General E. Speaking, RN RN

floor to ICU

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All Content by General E. Speaking, RN

  1. General E. Speaking, RN

    Have YOU had a total knee replacement?

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

    Wanting to talk to other nurses that had to have a TKR? I am a 43 yo that is 8 weeks post op and on medical leave until January. I am still having stiffness, swelling and some pain. Not as much...
  2. General E. Speaking, RN

    Things you'd LOVE to tell coworkers...and get away with it!

    General E. Speaking, RN posted a topic in Patient, Colleague Relations

    Please don't label this thread "negative". It is meant to be fun. Your scrubs are ugly. I don't think you are "cute" when you get all googley-eyed and giggly around the young docs. I think it...
  3. General E. Speaking, RN

    Ativan IVP vs Propofol gtt

    General E. Speaking, RN posted a topic in MICU, SICU

    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....
  4. General E. Speaking, RN

    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...
  5. General E. Speaking, RN

    Share your ICU 'brain' report sheet

    General E. Speaking, RN posted a topic in CCU, Coronary, Cardiac

    Trying to organize myself. Wondering if anyone wants to share their report sheet!!
  6. General E. Speaking, RN

    A Letter to Hollywood: Nurses Are Not Handmaidens

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

    Found this on Medscape web site. Thought others may be interested! Let me know what you think Thanks, General E. Speaking, RN ____________________________ A Letter to Hollywood: Nurses Are Not...
  7. General E. Speaking, RN

    Blaming the nurse

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

    I posted this in another thread as a comment but it got me thinking about all the things that nursing is blamed for. I thought it would make an interesting thread. Hopefully it won't be labeled as...
  8. General E. Speaking, RN

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

    General E. Speaking, RN posted a topic in Hospice, Palliative

    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...
  9. General E. Speaking, RN

    My friend is dying.

    General E. Speaking, RN posted a topic in Hospice, Palliative

    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....
  10. General E. Speaking, RN

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

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

    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...
  11. General E. Speaking, RN

    AV fistula for IV access for sickle cell pt

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

    Had a pt that had a 10yr old fistula inserted because she had no veins and gets frequent admissions for sickle cell crisis. It had a great bruit and thrill. Apparently, she had a PAC at one point...
  12. General E. Speaking, RN

    My friend is dying.

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

    Thanks. Yall are making me cry
  13. General E. Speaking, RN

    Ativan IVP vs Propofol gtt

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

    true. We did switch him to
  14. General E. Speaking, RN

    How does your unit orient new nurses?

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

    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...
  15. General E. Speaking, RN

    Ativan IVP vs Propofol gtt

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

    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...
  16. General E. Speaking, RN

    Ativan IVP vs Propofol gtt

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

    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 ******...
  17. General E. Speaking, RN

    My friend is dying.

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

    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...
  18. General E. Speaking, RN

    Nursing shortage in Texas

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

    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,...
  19. General E. Speaking, RN

    low urine output high bnp

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

    Love all the insight. Yall are so smart! Thanks
  20. General E. Speaking, RN

    My friend is dying.

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

    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...
  21. General E. Speaking, RN

    My friend is dying.

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

    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...
  22. General E. Speaking, RN

    Transfer codes to ER not ICU

    General E. Speaking, RN replied to MADDOG70's topic in Emergency

    This thread is like a tennis match- back and forth- yes and no. Just wondering if it is a
  23. General E. Speaking, RN

    CBI

    General E. Speaking, RN replied to Nrsstudent09's topic in Emergency

    Was it a 4,000ml Foley bag? I had to fight with my hospital to get them. Before them, I had a pt on CBI and he was bleeding heavily requiring the irrigation to go very fast. He was scheduled to go...
  24. General E. Speaking, RN

    Calling residents affectionate names?

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

    My supervisor calls some of us "sweetheart". I don't mind because it isn't said sarcastically or in an evil tone. She means it as an endearment. "Can you please work tomorrow instead of Thursday?"...
  25. General E. Speaking, RN

    LPN's in CCU, a vent

    General E. Speaking, RN replied to NYERNURSE's topic in CCU, Coronary, Cardiac

    FYI: This is an old old