Wile E Coyote ASN, RN

Critical care

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All Content by Wile E Coyote

  1. Wile E Coyote

    JP drain questions

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

    I suggest posing this to your HH supervisor. If you do end up being questioned, I don't think you'd want to answer "That's what they told me to do on this website I went to". There should be either...
  2. Wile E Coyote

    Older NPs and Rns do you get burnout (compassion fatigue)

    Wile E Coyote replied to jjohn5048's topic in General Nursing

    I'll hazard a quick guess that not admitting to some degree of burnout over a 20+ year career can be likened to not admitting to ever making a med
  3. Wile E Coyote

    confessions of a RRT

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

    I notice that you've chosen to not address the large majority stories where we view our RT buds positively...and the several previous posters that have made that same observation. Not that my opinion...
  4. Wile E Coyote

    drug testing

    Wile E Coyote replied to los4m's topic in General Nursing

    Yes, show them the bottle. The folks who process your sample will make note of it, and depending on their protocol, may send a final 'clean' report if it all jives for them. Said again, if they match...
  5. Wile E Coyote

    drug testing

    Wile E Coyote replied to los4m's topic in General Nursing

    I don't have to know what particular drug panel an employer uses to know that Norco will be included. If you have a valid script, there is nothing to be terrified
  6. Wile E Coyote

    Is not answering the phone for work bad?

    Wile E Coyote replied to CedarGirl10's topic in General Nursing

    Number 1 is that phone is for YOUR convenience, not theirs. Number 2 is my own go to phrase: This place has managed to be a hospital before I came along, and will manage to continue being one when I'm...
  7. Wile E Coyote

    Unhealthy habits/Facebook posts from friends/family that make you :( ?

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

    So, what exactly is it about those carb-laden Chinese meals that your diabetic family members are about to indulge in are giving you
  8. Wile E Coyote

    Triphonines

    Wile E Coyote replied to Susanorf1961's topic in General Nursing

    I'm thinking our new member is a non-clinical patient, close to a patient, etc. and heard blood was drawn for cardiac enzymes. Something about that meant more sticks, and now we are being queried....
  9. Wile E Coyote

    NP VS MD?

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

    Nope. Many of us saw Jules A's now removed post, and took it as a
  10. Wile E Coyote

    Getting around the 18 y.o requirement

    Wile E Coyote replied to npaar's topic in Pre-Nursing Students

    Working as a minor in an acute care hospital is very possible. There are several young people that have or are currently working in my ICU as CNAs at 16 or 17 years old. It's a extension of their...
  11. Wile E Coyote

    Getting around the 18 y.o requirement

    Wile E Coyote replied to npaar's topic in Pre-Nursing Students

    BS in a core science now, then accelerated BSN at 18. That's the only way I know how to keep her challenged until she ages in. If she fully fits the high-achiever mold, I feel that stopping at BS...
  12. Wile E Coyote

    Ativan and getting punched in the face

    Wile E Coyote replied to Happynurse2222's topic in General Nursing

    Not out of line in some situations, no. Not every pt responds favorably to every med, Ativan included. I see little problems become huge problems due to the 'wrong' med, sometimes. So, if this doc has...
  13. Wile E Coyote

    When to apply?

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

    I agree with the first reply. Let what's out there steer your decision. Are these future positions at the same facility you work in now? Lastly, know that *some* places take a dim view at nurses...
  14. Wile E Coyote

    Question on liver disease pt, MAP, and lactate level

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

    Got it, thank you for
  15. Wile E Coyote

    Question on liver disease pt, MAP, and lactate level

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

    Thank you, but please note that I didn't encourage such either/or conclusions. I did go through the thought process on refining a differential Dx. This patient's management would better be driven by...
  16. Wile E Coyote

    Question on liver disease pt, MAP, and lactate level

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

    In the setting of an impaired liver, Lactate levels mean even less than we've lately come to realize they do. Said another way, there is strong evidence to suggest our understanding of oxygen debt has...
  17. Wile E Coyote

    ER rushing patients to the floor

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

    ^^^That is some downright BS, OP! What a horrible situation. I had an entirely different, level-headed reply type out, but I erased it...I'm sitting here boiling mad for you. I recently took a new...
  18. Wile E Coyote

    ER rushing patients to the floor

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

    That's some steep m/s ratios, as pointed out. For the ED's part, they get near constant barrages about their disposition times. Door to triage time, triage to provider time, door to cath lab time,...
  19. Wile E Coyote

    Do profs usually go over parts of A&P that are relavent to the topic they are teaching?

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

    Your nursing fundamentals aka 'med-surg' textbook should contain a decent review of normal physiology before delving into pathologies, grouped by body system, i.e. GI, GU, etc. That seems to be an...
  20. Wile E Coyote

    Panic attacks following never event.

    Wile E Coyote replied to Iamgroot29's topic in General Nursing

    The advice given to share with coworkers must be tempered by the fact that a confidentiality agreement signed by all participants in the RCA usually prevents such side discussions until a certain...
  21. Wile E Coyote

    Abandonment

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

    Sit a spell under a tall tree, sip a cool glass of sweet tea, and watch a dust-devil or three twirl by...Rest, recharge, then reclaim your working life. (Considering the season, unless Farmdog is an...
  22. Wile E Coyote

    Placed on Monitoring as New Grad

    Wile E Coyote replied to Insperation's topic in Nurses Recovery

    https://allnurses.com/nurses-recovery/ Welcome aboard AN! Above is a direct link to an entire forum section dedicated to nurses at every stage of
  23. Wile E Coyote

    Central venous line, blood withdrawal

    Wile E Coyote replied to RN.Sara's topic in General Nursing

    Here are 22 'reasons' for either why we need to be mindful of iatrogenic anemia, catheter related blood stream infections, and more...oh my! (Yes, the formatting stinks) 1. Tinmouth, A.T., L.A....
  24. Wile E Coyote

    CRNAs in Critical Care Medicine

    Wile E Coyote replied to FlyMurse's topic in Certified Registered Nurse Anesthetist, CRNA

    CRNA's can practice in some really small, isolated facilities, and thus can expect to be utilized in some atypical way, (the 'many hats' finding that's common to such situations) but it's not...
  25. Wile E Coyote

    New Grad travel nurses

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

    I feel that a new grad in a travel position is a tough row to hoe. To put it bluntly, it's a recipe for