JBudd MSN

Trauma, Teaching

I prefer dangerous freedom over peaceful slavery.” Thomas Jefferson

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All Content by JBudd

  1. JBudd

    Jokes on me....?

    Wow. We can't give legal advice, but I surely hope you have your own lawyer and malpractice insurance. Is your company refusing to send you
  2. JBudd

    potentially dangerous postpartum situation

    Even though it was 4 hours, I've seen moms "crash" after the fact, because your pain is no longer "eating" all the pain med. When you are in extreme pain, ie childbirth, it stimulates you beyond the...
  3. JBudd

    Best advice for bullying

    We'll have to agree to disagree then, because bullying can be a one time thing, in my humble opinion. Having bullied a person in the past, recognized what I was doing and apologized, is where I am...
  4. JBudd

    Taos and Santa Fe hospitals

    The Santa Fe hospital was taken over by Christus Corp. some years ago, is no longer a small community hospital. Some changes for the better, some for the worse, like anywhere it has it's ups and...
  5. JBudd

    Best advice for bullying

    Maladaptive? Inappropriate? This nurse undermined and abused the OP in front of the patient. Your definition makes her a bully. Frustration or not, this does not belong at the bedside. Which is...
  6. It sometimes takes a bit of practice to stand up for yourself; role play it in your head so you know what to say: "Excuse me, I'm not done with the MAR. I'll give it to you in a few minutes."...
  7. JBudd

    I went to work with a black eye

    I study Tae Kwon Do, and am rather clumsy and slow at it. Seven or eight years ago, I told my teacher I just didn't block fast enough. He started hitting with force, and I started blocking much...
  8. JBudd

    Following a nurse during clinicals :(

    Instructors cannot know ahead of time which nurses will have any given patient; assignments are made at the beginning of the shift. A student in our school is expected to go in the night before and...
  9. JBudd

    New grad here in need of some ADVICE

    You should continue learning "a lot" every day, long after preceptorship. Yes days will get busier and busier, but that comes with becoming confident and competent; to whom much is given, much is...
  10. JBudd

    Where can I get male only patients?

    The OP specified it was in nonlife threatening areas; but if you look at the long view, ADLs contribute to long term health. Decubs and urosepsis ARE life
  11. Test banks are for instructors to use in compiling exams; provided by the publisher of the textbook. They aren't general things hovering out it space, they go with the book itself. I go through and...
  12. "Thank you, but what I really need to talk about is what brought you in this evening? (or) how you are doing after xyz med/tx?" Smile and focus the attention back onto the patient, with professional...
  13. Ah, it sounded to me like first day or so of class, my misunderstanding :) Sounds like she really wants you to write the letter! If all three of you write separately, it will give her a stronger...
  14. So what if she knows it was you three? You went to an instructor with a problem, this is the thing she told you to do. You now have 2 choices, shut up about it altogether or write the letter. Many...
  15. Um, to me STEM is ST Elevated myocardial infarction, (STEMI). What is it to you? Career guides are just that, guides. They are matching you with what they think you might like. If you don't like...
  16. JBudd

    CPS/Child Abuse Protocol

    As for the photos, we do them in the ER as part of the medical record, or the police do it, or CYFD. There is a chain of custody that has to be followed, we date and time, etc. The hospital photos...
  17. Being embarrassed is much better than being unemployed. Just tell the truth, and assure them you are following the plan the BON wants you to. Yes, you really do have to tell
  18. Shame on you. I watched several versions on the net, from different networks, you tube; this nurse was in no way a "drama queen". She followed protocol, called admin for back up, showed the idiot...
  19. Her two security officers were out there with her, objecting, and being threatened with arrest (the idiot actually pointed to another officer and said they would be taken away by that officer). One...
  20. JBudd

    not completing healthstream on time

    Health stream is not worth quitting over. I got dinged on one year because after I had completed everything long before deadline they snuck some new stuff in which I didn't know about until it was...
  21. JBudd

    What do you do to relax

    read, crochet, walk the dogs, go hiking, read some more, crochet some more, watch English murder mysteries while I crochet, did I mention I like to
  22. JBudd

    Night Shift Causing Relationship Problems

    Oh I don't know, the pizza apology and bloodshot eyes at 0250 seem to have gotten through
  23. JBudd

    "Do you want to live?"

    I had one admitting doc get very frustrated when confirming the patient's previous DNR; wife said no as he was still enjoying life, had been horse riding the day before, likely stroke now on top of...
  24. JBudd

    John and Jane Doe

    You treat them just like anyone else whose history is unknown. Any one who is unable to give a name usually came in by EMS, with a PD escort, so notifying anyone is not applicable, they are...
  25. JBudd

    License at Risk? Put up or shut up,,,

    Our quarterly news letter/bulletin/magazine from the state BON lists nurses by name that have appeared before the Board and what action was taken. A few have revocations, usually narcotics, most have...