pulljosh

pulljosh

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  1. Peer evaluations

    Right now I'm precepting in the ICU and all the nurses are angry because of what was said in their peer evaluations and I couldn't help but think that peer evaluations don't seem very effective. I feel like a unit like the ICU needs to be able to tru...
  2. Meth cycle

    we have been taking care of a frequent flyer in our unit and the patient is a chronic meth user and all his respiratory drive is gone. the patient has been back and forth into the ICU for years, the patient refuses to take care of himself and shows n...