Irwin0111

Hello everyone.! We 're having this postermaking contest at work about the theme "Evidence Based Nursing". And each of us is required to make one.I am appealing to everyone as i want to ask your help on what you want to appear on the poster. your suggestions are very appreciated. Thank You...

he actually came behind the ER door with the patient,and after some moments of waiting, he went into the washroom and he had his birdie got stuck into his jeans fly. and we have to cut his jeans bit by bit until what's remained was just the birdie and the fly. it stuck so hard that we had to remove a some sort of clamp at the base of the fly to seperate them. making loose of his birdie.

maybe you mean due to vasodilation caused by anoxia, Decreased O2 and Increased CO2 levels dilate vessels in the brain, until the ache is like exploding. and it makes more sense to treat the patient into a hyperbaric chamber.

i believe so what you said is true...personally i also advise my students to as much as possible make use of different books to have in depth understanding of the particular/specific subject matter in question. two or three books with their varied presentations and explanations makes one undertands better. as compared to using only one book.

our impression of others(C.I. to students, students to c.i.), whether accurate or inaccurate, influences how we interpret their behavior. one c.i. who is intelligent enough should be aware of this fact so that in the beginning he/she would have made impression of how he/she wants the students look at her/him(as initial basis of students respect). A student asking question, intelligent, thoughtful or going beyond existing structure is always a job for one c.i to handle intelligently. frequency of one c.i behavior to throw question as answer to one question would be fair enough maybe to be judged as incompetent. in which, if this is the case, i believe the students should also be intelligent enough to relate collective instances and request for their rights to be given a more intelligent c.i to deal with their teenage "know it all, care less attitude". somebody they could squeeze a lot from. otherwise the idea that effective instructional process is based on the assumption that students learn through interaction among themselves and the c.i is closed or slightly opened.

could it be way for the C.I. to focus student's attention on important points like reading?showing authority towards the students to learn values of obedience.?

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The right to decide for ones self is the only thing a person would do things even what is not desirable,and disadvantageous for his own self. you have your own free will, and you are on the side of good.good luck.

Our hospital is just the block opposite of the university campus.one morning, one male 21 yo nursing student is rushed to E.R. for attempting suicide . he has his wrist lacerated for a futile attempt.He kept on crying so loud and kicking so hard and we can't talk to him.I called his parents on the phone from the number his classmates gave to me.But before that, I tried to interview his best friend gal on what might had led him to decide taking his life.I got nothing for one that is reasonable.So as I tried my way on giving advises and leading questions to one of his pal, I observed that the more he cried louder and kicked stronger even after a dose of one ampule diazepam. So I had a very hard time telling him not to do it because many times I also put back the mattress in its place because it also fell down on his kicking it. ?And just before the time I want to give up maybe close to an hour his parents arrived.And informing t hem what happened and I asked them if they might know of something that might have caused him that decision. His mother immediately replied, "Brotherhood" what do you mean brotherhood? I asked her back. You know that guy your talking to, I said yes,They have a year gay relationship and he doesn't want to let go beacause the guy opted for an opposite relationship in which the girl is also in the room.All the doctors and E.R personnels are shocked of the development of the history taking. Because both of them are with a star struck quality t hey are both handsome and on the level of some of the celebrated star here in the philippines. I didn't know of what has happened t hat even all floors has come to know about it and that a lot came down to E.R. even some of the ambulatory patients just to give them advice and the E.R. was just like theres a party going on. It is a very weird thing to see. What it seemed to be so weird an incident happened has help the student a lot to stand straight and go home like nothing happened at all.

My patient 84 years old with ongoing cystoclysis is in his day 13th under my care, the same for his 2 units of blood at the laboratory,expiring after 2 days.My nursing evaluation reveals no future use of bld transfusion. he has his meals taken well, lab results of hg was normal if he has a future use it would have been predictable.One patient on the otherhand medicine case with 3 times dialysis per week.his son is asking his physician for blood transfusion, for the patient was evidently weak, very pale, shouting in his struggles ofheadache, lab reasults shows hgb of 84 and he does not eat well enough. he has rupture of veins during his dialysis session.resident doctor is waiting confirmation of the request from the AP, and asked the son to start scouting for blood. Aware it is sunday he can't possibly buy blood anywhere for such an emergency need. So hewent to asked if i can help him and his dad.I offerred my patient blood without any approval from tha patient or his relative for that matter. Because i can't talked to my patient because he speaks a avery different language. My intention of taking the payment is to buy him blood from the other patient on my care that never gotten to use his blood. To replace his blood and to avoid expiration of his own available blood . for what I thought to be a helping gesture for an emergency need CAME OUT VERY COMPLICATED FOR ME TO HANDLE. it was brought up to legal because co nurses went on their way on exagerate things because of the money i accepted.what can be a better way to hadle the case on my part?

