KarafromPhilly

KarafromPhilly

cardiac ICU

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All Content by KarafromPhilly

  1. Diagnoses you never thought you'd see?

    KarafromPhilly posted a topic in General Nursing

    What's the most unusual patient you've ever had? I've had a couple--one was a woman whose admit orders included that she was NOT to have any food from home. They suspected that her husband was...

  2. Hiring Freeze in Detroit Area?

    KarafromPhilly posted a topic in Michigan Nursing

    Have applied for advertised openings in critical care at four major systems in the Detroit area--in one case, got a call from Human Resources THREE HOURS after submitting an online application! But...

  3. Nurses and vaccines

    KarafromPhilly replied to georgiasfynest's topic in General Nursing

    Just so you know, the NVIC website is run by a crank named Barbara Loe Fisher who has been in the anti-vaccination business for years. I would double check on a reputable website if you want...

  4. Fighting mandate regarding flu vaccines

    KarafromPhilly replied to Blessedx3's topic in Disaster Preparation

    I think it would be helpful for some of the nurses who are objecting to vaccination to go back and review the basic principles of

  5. Stupid Allergies

    KarafromPhilly replied to prowlingMA's topic in General Nursing

    Allergic to oral Dilaudid, but not the IV form. Or, allergic to 2mg IV Dilaudid but not allergic to 4mg dose of IV

  6. Things you'd LOVE to be able to tell patients, and get away with it.

    KarafromPhilly replied to AngelfireRN's topic in Patient, Colleague Relations

    For a few, select patients: Guess what? We know what the hell we're talking about when we tell you what to do to stay out of the hospital, and we know you don't do any of it. Don't even have the...

  7. Dangerous nurse?

    KarafromPhilly replied to RoyalNurse's topic in General Nursing

    I second the above posters, but I would add that sometimes we perceive attitudes on the part of others that aren't there. Are you sure that doc was being condescending to you, or maybe his...

  8. Things you'd LOVE to be able to tell patients, and get away with it.

    KarafromPhilly replied to AngelfireRN's topic in Patient, Colleague Relations

    To the family that won't leave their poor mother alone to rest and rotate in and out of her room hour after hour, all day long-- For God's sake, let your mother get some rest. The quality of the care...

  9. Bipolar does not mean "druggie"

    KarafromPhilly replied to aslaten08's topic in General Nursing

    In my experience, it's not just pain issues, but other things too. I can't count the number of times I've heard, "(S)he has a psych history." with a roll of the eyes, as if that explains everything...

  10. Rules for the ER (long)

    KarafromPhilly replied to EDValerieRN's topic in Emergency

    "I need 4 of morphine and 25 of Benadryl. I will ask for the same in one hour." You may ask for whatever you like in one hour, dork. Good luck to

  11. ER Pet Peeves

    KarafromPhilly replied to ERERER's topic in Emergency

    . psych patients, I HATE THEM!!!! I am a firm beleiver that if someone is suicidal they wouldnt be in the ER telling you that they are suicidal. Most of them are attention seeking and take beds...

  12. a dosage question

    KarafromPhilly replied to Hope1978's topic in Nursing Student Assistance

    As I understand the question, you have one bottle that has 500mg of drug, and you need to add 10 ml of diluent. In the real world, if you have to add 10 ml of diluent to a bottle, it would state that...

  13. Cost of illegal immigration on one Florida hospital

    KarafromPhilly replied to Danish's topic in Activism, Healthcare

    I can't help but think that people who get so upset about, for example, a few undocumented immigrants who require very costly care that pushes small hopsitals into insolvency are missing the bigger...

  14. After 15 years - I may be one more nurse to add to the shortage

    KarafromPhilly replied to BrokenRNheart's topic in General Nursing

    The way I see it, the problem is that those who know what's really going on are--or feel--powerless, and those with power have no idea. I have an idea--what if every licensed nurse in the country...

  15. Question about Phenergan and tachycardia SE...

    KarafromPhilly replied to zamboni's topic in Emergency

    Just btw, Phenergan is known for lengthening the QT segment--even with moderate tachycardia I would probably check their QTc to be

  16. Funny things that pts say

    KarafromPhilly replied to jRN4now's topic in Nursing Humor

    Responsive to noxious

  17. You know you work nights when.......

    KarafromPhilly replied to HM2VikingRN's topic in General Nursing

    ...when you fantasize about people who only ever work day shift being told that they MUST be present at a staff meeting/inservice/whatever. At precisely...3

  18. Will somebody PLEASE tell these doctors....

    KarafromPhilly replied to UM Review RN's topic in General Nursing

    I think her point was that for all she knows, this doc could be some guy off the street, or a plaintiff's attorney/aggrieved family member/etc., in which case they have no business poking into

  19. most controversial medications

    KarafromPhilly replied to defeatedcreek's topic in Patient Medications

    I know it is used for a rare condition called pemphigus vulgaris, which is a nasty condition that involves blistering of the inside of the mouth and can be hard to treat; even so, it's a treatment of...

  20. Funny Things Naieve Medical Personnel Have Said

    KarafromPhilly replied to FranEMTnurse's topic in Nursing Humor

    I had a nursing student following me when one of my patients started to decompensate--I told the student, "OK, we'll need a blood gas kit--they're in the clean utility on the third shelf." She said...

  21. Condition H

    KarafromPhilly replied to LaNorteBellaRN's topic in General Nursing

    Perhaps if it were renamed Code Why Your Problem is Not a Medical Emergency, Just Like The Nurse Explained To You

  22. Reality Shock

    KarafromPhilly replied to beanie72's topic in Nursing Student Assistance

    IMHO, this is exactly why so many nurses give up and leave. I worked on a med-surg unit for about two years, and I will never go back. On any given night I could have patients in alcohol withdrawal,...

  23. Any outlandish therapy, you've thought up?

    KarafromPhilly replied to CaLLaCoDe's topic in General Nursing

    I'd like to be able to administer Haldol via blow-dart. Much safer for the nurse to stand in the doorway to give

  24. What do patients say that irks you?

    KarafromPhilly replied to NurseforPreggers's topic in Ob/Gyn

    pregnant woman: "They're going to have to take my baby." me: "Really? Hm. Where are they taking

  25. How Can Mercury in Vaccines Be Safe?

    KarafromPhilly replied to indigo girl's topic in Patient Safety Issues

    Why would anybody shell out funding for research when the question at hand is essentially settled? That seems like a waste of