azhiker96 BSN, RN

PACU, ED

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All Content by azhiker96

  1. azhiker96

    Unsafe anesthesia practices in phase 2

    azhiker96 replied to Pacurn's topic in PACU

    Highly recommend you purchase your own copy of the ASPAN standards. It is too easy for managers to try to bend the standards when they are being pressured by OR to just take a patient. The standards...
  2. azhiker96

    The Wage Gap Myth

    azhiker96 replied to car48's topic in Men in Nursing

    Young women out earning young men in some major
  3. azhiker96

    The Wage Gap Myth

    azhiker96 replied to car48's topic in Men in Nursing

    My daughter is a college professor at a fairly liberal university. She has told me of a few instances where males were paid more than her even though she has better qualifications, teaches more...
  4. azhiker96

    What was the MOST ridiculous thing a patient came to the ER for?

    azhiker96 replied to JUSTYSMOM's topic in Emergency

    And a new guy moved into first place for ridiculous. Chief complaint was "I missed work today and need an excuse that I was at the ED. I thought about saying I had a cold but then you'd have to swab...
  5. azhiker96

    ETOHer...(and other slang)

    azhiker96 replied to Emergent's topic in General Nursing

    I’ve also sometimes called it Status Dramaticus. It can be addressed with the appropriate IM med depending on pt
  6. azhiker96

    ETOHer...(and other slang)

    azhiker96 replied to Emergent's topic in General Nursing

    Hyperdraumademia is evident on inspection. I treat room temperature BP until it’s BP compatible with life. Most of our drunks and ODs end up MTF, metabolize to
  7. azhiker96

    What was the MOST ridiculous thing a patient came to the ER for?

    azhiker96 replied to JUSTYSMOM's topic in Emergency

    Healthy 30 something male came in complaining that he had felt light headed at work 8 hours prior to entering our doors. He also had his discharge paperwork from the ED he had visited before coming to...
  8. azhiker96

    Should all EDs have a Triage Nurse?

    azhiker96 replied to ED RN's topic in Emergency

    I think all ERs should have a triage RN. When I work triage we occasionally have bypassed registration or sent a family member there while taking a pt to critical care. Most times we get an initial...
  9. azhiker96

    Should nurses be getting involved in the Reopen America protests nationwide?

    azhiker96 replied to A Hit With The Ladies's topic in Disaster Preparation

    The shutdown is not without long term negative effects. Rural hospitals are hurting. This one in southern Arizona is the only hospital between Tucson and Nogales and might shut down....
  10. azhiker96

    ICU Nurse Fired For Refusing 3rd Patient

    azhiker96 replied to Nurse Beth's topic in General Nursing

    I have refused a new admit in PACU three times because it would create an unsafe staffing. I could have been fired but taking the patient would have put the patient and my license at risk. It also...
  11. azhiker96

    Giving Narcan to Your Own Patient

    azhiker96 replied to MickeyMarieRN's topic in General Nursing

    Good experience. I've seen patients go apneic from 2 mg of Morphine and had pt's ask for Benadryl after a 6mg Dilaudid push. Individual patients respond differently. I would second the comment about a...
  12. azhiker96

    Supervisor Asked Me to Falsify Records

    azhiker96 replied to Lorie Brown RN, MN, JD's topic in Nursing Career

    Depending on how hard your supervisor pushes this issue I'd also consider calling the compliance hotline or filing a Midas report. You should never be asked to document medications or treatments you...
  13. azhiker96

    Federal Marijuana Ban Lift Effects on Nursing

    azhiker96 replied to bluma5's topic in Activism, Healthcare

    I don't think disability discrimination comes into it. People with chronic pain can legally take narcotics with a prescription. However, BONs and employers don't allow nurses to work while under the...
  14. azhiker96

    Verifying Medications in PACU

    azhiker96 replied to kevinjen2's topic in PACU

    We give the meds the patient needs. I know pharmacy reviews the orders as quickly as they can but for the good of the patient I don't wait for that to occur. We have an EMR but also the ability to...
  15. azhiker96

    School Shootings

    azhiker96 replied to OldDude's topic in General Nursing

    I think metal detectors and armed security is a good evidence based solution. That has been in use for several decades at many inner city schools. It was implemented in the US in response to gang...
  16. azhiker96

    Murphy's Laws of Nursing | Life of a Nurse

    azhiker96 replied to Roy Fokker's topic in Nursing Humor

    If a patient is a hard stick either: A. Get a call from the lab that it is hemolyzed. B. The doctor adds on another lab 15 minutes later that requires a new draw. Never try to influence which patient...
  17. azhiker96

    The Wrong Dose - A True Story of Medication Error

    azhiker96 replied to SafetyNurse1968's topic in Patient Safety Issues

    Great
  18. azhiker96

    Spinal Anesthesia: Foley vs No Foley

    azhiker96 replied to S.nuuch's topic in PACU

    For inpatients we make sure the spinal is resolving, sensation to the toes and able to move feet. Depending on the length of surgery/fluids given we may do a bladder scan and PRN straight cath...
  19. azhiker96

    Opportunity of a Lifetime Update

    azhiker96 replied to MrsJt's topic in Infusion, Intravenous

    I don't think the job would have lived up to your expectations. They made an offer and you accepted. Then they took it away. That is an example of the type of callous disregard you likely would have...
  20. azhiker96

    Diabetes Management in Phase II Recovery

    azhiker96 replied to AnnoyedNurse's topic in PACU

    In my experience Anesthesia manages blood glucose in the PACU setting. Typically an outpatient with diabetes will get a POCT on admission to Phase I. Depending on the results there may or may not be...
  21. azhiker96

    Tempted to Tell the Truth in Exit Interview

    azhiker96 replied to Nurse Beth's topic in Career Advice Column

    When there is something you don't like about a job the adult thing is to tell your supervisor. They may not change things but they have no motivation to change if they don't know staff is unhappy....
  22. azhiker96

    January 2018 Caption Contest - Select $100 Winner!

    azhiker96 replied to Joe V's topic in News, Announcements

    I'm not sure if she's in labor or just enjoying belly
  23. azhiker96

    Health Care Professionals and Marijuana

    azhiker96 replied to HalfBoiled's topic in General Nursing

    I guess we will see how this shakes out in the states with legalized pot. There is still no standard level that marks intoxication for THC. In the case of a medical error, a lawyer would jump on...
  24. azhiker96

    What's the most desperate thing you've ever done to advocate for your patient?

    azhiker96 replied to MECO28's topic in Patient, Colleague Relations

    I had an elderly woman in PACU who had undergone many hours of spine surgery. She was intubated and barely maintaining sats on T piece. When she would arouse she would silently scream in pain. A small...
  25. azhiker96

    What do you like most about your specialty?

    azhiker96 replied to alexaway's topic in General Specialties

    I love PACU. It has the right balance of autonomy and teamwork for me. I get a pt and a slew of PRN orders which I apply based on my assessment and judgement to stabilize and normalize my pt. If...