MLL

I had one patient refer to his member as "Roto Rooter. Ha! Ha! Only in your dreams, buddy! :rotfl:

We are supposedly in "low census" at the moment (you couldn't prove it by me ) and everyone is supposed to cut back on ordering supplies, etc. So far, the powers that be haven't demanded we cut any FTEs, but I'm sure that will be the next step. Hmmmm, perhaps cutting one of the higher salaried positions would do the trick. :rotfl:

One of the ER Docs said we can't give this to patients who are allergic to ASA. So, is there ASA in it?

JEEEEEZ!! What Next?!?!?!?!?!

I had just graduated from nursing school and felt lucky to get a job in the ER. One afternoon a woman came in complaining of abdominal pain. The triage nurse brought her back to one of the pelvic rooms and I was sent in to assess and set her up for a pelvic. As she placed her feet in the stirrups and wiggled her fanny down to the bottom of the bed I peeked to see if she was down far enough and, lo and behold, there were a pair of dingle-dangles staring me in the face. :uhoh21: I exited the room to find the ER Doc and three or four nurses laughing their butts off. Apparently, this was one of the local transvestite wanna-be's who came in on a regular basis for enemas. Welcome to the ER! :rotfl:

I'll buy one when I find one priced under $100 that doesn't feel like a boulder in my pocket.

I was wondering the same thing!

Hello all! I am an Endoscopy RN, finishing up my Master's this fall-2004 (if all goes well!) I am presently preparing a research proposal dealing with the number of positive findings in screening colonoscopies. By this I mean every finding, not just colorectal polyps or Ca. For those of you unfamiliar with Endo, this could be Crohn's, irritable bowel, ulcerative colitis, several syndromes, etc. As we are all aware, the research on screening colons has been done before. Thanks to Katie Couric, the general public is now cognizant of the necessity for having screening colonoscopies by a certain age. So, I need to take this proposal one step further in order for it to make an original contribution to the knowledge base that is already out there. Most of what we "find" in Endo, we go ahead and take care of right then and there, such as polyp removal, taking biopsies, etc. The only time we cannot "fix it" during the procedure is when a mass is so large it can only be removed surgically. I cannot do follow-ups on these patients since I would have no knowledge of what the pt. decided to do after leaving our department (without doing case studies, which I do not wish to do as my proposal). I am presently considering using the data I collect to determine whether or not there are disparities between the different segments of the population with regard to those who have screening colons, and those who have positive findings because they came for a colon only after experiencing S&S. My question is this - Does this sound like a proposal which has social significance? Does anyone have any other suggestions? I am open to any and all thoughts on this. Thanks! MLL __________________ "If I can't dance, I refuse to be part of your revolution." Emma Goldman. -------------------------------------------------------------------------------- Last edited by MLL : Today at 11:18 PM.

Hello all! I am an Endoscopy RN, finishing up my Master's this fall-2004 (if all goes well!) I am presently preparing a research proposal dealing with the number of positive findings in screening colonoscopies. By this I mean every finding, not just colorectal polyps or Ca. For those of you unfamiliar with Endo, this could be Crohn's, irritable bowel, ulcerative colitis, several syndromes, etc. As we are all aware, the research on screening colons has been done before. Thanks to Katie Couric, the general public is now cognizant of the necessity for having screening colonoscopies by a certain age. So, I need to take this proposal one step further in order for it to make an original contribution to the knowledge base that is already out there. Most of what we "find" in Endo, we go ahead and take care of right then and there, such as polyp removal, taking biopsies, etc. The only time we cannot "fix it" during the procedure is when a mass is so large it can only be removed surgically. I cannot do follow-ups on these patients since I would have no knowledge of what the pt. decided to do after leaving our department (without doing case studies, which I do not wish to do as my proposal). I am presently considering using the data I collect to determine whether or not there are disparities between the different segments of the population with regard to those who have screening colons, and those who have positive findings because they came for a colon only after experiencing S&S. My question is this - Does this sound like a proposal which has social significance? Does anyone have any other suggestions? I am open to any and all thoughts on this. Thanks! MLL (Future research nurse, hopefully)

By the way, Teresa - if we don't get any results from our posts in this specialty section, we may want to consider posting to General Discussion. Have a good one! MLL

Teresa, I, too, would like to study for, and take, the exam. I want the certification for my own self-worth (so to speak). I don't think it will make any difference in the pay I receive (at least at the hospital I am now employed by), but it may help if and when I work in another Endo unit. My biggest problem has been in finding materials to study for the exam. Are there study guides, as there are for other certifications, or are you just on your own - studying whatever???? Any advice for Teresa and I is welcomed. MLL:D

I work in the Endoscopy unit of a hospital. Although I am ACLS certified, most of the other RNs I work with (and who also give Conscious Sedation (CS)) are not. However, our hospital does require that we study for, and pass, a CS certification exam. This includes ALL meds used during CS, i.e. Versed, Fentanyl, Dem, etc., the titration for each, total amounts a nurse is legally allowed to give in my state, along with the reversal drugs and their titration amounts, times, etc. We are annually "checked off" on CS competency. Due to the nature of our unit, we have a crash cart available and ready at all times, and everyone on the unit is well versed in its contents and their use. Due to the diligent monitoring of our patients during their procedures (cardiac monitor, B/P, and O2 Sats), any deviation from their baseline VS are addressed, and immediately remedied. In the entire time I have worked in Endo we have only had to "crack a cart" once, and that was erring on the side of caution for a post bronch patient. Have a good one!