psychomachia

http://www.rncentral.com/nursing-library/careplans/100_really_useful_web_sites_for_nurses A long list of nursing web sites. Some good, some not...you decide.

My response would be, "So what labs do you want?"...

I can pee standing up.

Mostly minor care, occasionally urgent care, rarely emergent care...room

What color scrubs can I wear? Does this ER make nurses give enemas? Or a Fleets-to-go? Anything else is unimportant...

My favorite line from the movie "Clueless": Dan Hedaya as Cher's father Mel: "Hey you! Anything happens to my daughter, I've got a .45 and a shovel. I doubt anybody would miss you."

And the "nursing theory" classes I took for my BSN were very helpful too... they made me realize I could endure any form of torture and brainwashing...

You get to take the side of "A BSN is better than an ASN/ADN/Diploma/Regent's/Foreign trained/everyone else debate" That's always fun....

Hmmmm....another way to "P" off the floor....he hee hhee...just d/c the IV before sendin' 'em up and tell 'em it infiltrated...yea...that's what I'll do if they gripe about the placement...let 'em start their own IVs...heehehehhehheee...next time you won't be takin' a break when I call, will you??? heehehehhehhehhehheeeehhehheehh.....

OK. But apparently it's OK to gripe about ER nurses and not about med-surge?? Like I said before, some of it was in jest, some not...If I hit a nerve, perhaps I wasn't too far off the base...or maybe your retort was in haste and you didn't read what I wrote???

Just goes to show you can't please all the nurses all of the time... But I'll take a chance and offer my "enlightening" reasons why the AC is sometimes the site of choice: 1. Easy to start when you're behind and up to you a** in patients who all think their "emergency" is the ONLY emergency in the place. 2. Some pt.'s actually prefer them since they may not hurt as much as some tiny little hand/wrist vein...to each his own... 3. When you have to draw your own labs (unlike most floors) you can't fart around trying to suck blood out of some 22g in a micro hand vein, just to have to do it over again when the lab calls and says "it was hemolyzed." 4. We often don't know what is really wrong with the pt, so a "good" line that is capable of whatever (meds/fluid/blood) we need it for and able to handle any amount is often started. Sorry if that doesn't fit in with your plans. 5. It gives us a way to get back at the floor nurses who seem to always be on break and "off the floor" when it's time for report from the ER. Who watches your pt.s when you're gone?? And why can't they take report when you're gone?? Perhaps if the floors stopped playing games with their census (funny how so many beds open at shift change), then maybe we would try a little harder to make your life easier... Some of the above is in jest; some is not... I'll let you decide which ones are/aren't.

I speak "Drunk"... It's a well known dialect that is often heard in ERs around the world and usually starts with a denial statement, such as "I schwear I ownleeeee had twoooooo beeeeeeerrrrrrssssss..." It's a very strange language in that it can incorporate yelling, swearing, abusive statements, threats, incomprehensible words, excess saliva and uncoordinated body movements along with a distinctive odor that is always present when being spoken. If you're lucky, you'll have the opportunity to converse with one of the rare "Happy Drunks" who like to sing their dialect instead of speaking... There are no "language" schools to learn "Drunk" because it is strictly on the job training. And of course, no extra money...

And practice your defensive driving skills..

You're right, phlebitis should be warm and an infiltrate cold, but like everything in nursing - the patients don't know or follow the rules... If the site is cold compared to the surrounding tissues, and you don't get a blood return from the catheter...I would d/c it and restart it.

It sucks for anything except kidney stones/renal colic.