steelydanfan

steelydanfan

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All Content by steelydanfan

  1. Do patients/families that are hostile, rude affect your morale?

    steelydanfan replied to smartynurse's topic in General Nursing

    I work in a community hospital with a 6-8 bed ICU. Our facility serves a primarily Hispanic community. God help me, but I am becoming intolerant of cultural norms. Every family seems to have at least...

  2. Float Pool Incentive????

    steelydanfan replied to AmyD_RN's topic in First Year After Licensure

    Don't do it, please! Float pool training goes right out the window when they "need you there, right now". "It's only for this and that" means we are going to send you wherever there is a crisis and...

  3. No Beds, No Bumpable Patients!

    steelydanfan replied to JAtwellRN's topic in CCU, Coronary, Cardiac

    In our institution, there is no such thing as a "code bed" We routinely keep in touch with the house supervisor, and plan accordingly. If, in spite of pleas to find beds for our downgraded patients,...

  4. A weird one

    steelydanfan replied to steelydanfan's topic in CCU, Coronary, Cardiac

    Thanks for the followup, friends. I STILL don't have a handle on this families dynamics. Pt. was transferred out of CCU to tele. The daughter seemed so caring, but if you knew your mother had a hard...

  5. A weird one

    steelydanfan posted a topic in CCU, Coronary, Cardiac

    Got a 67 yr old into the unit tonight,down for at least 72 hours, EMTS called "because of the smell from the house". Advanced cellulitis of both lower extremities, gangrene in one foot,maggot...

  6. The Older Nurse in the Workplace

    steelydanfan replied to rpv_rn's topic in General Nursing

    I am 49 years old, graduated nursing school in 1979 with a Diploma/ASN degree. It 's not about the degree, its about the work experience. I have worked MS, Tele, ICU, pre and post op. I am short 20...

  7. Old nurses dont want to learn new tricks?

    steelydanfan replied to garciadiego's topic in General Nursing

    Ive been in nursing for 26 years, taught my fair share of students, precepted lots of new graduates. I have never seen the likes of the postings of Garcia Diego et al until the last 3 years. WTHIGO?...

  8. Talc Powder in ICU

    steelydanfan replied to TWIvory's topic in MICU, SICU

    I believe that is what I stated in my original post, talc is bad!. And Faith MD is right when she states that overuse is worse than no use at all. NO sprinkle, only rub

  9. Treatment of the DNR patients and the supravenricular arrhythmia

    steelydanfan replied to ICUMish's topic in MICU, SICU

    In our unit, DNR means many and varied things, and there's the rub. The doctors have a checklist that they go over with the family, and "Limited Code" could entail everything short of a ventilator....

  10. propofol

    steelydanfan replied to popbob's topic in Emergency

    The general standard seems to be that Propofol IV push is limited to Anesthesiology. Propfol may be used in the ICU setting for intubated patients only, and as a continuous infusion; guidelines for...

  11. Police Killed Our Patient

    steelydanfan replied to Meerkat's topic in General Nursing

    All great posts to this thread, and as usual, the conundrum has no easy answer. It's all about balance in the end, whether you are the householder trying to keep your castle intact against a "crazy"...

  12. Abandoning babies at Hospitals LEGAL?!?!

    steelydanfan replied to Antikigirl's topic in General Nursing

    Outlaw family planning, and this is the result. If you deny a women access to sex education; to the pill or the morning after pill; then refuse her an abortion, what other choice do you leave someone...

  13. How long is too long....dead body

    steelydanfan replied to Jack39's topic in General Nursing

    Well, all the people reporting the story seem lucid, so here I say; No, it should not have occurred. In the days when we had semiprivate roms at our hospital, if someone coded, or someone died, you...

  14. Questioning a Docs decision...long

    steelydanfan replied to emsboss's topic in Emergency

    In this case, documenting might not be enough. An RN in the ER (New orientee or not, a supervising nurse should be available in that case), should be able to interpret nausea and vomiting in a head...

  15. Accepted into Samuel Merritt ELMSN?

    steelydanfan replied to wildmountainchild's topic in Post Graduate Students

    Congrats to you all! I am very proud of my alma mater (I graduated in 1979, before the BSN and MSN programs were thought of)! The hospital and school have had an awesome rep since it's inception, and...

  16. Hospice or Hospital When Your Time Comes?

    steelydanfan replied to FranEMTnurse's topic in General Nursing

    Hospitals are no place for dying people, and I have had more than a few patients who were in hospice care transferred to our acute care setting because somebody panicked at the last minute. Not to...

  17. DNRCC in the CCU

    steelydanfan replied to msn2008's topic in CCU, Coronary, Cardiac

    As I stated in my earlier post, as long as the patient has left no directives as to final measures, it is up to you as the nurse to illuminate the family as to the current situation.YOU CANNOT MAKE A...

  18. What is "scrubbing" what is "circulating"

    steelydanfan replied to Darth Nightingale's topic in Operating Room

    ORTESS hit it out of the ball park! As I posted, I had only 3 years in a surgery center, doing eye and podiatry cases as a circulator, but believe me, what I did was in no way unimportant. Imagine an...

  19. What is "scrubbing" what is "circulating"

    steelydanfan replied to Darth Nightingale's topic in Operating Room

    The AORN site is the most obtuse, poorly designed web site I have ever seen. I worked for 3 years in a stand-alone surgery center, and after being familiar with AACN, it was a shock to not to be able...

  20. Hospital based diploma in Stl

    steelydanfan replied to dtermineddenise's topic in General Nursing

    As far as I know, there are no longer ANY diploma programs in the US. I like your idea about "the old-fashioned; as a diploma graduate, I believe I got one of the best educations a nurse could have in...

  21. The look!!!

    steelydanfan replied to CTRNTOBE's topic in Male Nursing Students

    Re: The Look! I'm not sure where you live, but I have so many male nurses in my circle of friends and colleagues that I never thought of it as weird. The husbands of us fem RNs never think twice, and...

  22. Lidocaine prior to IV start?

    steelydanfan replied to WVUturtle514's topic in Certified Registered Nurse Anesthetist, CRNA

    Again, it all depends on circumstance. When a patient has marginal veins, if I can give lido without fear of obstructing my sightpath, I will. If I have a guy with veins the size of the Holland...

  23. Talc Powder in ICU

    steelydanfan replied to TWIvory's topic in MICU, SICU

    I know this thread is old, but here goes.. Talc was deemed out of favor because of chemical components that were deemed to be carcinogenic. However, cornstarch has the same drying properties as talc,...

  24. DNRCC in the CCU

    steelydanfan replied to msn2008's topic in CCU, Coronary, Cardiac

    Unfortunately, you as a nurse can "approach" the topic all you like, only to have the physician undo all of your work. I had a family all ready to accept the inevitable death of thier loved one. only...

  25. Family: The Monitor Monsters

    steelydanfan replied to Nurse-o-Matic's topic in MICU, SICU

    It is true that bad experiences are more likely to be communicated than good ones (anybody here married to a mechanic?), and so I think the article, like so much of journalism today is biased. Most...