JBudd MSN

Trauma, Teaching

I prefer dangerous freedom over peaceful slavery.” Thomas Jefferson

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All Content by JBudd

  1. JBudd

    Almost fired for med error

    I was about to post something similar, only you backed yours up with the study! VAnurse: it is called
  2. JBudd

    How to recognize a nurse

    I wouldn't post it online, send it to her hospital and a copy for her. My place has rewards in place for that kind of letter, or at least they can put it in her file, which helps in annual...
  3. JBudd

    Jury duty and new grad program

    No not really, the majority of my groups were all looking for ways to get out of it. One way was to be obnoxious during the
  4. JBudd

    Jury duty and new grad program

    Contact the county clerk whose name is on your summons, explain the short term problem and ask if you can be moved to a future cohort. If not, show the letter to your employer, it is illegal to...
  5. JBudd

    I passed my NCLEX!!!!!

    Congratulations!:)
  6. JBudd

    Sigma Theta Tau worth it?

    The induction ceremony was nice, but after that you are only as involved as you want to be. I've never even been to a meeting, as they are held in a different city. If you don't accept now, it may be...
  7. JBudd

    Getting 30hrs CE credit

    Some of the Western Schools books have been
  8. JBudd

    OR nurse schedule - 4 10's or 5 8's?

    8s tend to turn into 10s anyway.... I'd go for the 4
  9. It is sometimes hard to turn off the "I am a nurse and I want to fix everything I see/hear/encounter". As in those threads "you know you're a nurse when..." and people post all the crazy stuff we do...
  10. JBudd

    How to get un-barred

    If it is that important to you, why not make an appointment with HR of the chain, and go in to ask what you can do to remediate the problem? If your new employer doesn't have a problem with hiring...
  11. JBudd

    For The Love Of All That Is Holy . . . .

    My foster grandson came home and asked if we would teach him cursive because the school won't. Bought him a handwriting book the next
  12. JBudd

    ED Triage Role

    As Lev said, very little to fight things off with, so if they do manage a fever they are at high risk for being really sick. Hypoglycemia happens fast. Babies just wear out fast, no
  13. JBudd

    RN vs. Lpn

    if you gogle BON, your state and nurse practice act, you can get specifics for your state. Basically, a nurse practice act defines what a nurse can and cannot do in that state. We are further...
  14. JBudd

    ED Triage Role

    Sometimes when I get a really excited/anxious family member, who seems to think I am not taking things seriously because I am calmly doing my job, I just smile and say "I get paid not to panic"....
  15. JBudd

    Why are you listening to the heart?

    I don't listen at the 4 valve spots (A,P,T,M) very often, but as long as I'm listening to breath sounds I listen for regularity as well. I've picked up a few murmurs that the pt either said "oh I...
  16. JBudd

    Should nursing pay remain modest?

    I have hit the max on the pay scale for my hospital, I will never get a raise again unless the entire wage system is upped. When raises go out, I get a one time check for the difference based on m y...
  17. JBudd

    Love my job but... opinions wanted

    I switched to new things several times in my early (first 15) years. Changing from one area to another was always a good challenge, and like anything else, just takes some time to get into the swing...
  18. There was an interesting article a year or so ago in the JEN about the efficacy of one gram IV acetaminophen; on the analgesia scale pts reported the same amount of relief as 2 mg of morphine, with...
  19. JBudd

    What's In A Name Badge?

    My hospital puts just the first name on the big white area of our badges, next to a facial photo, with credentials on a lower line. Then a large 2nd piece of plastic behind it with extra large "RN"...
  20. JBudd

    I GOTTA KNOW!!!!!

    I thought this was crazy until last week when I went in to work. We were stocked with the orange/brown 24 hour collection bottles for use as
  21. Make the call. CYA charting after the fact was not your work/responsibility is unethical and could come back to bite you hard. It is called false
  22. Late 50s, still in the ER. At my request I mostly do triage, after my CA txs I fatigue a little more than I used to. My nursing license is older than most of my colleagues. My former students are...
  23. I use Medscape, also the ENA site for members, lots of good stuff & return for your dues. Medscape is free and keeps records for you for a long
  24. In order to issue you a certificate that can't be used by anyone else. You aren't there in person to receive it at a conference after all. It keeps it valid for acceptance by your
  25. JBudd

    I really do feel depressed about the situation

    I'm with the others, go back and see if you can get rehired, or look for another LTC spot. Be upfront with the interview, you thought you were moving on but miss it enough to want to return. Move...