DaveICURN

DaveICURN

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All Content by DaveICURN

  1. How to Support the Next Nursing Generation: The Z's

    Now that you mention it, I was at the long end of the shift that day. So responses were probably more... colourful than they needed to be in this case. True enough for the Gestapo bit. The targeting...
  2. How to Support the Next Nursing Generation: The Z's

    Why there is something to say about incorporating new learning styles for our upcoming co workers, It still seems like there is a lot of ball to drop. We deal in peoples lives, day in and day out. Our...
  3. "That's a myth about nursing"

    Yes there has been a myriad of "The sky is falling!" mentality about nursing shortage. However I think this has been a preemptive warning. According to the current data, over 50% of our current...
  4. So we recently passed the Medical Marijuana Bill in our state(Oklahoma). This Bill is hailed as one of the most open, as it does not require any specific medical diagnosis for the Prescription card....
  5. Medical Marijuana, New Legislation in Oklahoma

    This is also something that I want to keep an eye on as well. If the pain management places pickup on the medical marijuana, do they see a lessening of the refills of their prescription
  6. Medical Marijuana, New Legislation in Oklahoma

    The behavior comment hits the nail on the head. Since the language of the law disallows employers from disciplining based solely on a THC+ drug test, it will then be left to any adverse occurrence....
  7. School Shootings

    This tragic and heart wrenching issue is fresh and burns the heart of us all. We must first agree on some core principles if we are going to move forward in a productive manner. 1. No one, in this...
  8. Giving last name in report

    In school, I was taught to chart the first initial, last name, and license of the nurse receiving Pt care. This was explained that if the chart was called into court and I gave report to Brittany RN...
  9. Giving last name in report

    The receiving nurse was at another facility. Having no idea of their EHR, or the nurses position, this seems a necessary
  10. Giving last name in report

    When Wesley is strapped to the Machine, made by Count Rugen, he is asked to give a honest explanation for the pain he felt "for Posterity." If it
  11. Giving last name in report

    I understand the need for limiting redundancy. But my typical hand-off goes, "Report given to DaveICURN, Pt resting in bed, care relieved." For my own knowledge, is there another way or better way for...
  12. Universal Deathcare.

    On reflection, and further research, I will concede the points as you have presented them. I feel I fell victim to the same emotional argument. These situations, as I have experienced them, are always...
  13. Giving last name in report

    Thanks all. These views somewhat mirror my own thoughts on the subject. More like than not ill continue to ask for the first initial and last name, though omitted when
  14. I would caution you to disclose any and all information asked for on the application. We nurses are the most trusted profession in the US. This is due in part by the constant attention to the nursing...
  15. Universal Deathcare.

    The issue most people I read is no that of the death of the child, but the forced denial of liberty of the parents. We, as health care providers, have a inside looking out opinion on the situation....
  16. Will marijuana ever be okay in nursing?

    Personally, I don't see any benefit from allow the free recreational use of marijuana. The inability to regulate the amount of active chemical in the psychoactive agent THC, is a major sticking point...
  17. ECG interpretation

    With these lines in mind, it seems that the strip provided doesn't fit. The measurement on the info provided shows a gradual elongation in the PR interval from .20-.24. This would imply a Wenkebach....
  18. Workplace Sayings

    When looking at a third degree heart block on my DNR, my orientator would mention, "Yep, he's going to see Jesus today." "Less than 8? Intubate!"- referring to Glasgow Coma Scale "Pt reported 1 PPD...
  19. Sometimes, it just Stinks

    Worked with an nurse who had been around a while, and she suggested that a "bowel full of fresh coffee grounds" were the ticket for my GI bleed Pt. I was curious and though, "Hey why not?". I will...
  20. Doctors Say the Darnedest Things

    Pt was diagnosed with pneumothorax. Our Dr. who lived for over half his life in china reports to the Pt that, "You have air in your lungs." pt is 83 y/o, slightly obtunded and is now staring at this...
  21. My First Day at the Neuro ICU

    Here in our ICU, albeit more of a stepdown ICU, we use a "Sedation Vacation" once a shift to assess functions. We titrate down on "Rule of 5" and allow the pt to wake, check function, possibly answer...
  22. Vasoactive Drips with a DNR

    We had a small meeting in out ICU today among our nurses and I wanted AN perspective. Hospice Pt with signed DNR enters ICU from ED. She is a end stage cancer Pt, having received Chemo and Radiation...
  23. Please re-assign if more suited in another thread. Thank you. This Law, link below, was ratified in California. This law, as it appears to me, is an opening for many issues in a LTAC scenario. To...
  24. Propofol Infusion syndrome?

    In our unit we have Sedation Vacations ordered every 24 hours of sedation. We titrate down the propofol using the rule of 5 until off. We then wake the Pt and assess mental status and let the pt know...
  25. new RN/BSN - where to work for the most experience

    I've had this conversation with a few nurses and get mix reactions but... Go to the area you want to be in. I started in the step down ICU straight out of school after working here as a nurse...