JBudd MSN

Trauma, Teaching

I prefer dangerous freedom over peaceful slavery.” Thomas Jefferson

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  1. JBudd

    Alternatives to wristwatches?

    I used to carry a pocket watch, and only pull it out when needed. Or, there are watches that pin to your shirt, that are "upside down", so when you look down at your shirt the numbers are oriented to...
  2. JBudd

    But are you happy?

    Being happy does not depend on your job, it is your internal attitude toward life. Yes, parts of my job can be stressful, and cause unhappiness, but I choose how to react to it. Sometimes my reaction...
  3. First of all, CONGRATULATIONS! Magna Cum Laude is an enormous accomplishment in a BSN program. Your family is right to be thrilled for you. Yes it will help in getting into any Masters program. As...
  4. JBudd

    Sigh...the dreaded day...advice needed

    I'm glad to hear you've gotten some help. Klone said what I was going to, so no need to repeat
  5. Staying very calm, and refusing to escalate with them is the starting point. Stay absolutely professional. I get guys in who use "f' this and that every other word. I just say, "mind your manners...
  6. JBudd

    Sigh...the dreaded day...advice needed

    Is your registration still up to date? Might try some of the public clinics to work as an APN, and tell them straight out you will need some orientation time. How did you handle your clinical...
  7. The only option I can think of that you might have asked the super about, was could the pt who was getting a new roommate (not the upset one, but the one she was moving in with) have moved instead?...
  8. No, because LadyFree28 will become 29 when she frees
  9. JBudd

    Whats your biggest pet peeve working in the ED?

    Had a woman come in EMS, because her husband and brother were freaking out, turns out to be just a bit too much ETOH on board. Had a zone closed, so technically there were some rooms empty (that they...
  10. JBudd

    oxygen sTaturations

    Well of course you can't wear tethered clothes! If you are tied to the desk and computer, how can you run around answering lights and getting those life saving warm blankets for grandma's
  11. I agree with Nurse onaMotercycle, lets not start a whole different fight. Its just you need to know that not all ERs are alike, in mine we do often have A lines, the CVP etc.; and we do titrate all...
  12. You did the right thing in notifying the Clinical Director. The night nurses are doing a CYA with the incident report because of Dr. Pompous; and since the CLinical Director will be receiving the...
  13. Well, I teared up. How many 5 year olds know that having a dog in the way when the crew gets there might be
  14. You're welcome, and looking back a 2nd time, ah, you did say per mL.
  15. JBudd

    Best job for new grad?

    Akula, Notdone and Greentea hit it spot on. The best job is the one you can get that pays you. Specialties are not the end all and be all of nursing. I enjoyed medsurg for a great many years before...
  16. You didn't say how many mL are in the syringe. Not all concentrations are the same. If this is 10mg/mL, then you would subtract what you give from the total you started with. Whatever is left over...
  17. JBudd

    PERRLA question

    I used PERRLA for years, never had to pay extra. It was open ended. I would double check with them, unless they've changed policies, to find out what "activations" really
  18. If they can't get past the "I need an order in the computer first" before being willing to intervene in an urgent situation. Understandable at first, but not being able to learn to trust your team in...
  19. JBudd

    Return to trauma after husband's death

    So sorry, from another widow who had small kids. Altra is right, the 4 hour bits were what I did. Mine was different scenario, cancer, but I'd scheduled myself to go in for a few 4 hour shifts. He...
  20. JBudd

    Hospital Name Badge, Silly Question

    Most dress codes require the badge to be clearly visible, generally meaning on the neck line. Ours specifically prohibits wearing them on sleeves (think Dean and his cig pack), or on the waist. If I...
  21. I'll say it. Yes, its okay. You need to destress, get your health back, enjoy that 6 hours off the roads, put your feet up long enough to not have swelling anymore. Sounds like you have taken on...
  22. How is this rude? He trusted your assessment/judgment well enough to pass on to the MD, even to the point of getting orders based on your word
  23. One of my star students was 17 her first semester of nursing (RN program). I lived at home, drove my dad's car, worked only 4 hours a week while in my BSN program. Heck, I drove my dad's car for 3...
  24. JBudd

    Would you call social services for a child OD'ing?

    Were the parents resistant to getting help for the kid? Did they shove the pills down the kid? Or were they concerned and cooperating with getting their kid help and going to the referrals with the...
  25. Just start sending resumes. Holy Cross in Taos, Christus St. Vincent in Santa Fe, Presbyterian in Espanola (has several hosps in different towns), Alta Vista in Las Vegas, Miner's Colfax in Raton,...