JBudd MSN

Trauma, Teaching

I prefer dangerous freedom over peaceful slavery.” Thomas Jefferson

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All Content by JBudd

  1. JBudd

    RPN-Minimum wage

    Sounds like you are being taken advantage of, since you were already there. Did you get a raise when you went from assistant to nurse? Have you looked for job postings elsewhere in Ontario to see...
  2. JBudd

    Heart Sounds vs Heart Rhythm

    The lub dub is the sound made when the valves close and you hear the blood hitting the closed valve. So yes, as Green Tea said, they are normal sounds, just abnormal rhythm. Remember, sound does not...
  3. JBudd

    Heart Sounds vs Heart Rhythm

    Heart sounds are what you hear, not to be Captain Obvious here lol. Lub Dub. If you hear an S3 or S4 you have an abnormal heart sound, as well as clicks with malfunctioning valves, or murmurs....
  4. JBudd

    Non-FIT Nurses and FIT Nurses

    What takes you so long? Bag of Tostitos scoops and a full bowl of salsa. Gone, less than an hour. Doesn't even last the whole
  5. JBudd

    Use medical dictionary, or Google?

    Citing Tabers is better than citing a random Google site on your papers. Also, many sites are not acceptable as professional
  6. JBudd

    What is correct way to do gastric lavage using NGT?

    In the ED of 15 years ago it was common, had a special lavage set up that had a double barreled syringe, one side pushed water in from the upper bag, the other sucked it out into the drainage bag....
  7. JBudd

    ASN or BSN for missionary

    ASN is shorter, as there are fewer prerequisite courses and in an accelerated program can be done in 18 months (after the prereqs). Job availability depends on the area, some regions hire ADN as...
  8. JBudd

    Transfer from floor to er.

    Emphasize your flexibility, ability to work fast under stress, and being a team
  9. JBudd

    Coworker tried converting me on my break

    Conversation on any topic is not "banned" on your own time, which is what break time is. However, when you let her continue and engaged in the conversation with her, you gave her tacit permission to...
  10. JBudd

    Lies of the ER.....

    Fellow with teeth marks on his third leg, said he fell on the zipper of his tent when he was crawling out to pee, in the
  11. JBudd

    Paracenthesis at the bedside

    In the ER, the MD puts it in and the nurse monitors. We don't stay in the room, but we do change over to the next bottle when the first, second, third and occasionally fourth evacutaner is full....
  12. Article in the JEN about a year ago did the analgesia rates doing a blind comparison with IV Tylenol, Morphine and placebos. The Tylenol IV was just as effective as 2 mg MS, while placebo was way...
  13. JBudd

    back to work after 4 weeks off

    I sympathize totally. I'd been out 7 months, surgery and chemo, and even though I'm back I'm on light duty, sitting the night triage desk. Hopefully your coworkers will be as helpful as mine have...
  14. JBudd

    Missionary Nursing for New ADN's

    { ETA: oops! just noticed this thread is 2 years old. } Does your denomination have an international missions board or committee? First place to look. Secondly, inter- or non-denominational groups...
  15. I have actually told the person on the other end of the phone, that if they would quit interrupting me they would get all the information in order instead of random bits and pieces. We did a time of...
  16. JBudd

    Police Holds

    If they are under arrest, an officer must stay with them. Sometimes officers in our ED will issue a ticket or summons rather than have to stay hours in the ED for a full arrest and go to jail....
  17. JBudd

    The B word. Again!

    If we can build an oil pipeline from Canada to Mexico, why can't we build a line to drain all your snow melt from the Northeast to the Southwest? Our last real blizzard here was years ago. Not to say...
  18. JBudd

    Missed clinical! :(

    Embarrassing, yes. Fatal, not usually (depends on your program). By your senior semester, you should have established a track record with the faculty, which sounds like you have a good one. I had a...
  19. JBudd

    NM Nurses and Nursing Students: SFCC vs CNM?

    There are always far more candidates than
  20. JBudd

    NPR story on nursing injuries

    We have lift equipment on the floors, not in the ER. Our HR requires that you be able to lift 50 pounds. I am on light duty for a time, after an illness (chemo is not fun, just throwing that out...
  21. so, how's it
  22. In the 80's, hospitals tried using leaving messages to require you to work as notification. Union took it to court and won, ruling was if you didn't speak to the person directly there was no proof...
  23. JBudd

    Being productive after clinical days

    Long 12's just take getting used to. After a hard shift, all of us feel like crashing. If you can plan your papers and studying out, do as much as you can before clinical days so that you don't have...
  24. Definitely for clinicals, and a lot of our lab time counts as "clinical hours", so you'ld have to remove it
  25. JBudd

    How do you relax after a shift?

    Since I work nights, I just go straight to bed, lol. Sometimes read for a while to shut the brain down. I only drink if I know I won't be working, so if I have a night shift coming up, no alcohol at...