Wile E Coyote ASN, RN

Critical care

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All Content by Wile E Coyote

  1. Wile E Coyote

    RT says her scope is wider than mine. Ok?

    Wile E Coyote replied to CardiacDork's topic in Patient, Colleague Relations

    I say it's a large degree of tunnel vision exacerbated by bitterness, yes. That RT likely IS a rockstar who could teach even a seasoned RN at least a few things...but doesn't know what she doesn't...
  2. Wile E Coyote

    Do Female Docs Provide Better Care to Their Hospitalized Patients Than Male Counterparts?

    Wile E Coyote replied to tnbutterfly - Mary's topic in General Nursing

    This study's authors claim to have controlled for all of that, and yet the gaps remained. One of the more objective findings that stand out for me, is that the female docs were statistically more...
  3. Wile E Coyote

    Is Interventional Radiology considered critical care experience

    Wile E Coyote replied to AJ1980's topic in General Nursing

    I'd not expect IR to satisfy the school's experience
  4. Wile E Coyote

    albumin and hypotension

    Wile E Coyote replied to zzyzx's topic in Critical Care

    I agree that this is some pretty unsettled territory, even for those staunch supporters of evidence based medicine. I remember reading research spurred by the big Cochrane Review done in the late...
  5. Wile E Coyote

    Multistate license

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

    My opinion is that you now need a FL license, but the only places to get the truly last word on that would be WI and FL BON's. I would also try to nail down an independent expert opinion on your...
  6. Wile E Coyote

    Coffee marketed to nurses. Would you buy it?

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

    I can *feel* your desire for our responses to aggregate a certain way...but the content of your post quoted above is a textbook example of an entrepreneural attempt to purchase legitimacy. I do wish...
  7. Wile E Coyote

    HELP! Threats to call BON!

    Wile E Coyote replied to Nechic01's topic in General Nursing

    I vote you do a bit of online background checking on Mr. Wonderful. I'll be shocked if you don't find something to leverage against his threats. This guy sounds like a practiced menace, and you need...
  8. Wile E Coyote

    RRT Roles

    Wile E Coyote replied to becker_rn's topic in Critical Care

    You may have already noticed the pattern in the above responses that I did, but note the types of 'other' tasks described...they tend to be those that can be dropped at any stage to go do their...
  9. Wile E Coyote

    Vent pt with increased TV cause of increased PIP?

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

    I speculate that if you watch the patient's resp pattern during the high PIP periods, you'll see periods where the patient's expiratory period doesn't jive with the vent's expiratory period. Look up...
  10. Wile E Coyote

    Respiration counting

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

    The person you quoted said nothing to indicate that he or she was limiting their assessment to only that one peripheral pulse. Edit: Wanted to add another 'kudos' to the count for OP caring about...
  11. Wile E Coyote

    Healthcare risk management interview

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

    The stock answer to questions along these lines is that the very fact that you don't currently know who to speak to is part of the rationale for the assignment. Edit: Therefore the process to directly...
  12. Wile E Coyote

    BONUS REVOKED

    Wile E Coyote replied to Southgirl78's topic in General Nursing

    I'm thinking that this is within their legal rights. Similar to when they cancel or put us on call for low-census...the special compensation rate is not guaranteed, I'm
  13. Wile E Coyote

    Tube feedings: To pause or not to pause?

    Wile E Coyote replied to melisach19's topic in Nursing Student Assistance

    Eggzacary. Years ago (maybe 5 or so), I also quit pausing feedings during normal pt care/repositioning under the same rationale. When tracked, the frequency of pauses in a typical day added up to a...
  14. Wile E Coyote

    Impella: A new adventure

    Wile E Coyote replied to Darks1deRN's topic in General Nursing

    What's the plan for dealing with complications? Is there CV or at least vascular surgery readily avaliable? What happens if the cardiologist wants to leave it in overnight (meaning, is ICU being...
  15. Wile E Coyote

    "Near miss"

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

    It's part of an effort to be proactive towards patient safety. Also, since medical professionals are people first, the idea that having a degree or experience somehow shields us from error doesn't...
  16. Wile E Coyote

    High BP but Low HR... Which med will you give/hold?

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

    If pt primarily had heart failure symptoms and I had to choose one, I'd give the Coreg. If pt's primary concern was unstable angina, then I'd choose Cardizem. Having said that, as a newby I'd call for...
  17. Wile E Coyote

    I'm tired.

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

    It's a weird place admittedly, but I sometimes have more respect for those that at least can own their prejudices, per se. I'm a very white-passing mixed-race person, and before I matured enough to...
  18. Wile E Coyote

    Union gave away random drug testing

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

    I agree with Emergent, the absence of reasonable suspicion negates my employer's need to pry into my life. Exacerbated by my military service, I personally am an 'orthopedic nightmare' with...
  19. Wile E Coyote

    Do you ever wish you were a doctor?

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

    The subject has been brought up a few times. A physician or three, several nurses and other staff mention it to me. I even jokingly said it about both my spouse and I when browsing for homes way out...
  20. Wile E Coyote

    Jobs in nursing in social justice

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

    You've been given great jumping-off points to explore, so I'll add this small thought... I hope to never work somewhere where everyone thinks too
  21. Wile E Coyote

    Anaphylactic reaction

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

    My thoughts would be...what about adding a corticosteroid or at least an H2 blocker for this angioedema (no signs of anaphylaxis in your post) if no improvement after the Epi and there were concerns...
  22. Wile E Coyote

    Central line compatibility

    Wile E Coyote replied to mfarmer88's topic in Critical Care

    I agree. It's one thing that a fundamental bit of nursing knowledge was lacking in the very group that one would expect to understand, it was how it was handled that would make me want to see them...
  23. Wile E Coyote

    CCRN Clinical Hours Verification

    Wile E Coyote replied to FLnursing2015's topic in Critical Care

    Yes, you just need a reasonably valid verification IF REQUESTED, it's not
  24. Wile E Coyote

    Avoiding versed?

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

    For MAC primarily or for all your cases? I'd love to transition away from our go-to Fent/Versed combo for vent sedation in our ICU for the same reasons. As you know, I'll have lots of data to back up...
  25. Wile E Coyote

    Is this a crime?

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

    So, does this mean that Dr. Dre might not actually be a licensed physician? THAT'S why his lawyers reacted that way when I sent a few pictures of my mole 'down there' for him to