crackerjack

Gosh, that's the broken record with OUR anesthesia group...imagine that!!! grrr

You are right. It's been so long since I've heard it used that way that I forgot the historical connotations it can render. Perhaps too, I am looking for things to be positive even when they aren't :)

Yes, PF *can* progress to the point of experiencing pain at rest/sitting as well as worsening through the day with use. Mine has been advanced to this point. Yes, there is hope and yes, it truly could be something besides PF so good job planning to get an appointment for an eval.

While I don't know for certain anyone's intent, I honestly don't think that is meant in a derogatory manner. I think it is simply the vast age difference that causes an elderly person to refer to those so much younger than them as such. I have a CRNA at work who is truly not much older than me (I'm 41) who refers to me as 'kid' on occasion. I do not take offense, I take it as a sweet compliment. I do tend to look much younger than my age and as a 20-something that was such a bad thing to me but now I recognize that it was a wonderful gift LOLOL I just hope I can maintain that well into old-age ROFL

Did you purchase custom made orthotics? If not, that may be the problem. OTC orthotics are made for the average foot and they assume both feet are symmetrical, needing exactly the same height arch and need of support. As you know, as much as we'd like to be perfectly symmetrical, we usually aren't. OTC orthotics will never work for me as I have one arch much higher than the other. Regardless of which type of support you purchased, instructions with them usually recommend a graduated wearing schedule starting with an hour/day for a couple of days and gradually adding an additional hour until wearing them for the full day. Yes, initially they can hurt because your foot, as much as it needs full support, isn't used to having it. This is the reason for the graduated break-in schedule. If you are following a schedule such as this and still experiencing pain, contact the podiatrist who made the orthotics for you-if you purchased custom ones. If you didn't, I'd suggest seeing a podiatrist to ensure a proper fit for all your unique foot structures. Good luck!!

That is B-E-A-YOOOtiful!!!! I sent it to my mom, sisters and a few friends

When your gut says run, run like |-|e||!!! You have every right to feel safe in your job and right now you don't. Refuse to go back. I'm not sure I understand how, as a previous poster suggested, that a supervisor's written statement of it being a "safe working condition" is going to help you when this off-balance person goes off on you with a gun or whatever means he chooses to lose the last threads of control. I grew up around folks like this, they aren't 'joking' or 'full of hot air'...they really mean what they say. I would think his confessions to you about wanting to kill the principal fall under duty to report, regardless that he states he chose not to to avoid going to hell. It is a specific threat as is the 'I should've hit the doctor' threat. What happens if he carries out one of these threats in spite of his fear of hell fire and damnation? Who knows, he may/probably has on his list something you have done that he wishes to 'right' and may very well carry out without warning. RUN FOREST, RUN!!!

i'm not sure what you're looking for. we don't have written orders for specimens...it's more like the surgeon mumbling, or alternatively YELLING, or just plain not classifying his specimen at all. some thing sare obvious, a gallbladder is a gallbladder is a gallbladder...but when you're removing sections of the colon, please give it a name doc and specify which end your putting the suture marker in...If a doc wants frozens we call path to come do them while we wait, take them down without a preservative on them. We have nothing in writing, i enter the orders in the computer during the case. tell me what you're looking for and maybe i'll give you something that helps and makes sense hehe

$2/hr on call time, pager provided...aren't we lucky :-s

30 minutes here too

It is no different if nurses went around saying they are doctor's. Doctor's would be offended, outraged and would make sure it didn't happen. If you're offended, I'm not sorry, because quite frankly, I'm offended that you/some MAs think it's ok to steal my hard earned title just because you think you do everything that is within my scope of practice. You don't. :angryfireYou don't have the education that equips you with the knowledge base required to be an RN. You're offended...too bad. Get over it and go get[earn] your own *RN* education, degree and license and :nono:quit trying to steal mine:nono:

So I'm wondering, if it is all from the child's environment, what of the ongoing studies that are finding genetic markers for these disorders? Do genetic markers only count in adults? We readily accept genetic likelihood of diseases such as high cholesterol, heart disease, diabetes and oh so many others...why not psychiatric disorders? And if we're going to accept genetic predisposition to psychiatric disorders, why do we limit them to adults? Do children's genes not play a part in their medical makeup until they magically become adults? Is autism all about the child's environment as well? It is not a diagnosis of traditional 'medical' origin, it exists in the DSM, is a psychiatric diagnosis.

