steelydanfan replied to optimisticSRNA's topic in MICU, SICU
This is a very important topic, because it seems to be universal to hospital nursing. While I believe that families do make a difference, I find that in ICU familiy members suck up a HUGE amount of...
I am thinking about moving out from The Bay Area and would like to know about PS. Which are the best hospitals in terms of recognizing experience and support to enter new fields? Are the local...
If I won the lottery, I'd probably "call in rich", for a day or so, then work, then resign. I would take the opportunity to go back to school, because I love the theory and science of nursing, and...
steelydanfan replied to Travellpro's topic in General Nursing
InfectionRN was making a very important point about the fact that "There is no such thing as a stupid question". Let that little phrase stay in your head throughout your education and practice. It...
Could anyone tell me the diagnostic value of a BNP? I would think that if a patient is in CHF, a clinician should be able to pick it up without the expense of a blood test. Or is it used instead of a...
"So what could a nurse manager give her staff so that they feel appreciated?" How about a little more support and time spent on the unit, instead of in meetings? How about a few less platitudes and...
If a med is ordered, and you withhold it for any reason, you are legally bound to notify the doctor in the absence of parameters. To do anything else is practicing med without license. Yeah, they hate...
My take on the situation: Error 1: I don't understand all the facts. Your statement that the line was long and entangled does not explain the failure to not check the IV bag. What did I miss? Error 2:...
steelydanfan replied to steelydanfan's topic in Cardiac
Thank you all for your input. Upon thinking about it, I understand the value of it for a pt.with a cxr that shows white out(CHF vs ARDS vs pnuem). I guesss I have been seeing it too many times in pt.s...
steelydanfan replied to kstockdaleRN's topic in Cardiac
I'm pretty amazed that this patient was on a telemetry floor to begin with. An EF of 10% is not touchy, its critical. Especially in a 38 year old. I come from a rural background, so maybe I don't...
steelydanfan replied to SkateBetty's topic in General Nursing
I have a very simple solution to this problem. When a doctor starts to berate me for anything, I simply reply; "I cannot hear you when you yell". Then I turn and walk out. I have NEVER not had a doc...
I'm sorry you had a bad experience with Versed. I have had it for 2 proceedures. I know it's an amnesic, but really all it did for me was to give the sense of time passing very quickly. I never felt...
My Heavens, I'm glad I nurse in California. Our nurse-patient ratio requirements got us shut of a lot of the abuse I see our sister nurses taking. (Though the managers still try)! Telemetry is NOT...