JBudd MSN

Trauma, Teaching

I prefer dangerous freedom over peaceful slavery.” Thomas Jefferson

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All Content by JBudd

  1. I wouldn't obsess over it, but the doc obviously wasn't thinking about the larger implications of the comment. They don't have to put in the CYA "plan" (will investigate etc.). If you see the doc,...
  2. JBudd

    Confucius Say.....

    Confucius say: don't give me **** unless I ask for stool
  3. JBudd

    passive aggressive nurses

    There is also the factor that staffing numbers change with the shifts; sometimes we don't get room numbers until the number of nurses or ratios change with the shift. Then we will get multiple room...
  4. JBudd

    Clinical Instructor Dilemma

    If the rest of your group feels the same way, you can go as a group to the next level up; we have dismissed instructors mid semester
  5. JBudd

    Hypothyroid question

    We can't give medical advice here. My experience with going on meds was that euphoria and high energy at first, but it levels off. Levothyroxin causes insomnia, you might try adjusting the times you...
  6. I did a paper on writing good power points, such as use of fonts, color, amount of info etc. in my masters ed program. Got dinged for not using nursing sources, and since I couldn't immediately say...
  7. JBudd

    Wearing sterile sleeves or a sterile gown for foley insertion?

    You get pretty good at keeping your hand sterile, although you are not in a sterile area (ie the OR). Slinky was on topic, a foley insertion is not nearly as invasive as a lap procedure, apples to...
  8. JBudd

    Atheism in nursing

    As a person of faith, I would not want you to lie and pretend to pray with us. A family that cannot accept your polite and respectful declining to participate has problems that would not be solved by...
  9. JBudd

    When Faith Creates False Hope

    I have seen miracles, sometimes brought about by the medicines we have available (and Who gave us the herbs, etc. to make them with?), and sometimes despite or without them. How do you answer? Mine...
  10. JBudd

    Paramedic-turned-RN advice

    The biggest problem a preceptee of mine had, in changing from medic to RN was having to keep a much larger group of people in mind. As a paramedic, he had one, sometimes two people in the rig, and...
  11. JBudd

    How do you respond to rude patients?

    I still have a scar from being bitten. Pt convicted of several felony counts of battery on a health care worker. For the ones just being rude and/or bossy, especially if they are 20-30 years younger,...
  12. JBudd

    LPN Student in RN Clinical

    Sounds to me like the site is allowing in students, believing them to already be licensed. If you put a non-licensed person in, seems like there would be some heavy repercussions when (not if) they...
  13. JBudd

    Am I too old to go back?

    I went back in my 40s, took 5 years to do classes one semester at a time. Mid 50s, thinking about a PhD in Ed. Go for
  14. JBudd

    Certifications: Are they worth it?

    Education is never wasted, unless you refuse to put any effort into learning. Whether or not the employer wants it or is willing to pay differentials, studying for a certification only makes you a...
  15. JBudd

    "Get out of here... go do some 'doctor' stuff..."

    Most of our docs do their own digital disimpactions. Always impresses
  16. JBudd

    Nursing Nightmares

    1. Dreamed I'm at work and suddenly realize I have nothing on, on top. 2. Dreamed I was in the old triage area, and a guy in the jail orange jump suit stumbles in, covered with white powder, tells...
  17. JBudd

    CEU's

    I like Medscape.com, they're free. Western schools has some good ones. Try searching AN, there are quite a few threads with people's
  18. JBudd

    Don't go into nursing school if_____

    ...if you can't show up on time, prepared for the day, in a clean uniform ...if you expect the teacher to hold your hand and say "there, there, you don't really have to know how to do that" ...if you...
  19. JBudd

    Nursing student theft

    Paws, the OP is a hospital nurse, not in school. It was student that stole her scope, and the student's school who hid
  20. There wasn't really anything more you could have done, she needed an EKG and some fluid. Sips are fine unless vomiting. Moist cloth on forehead for heat is about all I can think of. What you did do,...
  21. It gets to be so old hat, that when a confused 6'3" large male climbed past his side rails and came out of his room toward the desk, we all yelled "get back to bed before you fall!", and only then...
  22. JBudd

    Nursing student theft

    I would send a letter requesting the return of your stethoscope without delay, as they are holding onto your property without your consent; especially since you notified them at the time! They can't...
  23. We get them in the ER all the time, police or EMS brings in someone "under the influence", which makes us legally liable for not putting an impaired person onto the street. Trouble is, pt denies...
  24. No, I don't think Workman's Comp applies to reindeer
  25. JBudd

    I can't be excited

    You did it! uh huh! uh huh! you go you go you go! (insert dancing and joyous jumping here!) Celebrate with us!! I expect A's from my students, and always wonder what I could have done more for the...