platon20

platon20

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All Content by platon20

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

    platon20 replied to nerdtonurse?'s topic in General Nursing

    Most of these complaints are legit but there are a few that are borderline and the doc aint necessarily in the wrong.... I'll give examples in a

  2. Tips for New Interns: How To Get Along With The Nurse

    platon20 replied to Ruby Vee's topic in Patient, Colleague Relations

    I appreciate this sentiment, but it should be used sparingly during late night hours. This is an appropriate page at 5 PM, but inappropriate at 3 AM when the morning team will be there in a few...

  3. Tips for New Interns: How To Get Along With The Nurse

    platon20 replied to Ruby Vee's topic in Patient, Colleague Relations

    I dont agree with this assessment. Interns are employees of the hospital, just like nurses. They just rotate around a lot more than the nurses

  4. Does it bother you to address MDs by their title of Doctor?

    platon20 replied to FireStarterRN's topic in General Nursing

    If you're gonna go that route, its your responsibility to explain that to patients. Because in their mind, "doctor" = physician, and its not right to mislead them by referring to an audiologist or...

  5. Does it bother you to address MDs by their title of Doctor?

    platon20 replied to FireStarterRN's topic in General Nursing

    In front of patients, only physicians should have the "doctor" title. Its understood to refer to a physician. If you are in a classroom or outside a patient's presence, then you can use whatever...

  6. Yelling Doctors, How do you handle them?????

    platon20 replied to Danielle7's topic in Patient, Colleague Relations

    1. The doctor was obviously in the wrong to yell/scream....thats never acceptable. 2. That being said, I can see where he's coming from. He has thousands of patients, there's no way in hell he can...

  7. Rude Medical Interns

    platon20 replied to Charlotte205's topic in Patient, Colleague Relations

    Medical students, medical interns, residents, and attendings are just like everybody else.... most of them are OK but there are always a few idiots in teh crowd (just like the nursing

  8. Dead Babies...To Get It Off My Chest

    platon20 replied to caddismt's topic in General Nursing

    Let me clear up some things about shaken baby syndrome. This is NOT a little accidental shake like you would shake your toy doll playfully. The perpetrators of these crimes have been interviewed...

  9. Yelled at yet again

    platon20 replied to purpleiris's topic in Patient, Colleague Relations

    Nurses calling consults is ridiculous. You call a consult when you need a particular clinical question answered, NOT just for a generic "we need you to see this patient" stuff. For example, if a pt...

  10. Dr.s throwing their weight around...............

    platon20 replied to LSRNgrad2008's topic in General Nursing

    The reason docs are rude is because of residency and the mean-spirited nature of hospital-based training. Residency really changes these guys. When you are cross covering 80 patients and expected to...

  11. Questions about managing NICU babies

    platon20 posted a topic in NICU, Neonatal

    1) For premies, when do you start feeding them? Day 2 or 3? I know that if you feed them starting day 1, they can get NEC. In the meantime, do you start TPN? Or is TPN only if the baby is going...

  12. Questions about managing NICU babies

    platon20 replied to platon20's topic in NICU, Neonatal

    Thanks guys, more questions: 1) Doc asked me if the baby was on "full feeds." I dont know what that means. Does that mean 120 kcal/kg/day with only PO intake (no TPN or IVF) or are they talking...

  13. Lost my calm in an emergency...

    platon20 replied to tbanurse's topic in General Nursing

    No pediatric neurologist I know is going to work up a first time brief seizure, even if its generalized tonic clonic. The chances of finding anything wrong are virtually nil, so its usually not worth...

  14. poor people get poor tx?

    platon20 replied to NurseNature's topic in General Nursing

    Lots of responses here: 1) Difference in care between poor/rich. Of course there is a difference, but its almost always the outpatient side, not hte inpatient side. If I was a doc running a...

  15. what would be your 1st intervention for pt aspirating?

    platon20 replied to IngyRN's topic in General Nursing

    I dont agree with getting abx yet. You dont routinely start abx just because people are choking. Get a CXR first, and if he's febrile then by all means use abx but you need some positive data that...

  16. Why it is better to be a Nurse than a Physician.

    platon20 replied to BaRNs's topic in General Nursing

    Cardiologists can put stents in, but no way in hell do they do "open heart surgeries." Only a cardiothoracic surgeon can do

  17. Doctor title, Nurse title

    platon20 replied to pegbord's topic in General Nursing

    To say that all the doctoral degrees are equal and you have to call them all "Dr" is ridiculous. A physical therapist with a PhD has no business being addressed as "doctor" in a general ward unit,...

  18. New "Hopkins" reality show

    platon20 replied to djc1981's topic in General Nursing

    Everybody on here blasts the show for not showning nurses, but they arent really showing a representative sample of Hopkins doctors either. They dont feature a single non-surgical specialty on the...

  19. HOPKINS: 20 minutes into the show

    platon20 replied to HopeItWorksDNP's topic in General Nursing

    Thats easy to say from the whole 20 seconds of footage and background info about the pateint you got from TV. Bethea responded to this critique on the ABC website and stated that it was an emergent...

  20. Just watched "Hopkins" and I have a question!

    platon20 replied to glamgalRN's topic in General Nursing

    Thats not true. If it were, they would just let inexperienced med students do everything solo with no supervision. Its a balancing act--teaching while being supervised by experienced attendings....

  21. Insulin during cardiac arrest?

    platon20 replied to kimmie518's topic in MICU, SICU

    Thats wrong. Calcium DOES NOT CAUSE K+ TO MOVE INTRACELLULARLY. Only insulin, bicarb, and beta agonists do that. Stabilizing the myocardial membrane has NOTHING to do with K+ transcellular shifts....

  22. Insulin during cardiac arrest?

    platon20 replied to kimmie518's topic in General Nursing

    Thats wrong. Calcium DOES NOT CAUSE K+ TO MOVE INTRACELLULARLY. Only insulin, bicarb, and beta agonists do that. Stabilizing the myocardial membrane has NOTHING to do with K+ transcellular shifts....

  23. Insulin during cardiac arrest?

    platon20 replied to kimmie518's topic in General Nursing

    There's a lot of misinformation on this thread. 1) Insulin does not treat cardiac arrest specifically, its used for hyperkalemia which can lead to cardiac arrest. Insulin has no role in a...

  24. Insulin during cardiac arrest?

    platon20 replied to kimmie518's topic in MICU, SICU

    There's a lot of misinformation on this thread. 1) Insulin does not treat cardiac arrest specifically, its used for hyperkalemia which can lead to cardiac arrest. Insulin has no role in a...

  25. Clonidine prescribed for pt

    platon20 replied to kwagner_51's topic in General Nursing

    clonidine is also used for motor