JBudd MSN

Trauma, Teaching

I prefer dangerous freedom over peaceful slavery.” Thomas Jefferson

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All Content by JBudd

  1. JBudd

    Security - Stethoscope Engraving

    security issue? no getting it back? yeah, useful, especially if you have a really expensive one. I quit carrying expensive ones years ago, my cheap ones don't tend to walk off. I just use a cheap...
  2. this post is from 2012, and chaos hasn't posted since
  3. JBudd

    Why do nurses.....

    The correct etiquette is to put the highest degree earned first (which does indeed imply the lower ones leading to it), then your title (RN, NP), which you must keep up, then if needed your extra...
  4. JBudd

    What are your views on male nurses

    Same thing as I think about female nurses: are you good at your job? are you there when needed? are you a team player? can I depend on you? all genderless questions! Seriously, I appreciate both...
  5. JBudd

    Nurse and MD relationships in the ED

    Our docs are great, and generally have a good deal of respect for us. We make some pretty good
  6. To be a family nurse practioner, you first have to be a nurse. Usually BSN minimum, to get into a graduate program. What caregiving and therapeutic roles have you done? because your question tends...
  7. Speaking as one of the people who have suffered from OIC, despite the regimin with my chemo..... let me tell you the constipation pain was worse than the post mastectomies pain. I really wish I had...
  8. well, in the settings where you don't have easy access to xrays... I once made a call to a doc to send out a LTC pt based on both decreased breath sounds and fremitis (good old 99); he listened...
  9. Chiming in on the PERRLA, used it for my MSN. Great
  10. Agree with the teaching, there really aren't many lab coats in my hospital but the students could always find their instructor in the lab coat. It also gave me a place to put my hands because I am...
  11. JBudd

    Post ops coming back to ED as "holding" patients

    Nope, once they are inpatients they cannot be moved to an outpatient area. That doesn't mean the holds that are inpatients, but sending to the ER from in house is a big nono. Once they move out, we...
  12. JBudd

    Dosage calculations or pharmacology first?

    My rationale is, that having taught Med Calc, the math has little to do with the drugs themselves. I taught routes, abbreviations, conversions and the ever present dimensional analysis. As pharm...
  13. JBudd

    Dosage calculations or pharmacology first?

    2 separate subects, as said above, one is math, the other is studying the drugs themselves. Do the math first, so if the pharm course has anything about dosages you'll know what you are talking...
  14. JBudd

    When a patient makes you the bad guy

    New dad should have told mom to get a taxi and a hotel room! OP: at least mom apologized for putting you on the
  15. JBudd

    Take back your title - "Nurse"

    This goes along with many threads about doctor's offices calling anyone who works there a "nurse", without having a single actual nurse on staff. Or not acknowledging the National Nurse's Day as...
  16. JBudd

    Welp - it's official!

    Job Well
  17. JBudd

    Reality VS Fiction of ER

    Most ER cases are non adrenaline ones, and while we do tend to be adrenaline junkies, it is nothing like the TV shows. Generally long stretches in between, and even then it may not be your pt or...
  18. I used to have a strict policy against it, and had no problems when I explained that I kept it strictly personal, family only. Then when I was out with the big C for nearly a year, it was a way to...
  19. JBudd

    Jury Duty

    I don't know why your county wouldn't have numbers published, all the info I needed was always on the summons itself, or the questionair to be filled out that came with it. Several states and federal...
  20. JBudd

    How to handle rude doctor

    If he is the one ordering narcotics, it is absolutely his problem; if the hospitalist wrote the med orders, he is the appropriate one to ask for it. Some docs are just jerks, and others bend over...
  21. JBudd

    Jury Duty

    Juries are usually summoned on Mondays, asking for a different day of the week is not generally feasible. Part of being a citizen is jury duty, and missing work is just part of living. The certified...
  22. JBudd

    Medical Mission

    Been there, done that. Definitely need some experience first. If the short term stuff takes grads and students then they should have things in place to help guide you, but otherwise I found myself...
  23. JBudd

    Not enough equipment

    During my bout of chemo a year ago, I ended up in my own ER with influenza and a massive cellulitis, 104 fevers, etc. Couldn't start my abx as there were no pumps for my central line. Several hours...
  24. JBudd

    Favorite sayings

    Do what you can do, and leave the rest to God. Or the next
  25. Yes, a number of times. If they are really effusive, I tell them to either write a letter to my manager, or use the in-house "kudos" cards and tell them it goes into my personnel file (which is...