this thing just happened a week ago. i was written up for at having failed to inform an OBROD when I brought the patient up for endorsement at the OR for local procedure HLA where we usually advised them to wait outside OR doors until called, sometimes until after the local room is prepared and ready and usually a little later after the doctor is IN. that has been the usual procedure generally done to all patient for locals. but then she came after me shouting, unethical and unprofessional, that for what I did/failed to do, the consultant was the first one to know about it. and she was scolded for that matter.and she obviously wanted to get even for what has happened,and when I tried to answer with some of her accusing remarks. not only did I get an ASAP show up with the Nursing director for explanation together with a request to ask apology and an incident report.I faced Until today Nursing my grudge towards that OBROD that she didn't give me a chance a try on my willingness to follow if only she has asked me to for whatever of the things she wanted done. Even going beyond the general procedure applied in admiting patients for local procedures.

I wonder where do I belong from your lists. ?.... Well, I am 2 and 6/12 years now at my ER dept. Eversince, I had my very own way of seeing and doing things for some of the daily chores I am assigned from day to day. And I am often called to be so bully around things they see it differently. I usually explain things on the legal side in which I think it is more of a proper regardless of a given time.Some instances are even not to any intent of going against them it sometimes come out that way.Like, for what they come to know for some as its been done that way for so long, they claim it as an SOP, but to reason them out on the legality of the matter they fall out of bounds.They always make me do it their way in which always end up giving me bad impressions. But what comes as always, daily it seemed, an arguments and grudge towards my headnurse is the way he assigned us to our daily work assignments at ER, I always get a work schedules of being an admission nurse twice the least every week, It is the most rigorous of them all and the other male nurse gets to be on a daily physical examination assistant which is the most easy thing to do and for whatever easy as a word has in any for a thing to tell. i dont keep silence about it as it is unfair for what I know we should be on a daily rotation. But like some of the other seniors they get their daily teritory, so they make me think that why not just respect their senority. In which until now I don't, if they mean to give me a territorial assignment for one that they all avoid be ing assigned to. i don't i see myself on anything peaceful and attractive for the coming days. And They can't have us both assigned for a shifting sched like for an outside consultation hours because nobody gets to know stress test operations as also a daily schedules for our patients mostly seamen's pre-medical. I can't have a better view of how to connect myself with in terms of personality as an ER nurse, maybe I need to ask your opinion and how you see it a better thing to do than what i can't avoid doing and feeling now.

I had it for 5 months straight, I went complaining because I am not allowed to extend hours for an overtime pay in AM.Not applicable to anybody in the night shift. I enjoy better now as the one in PM. I am paid more than others because of going straight until AM.

well the worst so far in my 3 years as an ER nurse, went to say more on a Doctor's failure to missed out an order for one important prescription. For a very long time reporting to a graveyard shift schedules. One patient male over a fifty yrs. old come behind ER doors for a not less than 10 times a month except for some few scattered months wherein he is admitted.Due to an often midnight execerbation of his asthma condition resulting to a much difficulty and labored breathing.As for none any other, he responds very well to a combivent nebulization 3 times Q15 minutes together with an asap order of a 300 mg of hydrocortisone intradermal. he is sent home after. None of the resident doctors remembered and went to order an antiulcer that possibly might develop from steroid medications. He passed away last month on my usual shift, as he came behind my door, on boardlike abdomen, thrashing out fresh blood and at the same time spills out fresh blood ooozing from behind.

well the worst so far in my 3 years as an ER nurse, went to say more on a Doctor's failure to missed out an order for one important prescription. For a very long time reporting to a graveyard shift schedules. One patient male over a fifty yrs. old come behind ER doors for a not less than 10 times a month except for some few scattered months wherein he is admitted.Due to an often midnight execerbation of his asthma condition resulting to a much difficulty and labored breathing.As for none any other, he responds very well to a combivent nebulization 3 times Q15 minutes together with an asap order of a 300 mg of hydrocortisone intradermal. he is sent home after. None of the resident doctors remembered and went to order an antiulcer that possibly might develop from steroid medications.