azhiker96 BSN, RN

PACU, ED

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All Content by azhiker96

  1. azhiker96

    Absent thrill or bruit....

    I would notify the physician. No bruit/thrill indicates the shunt is clotted off. I don't know what they'd do to try to restore it but you'd probably need a doctor's
  2. The study included prescriptions in their data. We allow pharmaceutical companies to charge different amounts in different countries for the same med. So the US ends up subsidizing drugs for other...
  3. azhiker96

    really disappointed after my trip to the BON

    unfortunately addiction does affect work as a nurse and bons do not differentiate between the substances abused (although caffeine and nicotine get passes). dui is seen as an indicator or addiction....
  4. azhiker96

    really disappointed after my trip to the BON

    It might help to look up the details of the PEER program. I suspect that is your state's program for drug/etoh abusing nurses. It probably includes treatment and monitoring. The nurse who took the...
  5. I have an advanced directive and my MPOA both knows and agrees with my wishes. She's a hospice nurse too so she believes in quality over quantity. Also, she knows I'll come back to haunt her if I...
  6. azhiker96

    How to tell you've worked too many shifts in a row

    You've worked too many shifts in a row if ; 1. When you finally get home, you check pulses, respirs, and BP on your sleeping spouse. 2. You decide to sleep in the waiting room because you're unsafe...
  7. azhiker96

    Interesting article on Obama health care plan

    I like the idea of a government system with supplemental insurance available through private companies. Hopefully the government would ration and refuse futile treatments so that more could be spent...
  8. azhiker96

    Which blood pressure reading is correct?

    I trust my manual BP more than the dynamap. I've had patients where the dynamap couldn't deliver a blood pressure. The patient was talking so I was pretty sure they had pressure. For whatever...
  9. I would suggest checking your individual state plan. Massachusetts has a plan that would hold healthcare licenses at ransom if people refused to help. I could not find any wording like that in...
  10. The answer to the question is yes, Massachusetts can try to force you to work if they declare a health emergency. from page 33 of 39.Source:
  11. There is a guideline from the feds, http://www.ahrq.gov/research/mce/index.html#Contents It doesn't spell out what would be done to force people to work, only that under a declared emergency they may...
  12. azhiker96

    Would you get the vaccine?

    I would get the vaccine, wear droplet protection when appropriate, limit my exposure as much as possible, and wash wash wash my
  13. Okay, I apologize if this link has been posted somewhere else. You can look up your state's plan online....
  14. azhiker96

    How does the flu kill people??

    Actually, VP Biden advised against air travel because it's an enclosed space, close proximity to people who may sneeze spreading droplets. While some droplets might be inhaled the more usual route is...
  15. azhiker96

    How does the flu kill people??

    The "regular" flu kills about 35,000 people every year, mostly infants and the elderly. I think pneumonia is the main complication that causes deaths. Those at most risk have co-morbidities. If...
  16. Maybe the OP can clarify which government/country. Currently in my state, my license would not be at risk for calling off from work. For me to be charged with abandonment I'd have to accept report...
  17. Good point, the hospital would not pay me if I did not work. That seems fair though. Also, if my loved ones were direly sick I would want them at the hospital where there are meds, monitors, and...
  18. I don't know if there are current laws on the books but the government could certainly pass a law if they felt it was needed. I did find this page with a draft report that discusses expectations in...
  19. I saw that 25% of the federal stockpile of Tamiflu and Relenza is being released. I'm glad they're holding some back because I'm still worried about the bird flu. I guess we'll know in a year or two...
  20. azhiker96

    what do nurses hate about doctors?

    I might buy that if all or even most of the docs had illegible handwriting. However, I know surgeons whose penmanship is as impeccable as calligraphy, many who are readable, and a couple who seem to...
  21. azhiker96

    what do nurses hate about doctors?

    I know it's been mentioned but the biggest issue I have is poor handwriting. Sure, we have our experts at reading Dr. X or Dr. Y. And if I can't figure it out with my colleagues I will page the doc...
  22. azhiker96

    RN refusing MA assignment

    So after being a triage nurse (or whatever field of nursing) for 35 years she is unsure of herself for "getting weights, blood pressures, stand by assist if needed. Clean the rooms."? I don't buy...
  23. azhiker96

    RN refusing MA assignment

    I'm a PACU nurse and recovering patients is my top priority. However, I have also restocked blanket warmers, cleaned stretchers, restocked work stations, emptied foleys/drains for other nurses, and...
  24. I don't think there is anywhere to hide unless you have a cabin waaaaay back in the woods. Even without kids in school I could have been exposed at the grocery store, restaurant, or coffee shop...
  25. With modern day travel it looks like the world population has been seeded already. I wonder how quickly it will take to make up