Wile E Coyote ASN, RN

Critical care

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All Content by Wile E Coyote

  1. Wile E Coyote

    New Grad...Is this typical?

    Wile E Coyote replied to MeganStar's topic in General Nursing

    With the transition away from hospital-based diploma programs a generation ago...It's now unusual for a newly minted nurse to be competent with all bedside tasks. It's fully expected you'll need lots...
  2. Wile E Coyote

    Stuck with dirty needle by fellow Nurse!

    Wile E Coyote replied to swan77's topic in General Nursing

    ^^^^x whatever. I rarely miss an opportunity to make a joke (similar coping mechanism described above) but that would be reserved for a very close friend whom I would be apologizing to in the next...
  3. Wile E Coyote

    Please don't call me Dude

    Wile E Coyote replied to Emergent's topic in General Nursing

    I was raised where everyone was sweetie, honey, sugar, etc. Having traveled a wee bit, I soon encountered folks that absolutely bristled at such names. I soon fell into the habit of "pal", and now...
  4. Wile E Coyote

    Nursing's Transition: Creating Inclusive Healthcare Settings for Transgendered Patients

    Wile E Coyote replied to Jessica Quigley's topic in General Nursing

    Actually, if OP remains in their local area and continues in their same social circles, it's perfectly reasonable to expect little to no future challenge to their thinking up to this point....
  5. Wile E Coyote

    nursing in Las Vegas as a single Parent

    Wile E Coyote replied to meeky71's topic in General Nursing

    Substitute London for Las Vegas in your question, and you'll largely have your answer. Outside of safety-in-numbers, another common draw of gang affiliation is the sense of direction and belonging...
  6. Wile E Coyote

    Procedure on this? Nurse and her abuser

    Wile E Coyote replied to CMarieRN87's topic in General Nursing

    A private physician's office isnt mandated to treat a patient like EMTALA mandates ED's. As OP noted, other pts have been "fired" from that very
  7. Wile E Coyote

    Nursing, CrossFit, and funky hands

    Wile E Coyote replied to Morning_runner's topic in General Nursing

    Agreed, except in circumstances such as the one outlined above. If the bruising from jujitsu (appearance) or wrecked hands from cross fit (infection risk and appearance both) affect school or work...
  8. Wile E Coyote

    Procedure on this? Nurse and her abuser

    Wile E Coyote replied to CMarieRN87's topic in General Nursing

    In reading your description, it certainly seems your abuser is getting a thrill out of rattling you. What I didn't read was any signs of paralyzing fear, self-hate or shame on your part. I'm...
  9. Wile E Coyote

    New nurse with severe anxiety

    Wile E Coyote replied to Kbowling's topic in General Nursing

    There's a whole section here on AN for "first year of licensure" or similarity worded. Look under the nursing career section, I think. There are pages and pages of stories about folks feeling the heat...
  10. Wile E Coyote

    RN after PhD?

    Wile E Coyote replied to crazyphd's topic in General Nursing

    Yes, what particularly interests you about nursing and where do you see yourself fitting in? What's your exposure to the field? Have you researched it much? (ok, that last one... I just couldn't stop...
  11. Wile E Coyote

    Shaking hands

    Wile E Coyote replied to court811's topic in General Nursing

    Frankly, a new nurse/extern that's proficient at tasks on day one, is a rare bird indeed. It's expected you'll need
  12. Wile E Coyote

    Is this crazy?

    Wile E Coyote replied to Red Kryptonite's topic in LPN to RN

    Seems like an easy choice favoring the absn if u can swing the extra tuition $ up front vs adn now then bsn later. Here's to your fruitful research, cheers! Ae1021, the required clinical component of...
  13. Wile E Coyote

    Schools push APRN immediately-$$

    Wile E Coyote replied to Jules A's topic in General Nursing

    The way you worded that last bit makes me wonder if you knew that CA has not set a precedent, but actually followed 19 other states (20 if one includes DC) that currently permit independent NP...
  14. Wile E Coyote

    Schools push APRN immediately-$$

    Wile E Coyote replied to Jules A's topic in General Nursing

    https://allnurses.com/general-nursing-discussion/gn-to-np-904235.html#comments (C & P using phone, so forgive if it looks weird or doesn't
  15. Wile E Coyote

    Chosen as an alternate for nursing school

    Wile E Coyote replied to jillian06's topic in General Students

    Illness, pregnancy, finances, legal/administrative circumstances all take their tolls on students. It's quite common for not every enrollee to graduate, were it comes in for your is if a slot becomes...
  16. Wile E Coyote

    IVP pain med safety

    Wile E Coyote replied to Swellz's topic in Patient Medications

    If we're talking Morphine or even Dilaudid, your parameters are very standard. If your unit was giving unusually large doses it would at least explain your leadership's safety concerns (explain, but...
  17. Wile E Coyote

    Wow this is more than I can handle

    Wile E Coyote replied to freckles23's topic in General Nursing

    If the DON and pharmacy are that invested in your safe practice, I'm going to hazard a guess that you'll receive support. That, and your preceptors sound like a great place to start your career. Your...
  18. Wile E Coyote

    IVP pain med safety

    Wile E Coyote replied to Swellz's topic in Patient Medications

    Cardiac decompensation (enough for one to notice on a busy floor) is a late sign of the respiratory depression we really should be most watchful for when giving narcs. I'm compelled to ask what a...
  19. Wile E Coyote

    CPOE and still using paper UGH

    Wile E Coyote replied to hes2371rn's topic in General Nursing

    What worked for my facility was that the medical leadership set a hard date to switch to cpoe and stuck to it, period. The paper option was simply off the table. Someone in your facility needs to...
  20. Wile E Coyote

    Nurse with anger management issues/bipolar

    Wile E Coyote replied to nancynurse009's topic in General Nursing

    This needs to be addressed with his boss(es) pronto, like first thing tomorrow. Yes, tomorrow. He may be completely unaware that his behavior is so jarring, or perhaps just not in a state to care. His...
  21. Wile E Coyote

    Hit in the groin during clinicals

    Wile E Coyote replied to Smith5's topic in Men in Nursing

    The patients are at the perfect height as you stand at their bedside, expect it to happen a few
  22. Wile E Coyote

    Black and Job Hunting

    Wile E Coyote replied to ThePrincessBride's topic in Job Search, Interview, Resume

    OP, I feel you. I lived in Germany a lifetime ago and knew a Croatian girl named Jolanda, introducing her to my fellow Americans usually elicited "Yolanda? How'd she get a black girls name?"
  23. Wile E Coyote

    Please help me understand COPD!

    Wile E Coyote replied to georgianurse16's topic in General Nursing

    Slay that dragon, Granny! I was scrolling down to post about the V/Q mismatch and Haldane effect myself...GrannyRRT linked a brief summary for me. The 1949 (Edited to correct the date) research that...
  24. Wile E Coyote

    Medically Independent?

    Wile E Coyote replied to Chesterton1's topic in General Nursing

    I'm reading that the OP did acknowledge a measure of nurse autonomy, thus can't see the need for the passionate disagreements that followed. To give my answer, I'll say prehospital and flight nursing,...
  25. Wile E Coyote

    IV neosynephrine, vasopressine and dobutamine??? I am confused

    Wile E Coyote replied to JuliaChambers's topic in Patient Medications

    The Dobutamine was intended to address the cardiogenic shock. It's a potent sympathomimetic that increases cardiac output. The Levo and Neo were likely meant to primarily treat the septic shock. The...