The person with ESRD has 10-15% of their kidney function at most, otherwise they wouldn't be on dialysis, and the damage is irreversible. Allowing asymptomatic hypotension is not going to put them...
    Oct 27
    Forum: General Nursing Discussion
  2. Pt stable with a very low Bp?
    Typically when I think of "end organ perfusion", I'm thinking primarily about the brain, heart, and kidneys. Since this patient has ESRD, I'm not going to be too worried about putting them into ARF....
    Oct 25
    Forum: General Nursing Discussion
  3. Rules for Triage
    I tend to triage up if I'm on the fence about someone's acuity. I've seen some pretty bad triaging, too, and I won't hesitate to change the acuity level if I feel it's appropriate. But, that's...
    Oct 14
    Forum: Emergency Nursing
  4. Sepsis
    It's not whether or not our monitors are capable- we don't even carry any transducers, so it's irrelevant. We don't have a lot of things.... I'm actually quite shocked that we can even do EtCO2...
    Oct 12
    Forum: Emergency Nursing
  5. Rules for Triage
    Here are some of my rules. Feel free to add your own. When I ask you what brings you in today, please don't tell me your life story. I just need to know what symptoms you are having Right. This....
    Oct 12
    Forum: Emergency Nursing
  6. Patient fall...my first time.
    Listen to me. You did a good job. You reacted appropriately. These things happen and are unpredictable. Now, about that bed alarm. This is a serious safety issue. Time to go into problem...
    Oct 7
    Forum: Nurse Colleague / Patient Relations
  7. Charge Charting: Correcting charts after discharge for billing
    My manager does chart audits and has asked coworkers to complete charting when he finds deficiencies. This doesn't seem unusual to me at all. I was taught that it's fine to go back into a chart...
    Oct 6
    Forum: Emergency Nursing
  8. Sepsis
    We do not have the technology to implement CVP monitoring in my ER. Whether the patient gets a central line placed promptly (or at all) depends on which physician is working. We don't have...
    Oct 5
    Forum: Emergency Nursing
  9. Doctor or Dockworker?
    I'm a lot more concerned with whether they practice good medicine or not. I work with one doctor who is just a fantastic human being. People come to our ER and ask for him. They just love him. ...
    Oct 4
    Forum: Nurse Colleague / Patient Relations
  10. Sepsis
    Hi folks, just curious, how many liters of fluid do your docs typically try before starting pressors? At what point do they make the determination to place a central line? Also, do you ever hang...
    Oct 4
    Forum: Emergency Nursing
  11. Let's check everything!
    Ah yes, the good ol' shotgun workup! One of the reasons I really like working with grey hairs. They rely on their H&P to guide their differential diagnosis, rather than just taking a stab at...
    Oct 2
    Forum: Emergency Nursing
  12. What Would You Like Your Tech To Do?
    You sound like you're doing a fine job to me. The only thing I didn't see on your list is repeat vital signs at the required intervals.
    Oct 2
    Forum: Emergency Nursing
  13. Are physicians that thick?
    I get that. I was a floor nurse before I transferred to the ER. Really, what I would do in your shoes is explain that I have exhausted all of my options and ask them if they would be willing to...
    Oct 2
    Forum: Nurse Colleague / Patient Relations
  14. Some of Us Are Trying to Help You...
    Yes, yes, no argument. And again, I interpreted the OP's written word much differently than you did. Neither of us were there, and what is missing is the student's perspective. I am...
    Oct 2
    Forum: Nursing Student Assistance
  15. Co-workers hygiene/uniforms
    I guess I have bigger fish to fry.
    Oct 2
    Forum: Nurse Colleague / Patient Relations
  16. Are physicians that thick?
    No, physicians aren't that thick. Some of them, however, don't see things from where you stand and will place impossible standards upon you. I deal with a hospitalist that frequently storms into...
    Oct 2
    Forum: Nurse Colleague / Patient Relations
  17. Epic Charting System
    I like Epic. Not difficult at all.
    Oct 1
    Forum: Emergency Nursing
  18. Extricating accident victims is more dangerous in this day and age?
    What is it about people who drive Prius's? It seems to me like they're all bad drivers. They drive like grannies. Really super frustrating to drive around. I always die a little inside when I...
    Sep 29
    Forum: Emergency Nursing
  19. Charge nurse unnecessary comments
    Again, try to find the answer to the question for yourself before you ask another nurse. This makes a huge difference. It's the difference between asking others to do the work for you and you...
    Sep 29
    Forum: Nurse Colleague / Patient Relations
  20. Some of Us Are Trying to Help You...
    I wonder if this type of discussion has anything to do with locale? For instance, I'm on the West Coast, and there is a lot of lip service to things like collaboration and patient centered care,...
    Sep 29
    Forum: Nursing Student Assistance
  21. Some of Us Are Trying to Help You...
    Just a general comment, to nobody in particular, whenever I have a student/new nurse/new tech, I always make a point of asking them if there are any skills they need to check off on, and I always...
    Sep 29
    Forum: Nursing Student Assistance
  22. Some of Us Are Trying to Help You...
    Altra, we must be reading different posts, LOL. Either that, or we come from really different learning and work cultures. It's also really possible that our own life experiences are filtering what...
    Sep 29
    Forum: Nursing Student Assistance
  23. Some of Us Are Trying to Help You...
    Good to see I'm not on your ignore list, icrRNmaggie! ;-)
    Sep 29
    Forum: Nursing Student Assistance
  24. Some of Us Are Trying to Help You...
    I'm only basing my opinion on the content of the original post. I was not there. The student in the original post did not eagerly step up to practice a skill that was within the parameters of his...
    Sep 29
    Forum: Nursing Student Assistance
  25. Goodbye...
    Wait, before you go, if it isn't too late already, is your user name Music In My Heart, Song In My Heart, Musical Notes In My Heart or ???? Seems like everyone has a different interpretation.
    Sep 29
    Forum: Nurse Colleague / Patient Relations


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