azhiker96 BSN, RN

PACU, ED

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All Content by azhiker96

  1. azhiker96

    Challenges in the Nursing Profession

    That's a pretty wide open question and I think you'll get a lot of answers, all of them valid. I'll just post a couple that I think are pretty important. First, a nurse must be able to do critical...
  2. azhiker96

    So I have a clinical in the ER

    I agree with everything posted and would add just a little. You are there to learn, not to teach them. If they do something that is different from what you've been taught, just watch and learn. Ask...
  3. We had a 200kg female pt who came out of surgery for debridment of a large abdominal wound. She'd had a ventral hernia repair that got infected and dehisced. The surgeon had debrided the wound and...
  4. azhiker96

    Dangerous nurses

    Only thing I can think of is use your incident reporting system to report to risk management. That puts them on notice that she's dangerous and makes it much more painful (expensive) when/if she...
  5. azhiker96

    nclex date question

    The fingerprint check takes the longest. I sent that in a couple of months before I graduated. Graduation was on May 8th. It took a week for the school to send my records to the BON who then told...
  6. azhiker96

    pregnancy chance

    I think the chances of getting pregnant in that situation are inversely proportional to the desire to become pregnant. My wife and I tried for three years without success. A month after we gave up...
  7. azhiker96

    Do You Wear Gloves When...

    I disagree with that instructor. Using her reasoning we should be wearing gloves all the time. Anyone we meet may have MRSA or something else. We should probably be wearing masks too since anyone...
  8. Don't feel incompetent. I think we've all made errors. When I started in this career a seasoned nurse told me "Our patients survive in spite of what we do to them." The message being that even with...
  9. azhiker96

    I don't want surgery!

    Being a nurse can be a double edged sword. As you mentioned, we can see all the terrible complications that sometimes occur. However, we also know who are the best
  10. azhiker96

    how do you take the BP in this scenario?

    I see pt's quite often where we do BP on a leg. Most common is bilateral radical mastectomies or history of that. Today we had a pt. who had an AV fistula in one arm and two clotted off fistulas in...
  11. There are lots of things I didn't do until after I started working in my area. I still learn new things. A partial list is extubate a pt, bag a pt, chest compressions, d/c epidural catheter, assist...
  12. azhiker96

    Signed State DNR form no good????

    I think this discussion illustrates the importance of having a MPOA designated and ensuring that person believes the same way you do. A MPOA does not have to be a family member and sometimes it's...
  13. To me, it's just another vector. Our scrubs should be professional and free from clutter. Buttons like this remind me of the servers at TGIF. Handwashing is important but I'd rather see signs in...
  14. I doubt you'd have enough hand sanitizer, get out the FIRE HOSE!
  15. azhiker96

    Where Do You Dispose of Narcotics?

    I typically squirt it into the sharps container and then drop the empty vial/syringe in behind it. Consider the other stuff that goes in there; blood, labetalol, hydralazine, phenergan, robinol,...
  16. azhiker96

    New Grad in the PACU?

    I was a new grad hired into PACU two years ago. I had worked as a tech in that PACU while taking my pre-reqs and attending nursing school. That is the only reason why they gave me a chance and hired...
  17. azhiker96

    Do you think fluoridating our water is bad for us?

    SuesquatchRN, I love that film. I actually rented it a month ago. And I only drink only distilled water, or rain water, and only pure-grain alcohol. That way I can replenish my precious bodily...
  18. azhiker96

    Do you think fluoridating our water is bad for us?

    Hmm, lots of opinions being tossed about. How about adding some authoritative sources to the mix? For those who don't think our elected representatives are out to kill us, here's the Centers for...
  19. azhiker96

    Gay male nurses?

    I've never seen this in my area but I have seen patients at odds with their nurse for whatever reason. We assign a different nurse to help defuse the situation. Proactively, if we think there could...
  20. azhiker96

    Helping out those on the Dark Side

    One of the anesthesiologists I work with is a real gem. After she tells me about the pt and goes over her orders she typically asks me if I'd like anything else. If I do suggest a med, she writes...
  21. azhiker96

    Licensing Dilemma

    I don't work in california but you might be able to check your classes against one of the programs approved in that state. You can get a list of approved nursing programs through the BON website. It...
  22. azhiker96

    Health Care Reform---If You Were Congress

    To answer the OP, we need to build in incentives for people to take a more active role in preventive care. I'd favor tax credits to achieve this. There could be a $50 tax credit just for making it...
  23. azhiker96

    Socialist healthcare "horror story"

    I agree that corporate compensation has gone beyond ridiculous. It's now in ludicrous range, sorta like California home prices. Fortunately, I don't have to try to buy a home for California prices...
  24. As a nation we are not comfortable with our own mortality. That is a big driver for the industry that provides a place to slowly decline once we are no longer able to live on our own. I respect...
  25. azhiker96

    Socialist healthcare "horror story"

    My wife was hospitalized for 10 days under my employer (Banner) provided insurance plan. We were out of pocket one $30 copay. I had annual exams, an ultrasound and nuclear med study paid by Cigna...