Wile E Coyote ASN, RN

Critical care

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All Content by Wile E Coyote

  1. Wile E Coyote

    Salaried Unit-based Educators...

    Thank you for your helpful response, llg. It's long been time to find something easier on my body. I've been told for years now that people enjoy coming to me for my little pearls of knowledge on the...
  2. Wile E Coyote

    Salaried Unit-based Educators...

  3. Wile E Coyote

    CSC help

    Cardiac surgery certified, a sub-certification to the CCRN, Critical Care certification. Check out Manual of Perioperative Care in Adult Cardiac Surgery, 5th Editionby Robert M. Bojar. (I have the 4th...
  4. Wile E Coyote

    Question about fent OD?

    The patient's history of liver Dx and a recent packed cell transfusion (old banked blood produces NH3) should have shifted the index of suspicion for the mental status changes away from the usual...
  5. As you said, your decision is already made, but just know that there's a place for research as an RN. Yes, even as the coordinator. Look up Nursing Informatics to marry nursing with your interest in...
  6. Wile E Coyote

    Do you feel safe at work?

    I don't know details on how exactly those unarmed guards subdued the shooter, but holy smokes what stones on those folks! Those guards wouldn't be paying for their own lunches for the rest of the...
  7. Wile E Coyote

    ACLS Certification

    I'll second Youtube, and add Khan Academy as free lectures for self-learning. Also, seek out your hospital's education
  8. Wile E Coyote

    invasive procedures during comfort cares?

    I think an in and out cath for urine is far enough down the list of painful/distressing procedures, particularly on an individual with a GCS of 3, that the documented evidence that this patient was...
  9. Wile E Coyote

    Accelerated Masters with no Nursing background

    I too am curious. My ICU colleagues that are all pursuing or recent grads from NP programs are pretty rural yet still complete their 500-600 clinical hours seeing clinic pts and inpatients on the...
  10. Wile E Coyote

    Bleeding Tumor

    Most of us would love to help, however it is wisely against the site's terms of service to do so, even among other health professional. Best wishes to you and your wife for answers and
  11. Wile E Coyote

    Accelerated Masters with no Nursing background

    Not fair to paint them all with the same brush. I don't see them as lazy, I see them as products of a larger system that facilitates their advancement. Since they are direct-entry, they have little...
  12. Wile E Coyote

    Is money everything in this profession?

    Some of the assertions in the oath don't fit many people's modern views so it's seen less and
  13. Wile E Coyote

    Accelerated Masters with no Nursing background

    To clarify my own position, I make a sharp distinction between the average APRN with nursing experience in the field they practice in vs. those from direct-entry programs. I also need to differentiate...
  14. Wile E Coyote

    Accelerated Masters with no Nursing background

    I agree that an ankle problem could be accommodated by both a school and an
  15. I deal with it by modeling (Not THAT kind, haha) but I've found that by displaying calm responses to issues, regular coworkers begin adopting the same approach. I also try to keep the problem THEIRS...
  16. Wile E Coyote

    Eaten Alive in the ED

    I'd guess that nearly all of us have encountered a toxic person or two. A few strong personalities can set the culture of the whole unit, be it for the positive OR the negative. Either you're being...
  17. Wile E Coyote

    Can a hospital retract their job offer

    I'm thinking it was an honest oversight, so I'll ask...Did you really intend to only highlight this one post out of the many other helpful/supportive posts in this
  18. Wile E Coyote

    Am I a bully?

    Not a fair assertion. There's not nearly enough certainty in the world to 100% negate the amount of unfair BS most of us have witnessed in our lives. Just watch the
  19. Wile E Coyote

    Accelerated Masters with no Nursing background

    This has been hashed out frequently on AN. The absence of data does not automatically support one hypothesis over another when the test isn't measuring the right data in the first place. I'm not...
  20. Wile E Coyote

    Refusing to float

    Ah, the old "a nurse is a nurse" thinking. Any nurse should be able to function in Peds, OB, OR, Utilization Review, ICU, PICC team, Code Team, PACU, M/S, Oncology, Psych, House Supervisor, Nurse...
  21. Wile E Coyote

    Am I a bully?

    New-ish manager not meshing with a 40 year employee? Maybe you were being groomed for termination, but telling your new boss that they are stupid is a sure way to help that along. As a charge myself,...
  22. Wile E Coyote

    Will taking TNCC help me transition easier to ER?

    I think it largely depends on the ED manager's perception of the course. I suggest developing some contacts with ED staff in your hospital. Make your face known to ED staff who respond to rapids/codes...
  23. Wile E Coyote

    Refusing to float

    Most of my unit (ICU) also felt like we were the hospital's float pool. Every holiday, most paydays, etc. we ended up staffing all over the place. Our manager spent enough staff meetings getting his...
  24. Wile E Coyote

    Code Question?!?!

    99% of the time, I push the standard 1mg adult dose. In working with CV anesthesia providers/intensivists who are particularly comfortable with choreographing the dance of a not-quite-dead but...
  25. Wile E Coyote

    Transferring a RN license

    Nurse Licensure Compact | NCSBN The licence (and it's number) will be entirely separate for each state licence issued. If you satisfy the conditions, a license from any compact state will suffice in...