azhiker96 BSN, RN

PACU, ED

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All Content by azhiker96

  1. azhiker96

    Firearms

    azhiker96 replied to cracklingkraken's topic in General Nursing

    The weapon doesn't matter to the deceased. A check of FBI data shows plenty of people killed by things other than
  2. azhiker96

    Firearms

    azhiker96 replied to cracklingkraken's topic in General Nursing

    At my work the typical GSW usually falls into one of two categories. The first are escorted to surgery by police or correctional officers. The second are more interesting. The usual story is a couple...
  3. azhiker96

    #nursesforgive

    azhiker96 replied to Nerd eNurse's topic in General Nursing

    I agree that there are much bigger issues #nursesunited can work on. Patient safety and staffing ratios are two, just off the top of my head. However, I don't think The View adds any value to society...
  4. azhiker96

    Firearms

    azhiker96 replied to cracklingkraken's topic in General Nursing

    I have my CCW license and do carry occasionally but never in the hospital. I have a pistol that is locked in the glove box of my commuting car because work is in an older part of town. It's not...
  5. azhiker96

    Can TJC close/shut down a hospital?

    azhiker96 replied to TurnerSW's topic in Activism, Healthcare

    True, TJC is not needed for CMS participation but certification by an approved agency is needed. My facility uses DNV. I like DNV much better than TJC. Their philosophy is not as heavy handed. DNV...
  6. azhiker96

    Uncontrolled pain- how to approach the Doc?

    azhiker96 replied to Sam J.'s topic in Pain Management

    With one particular doctor I found the most effective method was calling from the bedside so he could hear his pt moaning in the
  7. azhiker96

    Conflict with fellow nurse regarding Dilaudid administration, please help!

    azhiker96 replied to NYCRN21's topic in Pain Management

    Here's my 2 cents. I can't fault you for how you handled the situation. It was not your patient and while the care by the other nurse might not be optimal, it was not dangerous. If that had been my...
  8. azhiker96

    Not working out...

    azhiker96 replied to SwimsWithSharks's topic in Men in Nursing

    Nursing is my third career. First was the oil patch. Then I went into engineering and worked in semiconductors. The ups and downs of that industry were frustrating. So I switched to nursing for the...
  9. azhiker96

    Thinking about PACU

    azhiker96 replied to turnforthenurse's topic in PACU

    Details will vary from facility to facility. At my first PACU they took all patients included vented ICU players. We drew a lot of labs, setup a ton of drips, and administered blood products,...
  10. azhiker96

    What age of patient's are the most difficult for you?

    azhiker96 replied to ddane94's topic in Patient Education

    For me the toughest are kids. Younger being worse than older. It's not because of behavior, I can take that. It's because they have small airways and when they crash they drop fast. I still remember...
  11. azhiker96

    Brian Short News

    azhiker96 replied to tnbutterfly - Mary's topic in General Nursing

    Sad news. My prayers go to those who died and friends and family who are now
  12. azhiker96

    What nurse life-hacks do you have to offer?

    azhiker96 replied to Purple_roses's topic in Nurses Rock

    Okay, this works best with drip tubing. Pump tubing is too stiff. When your IV is not flowing and you need to flush it there is a trick you can do. This works over half the time for me and saves the...
  13. azhiker96

    What nurse life-hacks do you have to offer?

    azhiker96 replied to Purple_roses's topic in Nurses Rock

    When hanging a secondary such as abx for the first time. Clamp the secondary line, spike the bag, then connect the secondary to the port on your pump tubing. Lower the secondary and then open the...
  14. azhiker96

    ACDF Anesthesia Techniques and PACU Pain Management-

    azhiker96 replied to Nurse_Ratched's topic in PACU

    When you have a patient who will have a lot of pain, anesthesia needs to medicate well during the case. Otherwise you will be playing catch up for awhile. I work with burn patients, heroin addicts,...
  15. azhiker96

    Peds patients in PACU?

    azhiker96 replied to norabow's topic in PACU

    Airway is critical in kids. I learned to love the sound of a crying child, that indicates a patent airway. Watch for confusion on emergence. I've heard it called sevo psychosis. It seems to hit...
  16. azhiker96

    August 2015 Caption Contest. Win $100!

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

    Let me introduce you to
  17. azhiker96

    Off duty RN scope of practice on an airplane.

    azhiker96 replied to creativekari's topic in General Nursing

    US Airlines have access to ground based consultation from emergency physicians. When I was a student nurse I toured one of these in Phoenix. It was a room in the ED well endowed with computer screens,...
  18. azhiker96

    How do you get over feeling like you'll pass out

    azhiker96 replied to RNtobe17's topic in General Nursing

    Here's my two cents. To a certain extent I have to separate the person from the procedure. I can best help my patient by concentrating on what needs to be done and then perhaps relax later and...
  19. azhiker96

    Advice for a new grad in the PACU?

    azhiker96 replied to willow7's topic in PACU

    PACUs vary. I have assisted with heimlik valves instilled for a pneumothorax, emergency decompression of a postop hemmorhage, rapid sequence intubation, wound repacking/redressing, blood patch,...
  20. azhiker96

    Unusual treatments

    azhiker96 replied to nursingaround1's topic in General Nursing

    I used to work with an anesthesiologist who'd been practicing for many decades. Once I had a pt with severe post anesthesia shivering. Usually I'd use meperidine but he had an allergy to that med. I...
  21. azhiker96

    How do you leave it at work?

    azhiker96 replied to Newbie_RN17's topic in Patient, Colleague Relations

    First, good for you for recognizing an area for improvement. I am learning and with new studies, medicines, and techniques I expect to learn for my entire career. There are several things I do to...
  22. azhiker96

    I'm a sexless nurse

    azhiker96 replied to nursingaround1's topic in General Nursing

  23. azhiker96

    I'm a sexless nurse

    azhiker96 replied to nursingaround1's topic in General Nursing

    As a male nurse I've taken care of many females inserting foleys, pericare, and code brown cleanups. If I get a weird vibe from the patient or based on their psyco-social stage I may get a female to...
  24. azhiker96

    Win $100! June 2015 Caption Contest

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

    It's the new total body sanitizer
  25. azhiker96

    Win $100! May 2015 Caption Contest

    azhiker96 replied to Joe V's topic in General Nursing

    He has one minute to clock in before he's