platon20

platon20

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All Content by platon20

  1. When doctors don't return calls.....

    platon20 replied to TheCommuter's topic in General Nursing

    You guys actually call the cops? Thats ridiculous. What the heck are they going to do? Arrest them for not answering pages? Absurd. Cops have a lot more important work to be doing rather than...

  2. Tonight's Boston Med: nurses featured!

    platon20 replied to HappyNurse2005's topic in General Nursing

    Re: ER nurse amanda talking to the resident: It wasnt what she said, it was the WAY she said it.... with a lot of attitude and a superiority complex in her voice. Her body language and tone was...

  3. Multidisciplinary rounds

    platon20 replied to CNL2B's topic in General Nursing

    Oh I'm sure thats exactly how it happened. If you sent out a memo to all the surgeons about it, I'm sure they'd love the idea in theory as well.. Then, when the rubber hits the road and they realize...

  4. Multidisciplinary rounds

    platon20 replied to CNL2B's topic in General Nursing

    Good luck getting any kind of surgical MDs to do multidisciplinary rounds. They are a lot diffferent than non-surgeons. Their "rounds" consist of a 3 minute peek at the patient and make sure they...

  5. Are hospitals deadlier in July?

    platon20 replied to us2uk4u's topic in General Nursing

    Its not that clearcut. I've been called to patients with HRs in the 20s before, only to find out later that the monitor was malfunctioning. I wouldnt break out the pacer immediately, I'd wait for a...

  6. Are hospitals deadlier in July?

    platon20 replied to us2uk4u's topic in General Nursing

    Take it easy on the new docs, lets not pretend that this problem is unique to MDs. We all know that if it were NPs and PAs that all started working in July in a new job the death rate would also go...

  7. pt was very upset about fluid restrictions

    platon20 replied to anon456's topic in General Nursing

    When patients pull this BS, the best way to handle it is to get the doctor to write a letter to their insurance company and notify them that the pt is refusing doctor's orders and will be discharged...

  8. PA/NP to MD Bridge??

    platon20 replied to Joebird21's topic in Nurse Practitioners, NP

    This is not accurate. They take PAs straight out of school. However, they do give preference to those with previous

  9. medicare reimbursement 85%

    platon20 replied to wwatts1's topic in Nurse Practitioners, NP

    Because NPs are less "efficient" than MDs. MDs routinely see 50-60 patients in clinic per day, whereas NPs provide "holistic, patient based care" and therefore spend a much longer amount of time with...

  10. Are online NP programs good for the profession??

    platon20 replied to gerry79's topic in Nurse Practitioners, NP

    This is false. There are no "online" MD programs that are accredited in the United States. There are a couple of scam diploma mill programs but they are all in the carribean and you cant practice in...

  11. Cardiac Rehab physician referrals

    platon20 replied to Stanford's topic in Cardiac

    Is this really about whats best for patient care? Or is this about trying to make money for the cardiac rehab center? Reminds me of the glut of cardiac cath labs who ROUTINELY CATH/STENT 40 year old...

  12. Expanded roles of advanced degree nurses

    platon20 replied to Kingbandit's topic in General Nursing

    Most DNP progams are online or part-time programs. Some of them require as little as 10 hours a week of "clinical" experience shadowing a nurse. You can call yourself a "doctor" all you want, just...

  13. The Public's Doubts About "Western Medicine"

    platon20 replied to firstyearstudent's topic in General Nursing

    Its a joke when I hear people claim "I dont trust big pharma companies" but then go to a natural supplement store and spend hundreds or thousands on herbs that go to a "big herb company" instead of...

  14. How do Doctor's get paid?

    platon20 replied to Lola77's topic in General Nursing

    Generally speaking, doctors do NOT get paid for each test they order. The exceptions are procedures. Cardiologists get paid for each echo they interpret, GI docs get paid for each colonoscopy they...

  15. Dear New Doctor

    platon20 replied to snoopy29's topic in General Nursing

    New residents get yelled at all the time for answering the EMT phone, or playing with patient monitors, silencing alarms, etc. As a result, most of them choose to just ignore phone calls and the like...

  16. D/C central lines in SNFs?

    platon20 replied to nyteshade's topic in General Nursing

    P.S. Inserting a foley cath is a much more dangerous/complicated process than removing a central line, yet putting in a foley is not something that MDs are required to do. So I dont believe the...

  17. D/C central lines in SNFs?

    platon20 replied to nyteshade's topic in General Nursing

    Its a stupid policy and I sincerely doubt that they are doing it so the "residents can learn it." All the residents I know hate being paged for central line removals, its not some big complicated...

  18. D/C central lines in SNFs?

    platon20 replied to nyteshade's topic in General Nursing

    It doesnt make any sense to get a CXR after central line removal. Whats the purpose of that? I think its a task that can be 100% handled by RNs, provided they get a little of extra training. Its...

  19. Full term grunting baby with good O2 sats

    platon20 posted a topic in NICU, Neonatal

    Suppose you have the following situation: 1) Otherwise healthy full term baby born via uncomplicated c-section or lady partsl delivery, no meconium 2) Initial O2 sats in the mid 80s but improve to...

  20. Full term grunting baby with good O2 sats

    platon20 replied to platon20's topic in NICU, Neonatal

    At our facility, there is no "transition" nursery. There's the L&D unit and there's the NICU and thats it. The L&D nurses insist that they are too busy to do anything for a baby, even just...

  21. How long before NPs will be able to do surgery solo?

    platon20 posted a topic in Nurse Practitioners, NP

    Fellow NPs, I think this is coming soon. I know many NPs who are first assists right now. They do 95% of the surgery while the MD does the other 5% However, the NPs I know are well trained to where...

  22. Nurses in society

    platon20 replied to vnuwish's topic in General Nursing

    At the same time, there's a ridiculous TV show called "Mercy" which shows an RN rushing out to an accident scene, diagnosing tension pneumothorax, and doing a rapid needle decompression. Quite...

  23. Things you'd LOVE to tell the doc and get away with it....

    platon20 replied to nerdtonurse?'s topic in General Nursing

    I dont agree with this necessarily. Depends on the context. If he didnt provide a drug/dose/route immediately, you could prompt him without being rude. Just saying "what dose/drug/route do you...

  24. Things you'd LOVE to tell the doc and get away with it....

    platon20 replied to nerdtonurse?'s topic in General Nursing

    From a doctor's perspective this is another borderline thing. I've seen some nurses who, when you tell them the plan, they obviously dont give a rats ass and look at you funny as if to say "i dont...

  25. Things you'd LOVE to tell the doc and get away with it....

    platon20 replied to nerdtonurse?'s topic in General Nursing

    This is borderline. Doctors get griped at a lot because they just put in orders without considering the nursing point of view. Perhaps this doctor was trying to get your perspective first before...