JBudd MSN

Trauma, Teaching

I prefer dangerous freedom over peaceful slavery.” Thomas Jefferson

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All Content by JBudd

  1. JBudd

    Transfering license to another state

    If you aren't actually in Nevada yet, I would use the California
  2. I hand expressed (learned to milk goats as a kid). Never needed a pump for any of my 3. Ducked out, washed, squeezed into the bottle and back on the floor in far less than 30 minutes. Usually got...
  3. Lets see, diabetics prick their fingers regularly, but are at higher risk for strokes..... so we need to tell them to prick ALL 10 fingers
  4. JBudd

    Nurses, am I crazy for thinking I can do this?

    Is a summer course of patho an option? I do online patho, and it is an enormous amount of material (minimum 20 hours a week reading and study), for a 4 credit hour course. Strongly recommend doing...
  5. JBudd

    Real books vs ebooks

    when my daughter was studying with e-books, she bought an extra e-reader, just the cheap Kindle one from Amazon, so that she could cross reference more easily. You can get a refurbished one for about...
  6. JBudd

    Cannot seem to pass skilled portion of BLS

    You can actually get up on the bed if you need to, put a knee up next to the manikin. As said before, push more than you think you should! I made the bed bounce (lightweight stretcher) I was doing...
  7. JBudd

    Discharging by Wheelchair

    Same in my ER. We simply don't have time to escort every pt out. They get discharged in the room, and have to find their own way to the lobby and freedom. From the floors, as many others have said,...
  8. JBudd

    starting IV on same arm as a mastectomy

    I had a double mastectomy.... and do have mild lymphedema on the right side where they took 11 nodes. Nobody but nobody gets near that arm. But my other arm is fine, only one node out (since it was...
  9. I never had a problem, but that was more than 20 years ago..... I took less time to pump than the smokers did on their far more frequent
  10. Applied for a job, got the one I wanted, but first went to Puerto Vallarta for a week with my friend (from the 5th grade on!). Took my cap and tassel, have a picture of me on the water at the front...
  11. JBudd

    Got to Change my Sig/Title :)

    Congrats! It is a great feeling isn't
  12. JBudd

    Med/Surg to ER?

    Did you mean veteran as in military? I can see where that would lead you to being on "high alert" all the time. On the other hand, those kind of observation skills should be routine for all nurses,...
  13. JBudd

    Is earwax removal an emergency?

    Frankly, without all those non-emergent cases, we wouldn't employ nearly as many nurses as we do. Job
  14. JBudd

    Staff Nurses Who Refuse To Precept Or Teach?

    My black belt obligates me to teach/guide lower belt martial art students in my dojang. My nursing license doesn't say a word about it. As nurses, we are expected to do patient education, which has a...
  15. JBudd

    Was I out of place?

    I don't know, it didn't sound all that bad to me. If you had said it viciously or with hard sarcasm, with a threatening never to help type attitude it would be, but since your coworkers chuckled I...
  16. JBudd

    being called off..

    Our old contract specified if you showed up for work, you got paid at least 4 hours. They could send you home right away but still have to pay, or just send you home after the 4 hours. We usually...
  17. JBudd

    You Know You're A Nurse If...

    when you get home in the morning, and start trying to get your winter coat open so you can badge open your front
  18. JBudd

    Job offer after clinical?

    We have one school and one hospital, so yeah, lots of our students get hired. Some of my former students are now my clinical
  19. I was at a third world hospital, where you had to have family go buy an angiocath, tubing and the bottle of saline, & bring it all in for a nurse to be able to place an
  20. JBudd

    Vasoactive Drips with a DNR

    I wouldn't use a vasoactive on a hospice patient; but if the family and the patient want to, then yes. Curious to know what the family thought the Levo would accomplish? If they thought it made pt...
  21. Ask him who he is, where is his badge, and what service he is with. Too many crazies out there. I once asked an unbadged man standing at my ER desk asking questions about how it was going, who he...
  22. JBudd

    Facing my own judgments

    My moment wasn't nearly so deep, but I used to figuratively roll my eyes at people who came to the ER for constipation. Seriously?? Until I developed extreme constipation (and a heck of a lot pain...
  23. I think you left out "NO right" LOL (yes, yes I did
  24. JBudd

    Am I too small to be a nurse?

    Shoot, I'm 6 feet tall and still use a stool sometimes for CPR, some of our trauma beds just don't go that low. Slight sideways remark, okay, totally sideways remark about height; when I first met him...
  25. In a now closed thread, I posted that a spouse didn't get to call a rapid response. Several AN folks replied that they could in their hospitals, and are in fact encouraged to do so. Did not know...