mrsituation

Penn State Croc's... They're the best investment I've ever made; after years of wearing expensive running shoes or training shoes by either Nike, reebox, or New balance and still going home with my dawgs hurting, my back aching... I tried the $35.00 croc's and now my dawgs are just fine, my back never hurts.

Hey!! How y'all doing? I am here to join in with the rest of "The Thunderin' Herd"... LOL!!

:lol: That's me in my fantasy world... God love Him/Her for that, & thanx for the chuckle...

Glad I could make U laugh... After all, Laughter is still the best medicine...LOL:lol:

Hey Y'all!! Here are my 2 cents on the whole precepting thing... I have noticed similar complaints on different blogs and now feel the need to have my voice heard. Certain axioms occur in all facets of a teacher/student relationship; Just because you've been doing it longer doesn't make you better, quicker maybe, but not better. Just because you can do, doesn't mean you can teach. To excel in the clinical setting you need certain personality traits (confidence, versatility, assertiveness) and to teach you need other traits(patience, and the ability to convey thoughts & goals to your student). I look at this from 2 different perspectives, In my past life prior to Nursing I was a paramedic and often had a role as a clinical instructor and preceptor. Now, as a Nurse, every time I work some place new I can enjoy the student aspect and all too often seen the downside in nursing. To precept, is to teach; hopefully one does this with the goal of creating an asset on the unit not with the goal to "get my shot at the power play with the FNG". Asking someone to do research has its time and place; like at the end of the day not while you are taking care of a certain disease process. I believe that the same goal could have been reached by giving you the down and dirty of a MAZE procedure while the case came in so you could adequate take care of your patient and at the end of the day, tell you to look up the procedure. Next time I saw you, ask if you learned anything you didn't know. The beginning of a precepting shift should have reachable goals and the end of a precepting shift should have a debriefing so you can reflect afterwards and ultimately learn. If there were mistakes made, then more than likely you won't do them again. These are concepts that I used in EMS in the military, tactical and civilian environments; I rarely see them used in Nursing. :w00t:

MAZE aka MAZE/COX procedure.... http://www.clevelandclinic.org/heartcenter/pub/atrial_fibrillation/maze.htm In theory; surgical slits are made in atrial wall and create scar tissue. it is the scar tissue that inhibit the abnormal electrical conduction from SA --> AV node. Since that is interrupted then the heart's own inherent conduction system then originates from the AV node. For a more detailed explanation, check out the hotlink, hope it helps.

3 gloves huh??? Wow, maybe next time, wear a pair of Playtex living gloves--Just kidding! LOL. well don't work in an ICU, where everyone has C-diff & VRE. :caduceus::barf01:

http://www.nursingadvocacy.org/news/2007/mar/15_regis_kelly.html Hi y'all and here is my 2 cents....I just went to the site and thanks for the update; I usually don't watch those kind of shows simply because of the drama that they procreate, now whatever minute amounts of respect that I had for Regis & that "Pneumo-cephalic" kelly has been lost. I cannot condone using humor and disrespect to gain an audience and eventually inflate your pocket book. The Nursing profession is an honorable one and I for one am offended as should be the rest of the nursing world. I also know that everyday people watch that show and are guided by those inflammatory remarks conveyed about the nursing profession. As a male Nurse, I find the remarks offensive; as a Female Nurse I would be Outraged!!!

Just a thought... if the pt was losing that much K+ or at the very least not maintaining, what about her Mg++ levels, could also have been a cause for the ectopy... Or here's a thought; maybe it was the 2.9 K+ level alone?? The thought of not replacing a K+ level of 2.9; what kind of crack was that senior nurse smoking?? Well, here is my 2 cents: Just because they've been doing it longer doesn't make them a better nurse; so don't lose any sleep over it. :w00t:

I had first used the BKAT (basic knowledge assessment tool) as it was intended in nursing school during our critical care rotation; we took it the first day of class and then again on our last lecture day for critical care. Our instructor said it was so he could see gains made by students. Now in the real nursing world, some facilities use it as a screening tool for the critical care units. The rule is simple, don't pass the BKAT; lose your ICU position. So in preparation during orientation; I did a search for BKAT and I was shocked to find what it was intended for. The hospital where I'm at now gives you 2 shots at passing, now I don't know what happens once you don't pass it so I'm at a loss there. Just food for thought.

Amen brother!!!!

Well...I used to work for 2 1/2 yrs on a Transplant ICU in Pittsburgh, Pa.; we had a nice variety of transplant recipients & donors. On our unit we handled Livers, kidneys, kidney/Pancreas, & Multivisceral transplants which could ,depending on the patient, encompass up to 5 transplant organs. Our livers and kidneys did very well, of course all depending on length of organ dysfunction and history. Also I found that with the livers, those with living related donors did remarkably well. Length of ICU stay again depending on the history, length of time for organ dysfunction. Our unit was specific to transplants and I cannot imagine mixing this population with a SICU environment, although I hear that it is done. I just don't agree with it. Transplanted patient come with their own set of specific health care issues and need a nurse well versed in those issues.

Hey!! How y'all doing?? It's true, you can request for a copy of the BKAT and here is the site: http://nursing.cua.edu/research/toth-bkat.cfm You simply have to click on the link and download the request form, fill it out and mail in the fee. But y'all should go to the link if not, just to read what the BKAT was intended for, not for what it is presently used in a lot of hospitals. Dr. Toth (original developer of the BKAT) meant for it to be a teaching tool, not a weeding out mechanism. So if you are nervous about taking the BKAT, you should be. Several hospitals use it as a "cutting the fat" tool or simply put; "Don't pass the BKAT, can't work in critical care." Sad but true. So get a copy of it, get a 100%; oh and there's one for medical-surgical, pediatrics, and ICU nursing.

When I worked in a Transplant ICU, I found that pt's with a hx of ETOH use/abuse required higher doses of Diprivan sedation; also it is a weight based drug (mcg/kg/min) We also considered doses of higher than 50mcg/kg/min anesthesia; but on the other hand, do what U have to do to keep you and your patient happy. If the patient is happy; then the Nurse is also happy. LOL:cheers:

OK, here's my 2 cents; All white uniforms....Hmmm....A truly antiquated idea to invoke chastity and purity in the late 1800's. Anyone who has been a nurse today or anytime recently knows that this is just simply put impractical. Nothing stains more permanently or even frequently than on a virginal white uniform. If the institution employing does the laundry than I could not even utter a condescending thought on the subject of white uniforms but ....Yeah, I see that happening soon!! LOL! Personally, I think that we as nurses should say that to invoke professionalism one should look beyond the color of the uniform but maybe into our ability to improve the quality of our patient's care or here is a rave idea; how about including nurses in on the many ideas that affect nursing as a whole. Nurses making decisions for nurses., WOW what a concept. Just food for thought.https://allnurses.com/forums/images/smilies/added/w00t.gif

diprivan only through a central line...Seems kinda extreme to me. According to our pharmacy dept. and the literature that I have read--no such evidense to require diprivan to be infused via a central line. Although on our unit, it is our policy to not run diprivan with anything else, so rather than dedicate a central line lumen just for diprivan, I personally tend to dedicate the peripheral access sites for that especially if I have a lot of infusions running, we also change diprivan tubing Q shift...(12 hr shifts).

As you leave the unit...the dayqueens are coming on, You say "Good night" as they say good morning