LMPhilbric

LMPhilbric has 23 years experience and specializes in Hospitalist.

Latest Activity

1. Online FNP/ACNP Programs

   LMPhilbric replied to ernursechic's topic in Advanced

   What kinds of bad things have you been hearing? I just graduated from USA and I am very happy with the program. Now the ACNP program, from what I hear, is extremely intensive. The booklist will be published on the South Alabama College of Nursing w...

2. What was the MOST ridiculous thing a patient came to the ER for?

   LMPhilbric replied to JUSTYSMOM's topic in Emergency

   First, with the 5 year-old, that was in 1939, so I would question the accuracy of her age. I've had many people from rural Latin America who have no idea when their birthdays are or how old they are, so I would say it's entirely possible that she co...

3. IV tips and tricks

   LMPhilbric replied to kloock's topic in Emergency

   This is good advice unless you are going to be drawing blood at the same time you start the IV. The extra tourniquet time can cause a falsely elevated potassium level. For pts getting lab draws at the same time, tourniquet time should be kept to a ...

4. IV tips and tricks

   LMPhilbric replied to kloock's topic in Emergency

   Bounce your finger up and down on the spot. Veins bounce. Other structures don't. Once you think you feel the vein, take the tourniquet off. If it goes away, that is the vein. Tendons, ligaments, etc will feel the same without the tourniquet.

5. IV tips and tricks

   LMPhilbric replied to kloock's topic in Emergency

   Lay off on the caffeine??? No, then I'd be in a coma. Seriously, if the shaking is from nerves, then you just have to be confident in your own skills that 1) Yes, I WILL (not try) get this IV started 2) Let the family watch - now they'll see my mad...

6. Online FNP/ACNP Programs

   LMPhilbric replied to ernursechic's topic in Advanced

   I'm at South Alabama in the ER Nurse Practitioner Program. I finish in 26 days (not that I'm counting). It's an excellent program and I'm very happy w/ it, but the ED program is transitioning somewhat right now. They are going to a dual FNP/ACNP p...

7. Worst doctors orders ever received

   LMPhilbric replied to jenfromjersey's topic in Emergency

   I forgot one of my all time favorite dumb orders. We had a pt admitted for a TURP. Doc comes in and writes his usual pre-op orders. 1) Senekot S 2 tabs po at hs. 2) Tap water enema in AM. 3) Bilateral below TED hose. Great orders with the exc...

8. Foreign Objects in Body Cavities

   LMPhilbric replied to SWFlorida's topic in Emergency

   OK, I'm laughing so damn hard right now my dogs are looking at me with alarm (both females, I'm happily married so they don't have to worry...lol). What the hell could you possibly be thinking when you do something like this? And the best part of t...

9. Why get a BSN?

   LMPhilbric replied to vampireslayer's topic in Emergency

   What did I get out of getting my BN? Interesting question. The primary reason I got my BN was so that I could get my MSN as an NP. However, I did learn interesting things along the way that I didn't get to learn in nursing school (I was a diploma ...

10. Worst doctors orders ever received

    LMPhilbric replied to jenfromjersey's topic in Emergency

    My all time favorite dumbest order ever written...We had this pt in ICU who had just expired when the doc walked in. As we were trying to explain to him what had just happened, this doc walks in, does his "assessment", compliments the pt on how cool...

11. Worst doctors orders ever received

    LMPhilbric replied to jenfromjersey's topic in Emergency

    Better give him the whole freaking tree at that point. And we let these people reproduce...it's really frightening.

12. Worst doctors orders ever received

    LMPhilbric replied to jenfromjersey's topic in Emergency

    I had one from the same doc for metoprolol 25 mg IVP and Lovenox 40 mg IVP. I said "Let's not try to finish the patient off all at once, shall we?" Try po and sc. The only time we did IV Lovenox was during a clinical trial (that mustn't have been ...

13. Worst doctors orders ever received

    LMPhilbric replied to jenfromjersey's topic in Emergency

    I would have an awful lot of hs sugars around 114 in that case.

14. Worst doctors orders ever received

    LMPhilbric replied to jenfromjersey's topic in Emergency

    Did he work as an executioner somewhere before????

15. Triage Rules / Rants

    LMPhilbric replied to ER-RN2's topic in Emergency

    My #1 rule of engagement: If you are bigger than I am and land on the floor, you stay there. I don't pick up anything bigger than I am. I also love the ones who have "anaphylaxis" from Tylenol, but they can take Lortab or Percocet. Is it really su...