General E. Speaking, RN RN

General E. Speaking, RN is a RN and specializes in floor to ICU.

General E. Speaking, RN's Latest Activity

1. 

   My friend is dying..you gotta read this update!!!

   General E. Speaking, RN replied to General E. Speaking, RN's topic in Hospice

   Yes and animal things got much worse. Our 17 yr old Sheltie -mix dog took a turn for the worse.. I noticed his head was turned to one side. The he started having seizures. It was horrible, We were all crying and laying on the floor next to him. Thi...
2. 

   My friend is dying..you gotta read this update!!!

   General E. Speaking, RN posted a topic in Hospice

   RECALL MY ORIGINAL POST: My friend, a fellow RN, has been diagnosed with terminal pancreatic cancer. He is 30 yrs old and has been given 3-5 mos to live. He has already been set up with hospice. We are all pretty shocked. He had an orthopedic injury...
3. 

   My friend is dying.

   General E. Speaking, RN replied to General E. Speaking, RN's topic in Hospice

   Thanks. Yall are making me cry now.
4. 

   Ativan IVP vs Propofol gtt

   General E. Speaking, RN replied to General E. Speaking, RN's topic in MICU

   true. We did switch him to A/C.
5. 

   How does your unit orient new nurses?

   General E. Speaking, RN replied to Schuur451's topic in CCU

   Our new nurses all go thru the usual general hospital orientation. The nurse is then assigned a mentor in ICU who precepts then throughout their orientation. They have a check off list of things to see/preform. The amount of time needed for orient...
6. 

   Ativan IVP vs Propofol gtt

   General E. Speaking, RN replied to General E. Speaking, RN's topic in MICU

   My original post said he told me to "wean" propofol, what he actually said was "stop" the propofol. Sorry for confusion. I did call back and get the fentanyl gtt upped to 50mcg but I agree that Dilaudid PRN might have been better. Thanks for the re...
7. 

   Ativan IVP vs Propofol gtt

   General E. Speaking, RN replied to General E. Speaking, RN's topic in MICU

   He told me to stop the propofol, not actually wean. I saw him yesterday and confronted him about the situation. We bantered back and forth for a while. He eventually told me that he was ****** that I had given so much anti-hypertensives and said ...
8. 

   My friend is dying.

   General E. Speaking, RN replied to General E. Speaking, RN's topic in Hospice

   I haven't wanted to come back to this site for some reason. I have been battling some depression/anxiety myself. My friend is such an awesome person. He is usually positive but has his down moments and confides things to me that would scare his gir...
9. 

   Nursing shortage in Texas

   General E. Speaking, RN replied to avidgolfer3's topic in Texas

   I have worked with a few Filipino nurses that were sponsored by some of the hospitals in the Valley in Texas. They are deplorable and dangerous working conditions- too many patient to nurse ration, little or no ancillary staff and minimal equipment....
10. 

    low urine output high bnp

    General E. Speaking, RN replied to boz2841's topic in MICU

    Love all the insight. Yall are so smart! Thanks :thankya:
11. 

    Ativan IVP vs Propofol gtt

    General E. Speaking, RN posted a topic in MICU

    Had a patient on Propofol gtt (and Fentanyl gtt @75mcg/hr). S/P laparotomy. Possible aspiration- he was on a vent (PSV). He was lethargic but calm and arousable and would follow commands. Pulmonologist calls and I update on status. He ordered m...
12. 

    My friend is dying.

    General E. Speaking, RN replied to General E. Speaking, RN's topic in Hospice

    My childhood friend died a few weeks ago, she was 44. My friend with cancer is a fellow nurse friend that I used to work with. He is 30 and is angry w/ God. making a bucket list, etc... Thanks for the advice. We are either see each other almost e...
13. 

    Are advertising scrubs next?

    General E. Speaking, RN posted a topic in General Nursing

    Saw on the news that they are considering putting advertisements on the side of school buses. Hope the hospital administrators don't catch wind of this. Before you know it, we will be wearing "Coca Cola" logos on the back of our scrubs. "Goodyear...
14. 

    My friend is dying.

    General E. Speaking, RN replied to General E. Speaking, RN's topic in Hospice

    Thanks for the advice. Loosing my uncle suddenly, then another friend who was only 44 a short time ago and learning of his cancer has been quite a blow. One thing that bothers me right now is he is very angry at God. I am praying that he will get c...
15. 

    My friend is dying.

    General E. Speaking, RN posted a topic in Hospice

    My friend, a fellow RN, has been diagnosed with terminal pancreatic cancer. He is 30 yrs old and has been given 3-5 mos to live. He has already been set up with hospice. We are all pretty shocked. He had an orthopedic injury so finding the pancrea...