Ohhhh but the MD's are already regulating them...they're letting them do whatever they want and call them nurses/let them call themselves nurses!! :nono:Nope, I don't think MD's are the ones to regulate MA's.:trout: Sigh...

The problem is that in my experience, MA's generally do not limit themselves to performing tasks within any set of boundaries at all. What I've seen are MA's performing duties limited to LPN/RN scope of practice, calling themselves nurses and outright dangerous because they lack the education and training to understand the rationale and complex effects of what they are doing, handing out medical advice and so on as the OP posted. *YOU* are one of the few....it isn't that we as RNs do not value the work of an MA, it is that we see so often MAs performing in dangerous ways outside their training and knowledge base. The fact that MDs find an MA as a cheap substitute for hiring a real RN and 'training' them to perform advanced skills without the license or knowledge to understand what they are doing...is what scares and angers RNs. It is a matter of patient safety....patient safety is crucial above all else, above the desire to get to do 'fun stuff' like a nurse without understanding the implications. It totally irks me that my own doc's office uses MAs trained in the office and refers to them as nurses and here they are taking phone calls as 'the nurse' to relay to the doc and so on. I don't have a problem with them getting vitals and placing patients in rooms but they are taking history, the c/o for the visit and so on. It is just dangerous, they don't know the appropriate questions to ask to even get crucial information that a patient might not mention. If I didn't love my doc I'd leave.... Anyway, it isn't that we dislike or don't value the work of a dedicated MA who knows her limits and is knowledgeable in her area, not at all.

We have one nurse at our facility who hates the sponge counters and will lay out a blue wrapper from an instrument case or whatever and roll individual laps and lay them out in a grid on the floor. It takes up a huge amount of space for a large case but it does give an immediate visual for the tech. With our very old, outdated OR, it is impractical as we are woefully short of floor space for equipment and BODIES. Being a teaching facility, there are so many people in the room that it's often a struggle to find a place for them all so throwing sponges out on the floor is not on my list of options.

Our policy is that we will stick to the policy, change the policy to make things safer and demand surgeons learn to like the new policy then immediately buckle when the surgeon has a fit because he/she doesn't like it.:angryfire:angryfire:angryfire The policy changes about as frequently as I change underwear (and yes I change daily, at least). God help the poor soul who is off work for a few days and comes in to a totally new policy....trying to stick to the policy that was in place a few days before when he/she was there last. Why bother? For that matter, we have the same ever-changing policy on consents, H&P's, labs, or anything else 'required' pre-op. Let's just take people to surgery at whim, do whatever we want and expect them to be thankful and happy. No repercussions. Why bother with all that time consuming paperwork....:angryfire Can we tell that I'm a bit fed up with management having no balls?:monkeydance: Oh, I know what happened, we did surgery on them at the whim of a surgeon without all that messy paperwork!!!

same here...

Wellll...aren't you the multitalented lil nurse LOL I bet this gal was glad for that! That patient needs to visit her local adult fantasy store....

This isn't exactly on topic but I've gotta say it anyway. I just can't imagine being a patient, or coworker for that matter, and finding it any of my business asking someone about their sexual orientation. It is just none of my darn business, IMO. Perhaps it's my Bible belt, Southern upbringing but sheesh, I just don't get why someone would feel the unrelenting, burning desire to know whether or not their nurse is gay or not. Have I ever met people and wondered, sure, but I haven't and can't envision me ever being curious enough or having some serious need to know. Tweety and others, out or not, I'm sorry folks feel the need to put you on the spot about it...I don't get it. Anywho, there are plenty of things people do that I don't understand or simply can't fathom...most of which doesn't surprise me, just don't 'get' it.

Yes, someone already pointed out where I'd missed :) but thanks!

Yes Nathan, I did miss that :) thanks for the clarification.

Jollieholly, although I do not agree with much of the JW tenets, I do respect their freedom to hold to those beliefs. Your post 'sounds' very harsh and judgmental, although I would hope that was not your intention. As much as you have the right to believe and live the spiritual life you have found right for you, I think it only appropriate and fair that we all respect others' rights to follow their personal religious convictions. respectfully, CJ

Did I miss a post or something? I thought I read everything but I don't recall the OP ever stating anything specific as to her problem. I'm confused, could you show me where I missed that?

so was it retrieved or had it left by way of another 'uncle' ugh

Not working in ER I have nothing to contribute but am LOVING this thread and put me on the list of people who want a copy of that paper when you're finished! Thanks everyone for the RL entertainment....you can't make up better stuff, real life provides more surprises and stupidity than the average person can conjure LOL