stevierae

stevierae

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All Content by stevierae

  1. Denying Meds

    But, I wonder if they are more prone to commit suicide during times when they are non compliant with their meds---and, here, many of the street people you see talking to the voices in their heads...
  2. How Many is Too Many

    No kidding! I wonder about the degree of pelvic relaxation (and resultant stress incontinence) that these women must
  3. Poor guy. He and his brothers sounds like the "bachelor farmers" of Minnesota Garrison Keillor wrote about in "Lake Woebegon." He said something to the effect that "The bachelor farmers know that...
  4. Mike, next time (and, there WILL be a next time!) you have this situation, offer the ER doc or surgeon a Stryker or Hall drill and put a very small drill bit on it. Drill a hole in the cap, or; if...
  5. Anyone heard of serotonin syndrome? Anyone experienced it??

    Well, it makes sense, then, to be careful with the over the counter herbal St. John's Wort, as well. It's often called "The Poor Man's Prozac" and I guess has similar effects on depression and mood...
  6. Anyone heard of serotonin syndrome? Anyone experienced it??

    So, does this mean that, theoretically, Paxil and Buproprion should NOT be used together? I have seen them used in combination, many times---usually, decreased dose of Paxil with increased dose of...
  7. Don't quote me on this, but I BELIEVE CNA--in fact, most unions---has a clause that says you can, if you don't support unions for whatever reason (for example---I had a friend when I worked at Kaiser,...
  8. Oh, yeah----I LOVED Merle Haggard!! I didn't know he was one of the celebrities that had a CABG there, though---seems like it was somebody quite a bit younger, but also a famous country western...
  9. Yeah, that's what a friend of mine said, who used to live in Redding and did ICU, CCU and cardiac cath lab--she thought he was an excellent doc. You might know her, steph! (Maybe I will p.m. you to...
  10. Baby Formula to irrigate bladder????

    I've not heard of this, either. Normally, in surgery, we give indigo carmine or methylene blue IV (anesthesia gives it) if there is any question at all about possibly nicking a ureter or the bladder....
  11. What do patients say that irks you?

    I'm sure you're right. This is an age old dilemma. In fact, in the '80s, it was downright encouraged. I graduated from nursing school in '81. When we were doing our L&D/post-partum clinicals,...
  12. What do patients say that irks you?

    Actually, "take the baby" was sort of a commonly used phrase among OB docs and some of the "older" (30s, 40s!) L&D nurses when I was a 19 year old corpsman working L&D in the early '70s. They...
  13. No jobs in Portland,OR area?

    Ah, Harborview----one of the best trauma centers I've ever seen. (I've taught clinical IV nursing there, on occasion.) I have always been impressed by how the ER staff and the ambulance teams...
  14. No jobs in Portland,OR area?

    Actually, sometimes, they post them as a way of telling staff, who are constantly working understaffed, (this does not happen in CA, where we have a safe staffing law) that "We are TRYING to hire...
  15. No jobs in Portland,OR area?

    Doug, I live in Portland. Both Good Sam (part of Legacy) and OHSU use travelers, and always have, as they always seem to need nurses (or at least they are always advertising.) Now, whether they use...
  16. What squicks you out?

    Smegma's the worst---especially when it's smegma from an elderly, uncircumcised male (or an uncircumcised morbidly obese male) who, either through no fault of his own (i.e., frail, unable to wash...
  17. Surgical Site Verification in the ER

    Or, "Lop off THIS necrotic leg instead of the OTHER necrotic leg, that's probably going to need it anyway, if not now, in a week or so...." I shouldn't laugh.....that has actually happened. Not at my...
  18. Nurses: The Perfect Patient Advocates

    we also do it because it's our job---it's our first and foremost responsibility as registered nurses. it's addressed as a responsibility in the ana code of ethics with interpretive statements, and...
  19. Palliative Care and Euthanasia

    Wow---leslie, you are truly to be admired. This is what patient advocacy should be all about. I commend you for your courage and your passion for "doing the right thing." Too many nurses are afraid...
  20. $6.50 an hour for standby. And you think that's worth your while? Sorry to burst YOUR bubble! I stopped taking call when I turned 35--even though we were getting half-time plus shift differential...
  21. I like to work clinically--that is, in the operating room-- in the San Francisco Bay Area, where the housing (and the wages of RNs) are among the highest in the nation. I LIVE in OR--God's...
  22. Palliative Care and Euthanasia

    I absolutely agree with you, leslie. I found her post very alarming. NO patient should ever have to suffer with pain unnecessarily--let alone a terminal patient with intractable pain. I believe any...
  23. Moving to California

    Actually, yes, I would encourage you to go straight for a 2 year AA in nursing--that is, an RN program. In CA, not to be argumentative, but LVNs and RNs are NOT doing the same job, so I am glad...
  24. Continuous Urine monitoring

    That's really cool (the Criticore.) I have never seen one of these before, but I sure thought that someone, SOMEWHERE, had to have invented something by now, and, sure enough, they have, and it's...
  25. Continuous Urine monitoring

    The staff needs to look at what's in the top of the bag--that is, where the urimeter is--every hour. That section has a separate valve, or stopcock. Read how much is in THERE after one hour, record...