bigsyis

bigsyis

ER, Occupational Health, Cardiology

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All Content by bigsyis

  1. Wow! You all are just the best! Thank you, RN/writer for your very thoughtful post, and to first lobster and prowlingMA. Your insights are just the kinds of things I was looking for and had not...
  2. woman dies in ER waiting room (article)

    critterlover, in the first article it said that the pt was outside the hospital, and brought into the er by law enforcement personnel. the triage nurse was quoted as having "thanked" the officers for...
  3. Male Urologic Dilemma

    I would again suggest that you get yourself referred to the nearest University College of Medicine. Either Mister PCP with the soulful eyes can do it, or you can self-refer. Best of luck, and please...
  4. Thank you for your good wishes and ideas. The one area we haven't covered yet is food for the family postop, but you can bet that we will! Thanks
  5. Side Effects???

    We can't give advice, and you should follow up w/your plastic surgeon or whomever Rx'd the Vicodin, and don't wait until Thursday. You may not be able to tolerate the hydrocodone in Vicodin. It is a...
  6. woman dies in ER waiting room (article)

    Maybe I missed something-was it determined that this lady did have a bowel perf? Beyond that, I was thinking of a AAA. About 15 yrs ago when I was in ER (a CEN), we had a man come in 3 times in one...
  7. Help telling co-worker to stop complaining!!

    Sounds as though that nurse has a BAAAAD case of short-timers syndrome. If you haven't encountered it yet, people who know they are on their way out figure that they have nothing to lose,...
  8. Standard Orientation vs Internship

    Take the 9 month. You will learn as much during that time (or more!) as you would in a couple of years in one place. Do it, do it, do it, and be thankful that they are willing to pay you for that...
  9. First I set up the rock-then I got out my trusty chisel. Seriously, I took copious notes, and reviewed everything I had written-several times. Early on, I had a Professor who told us that anything he...
  10. Be thankful for what you have. Even if you decide to go elsewhere later (but why would you leave such a good facilty?) it sure doesn't have to be at the place you interviewed. I think your former...
  11. Ack! My Mother is "That patient"

    Oh, good grief! My Mother, too! The very person who taught us to be polite and thankful when we were under stress (thankful for the good things), forgot every bit of that when she was in subacute care...
  12. Smelling Cancer?

    She has probably learned to associate some odor of decay as the disease has progressed, such as exhalation from a terminal lung CA
  13. Need to vent about my horrible night!! UGGG long

    Does that facility have prefilled syringes of Lidocaine gel? A tip I learned from a Urologist, many years ago in ER, is to instill 3 cc of Lido gel into the urethra, and then cath the pt with a...
  14. Can we feed the Family?

    I think you are a very compassionate person, and if it is food that you are entitled to, you should be able to eat it yourself, or give it to anyone of your choice. This would definitely include your...
  15. Male Urologic Dilemma

    How about getting the phonebooks for your area and the nearest large town, and sitting down and dialing urologist practices until you find someone who has a male PA? The town I work in has about...
  16. disclosing PRN Vicodin

    Having done MULTIPLE drugs screens when I was doing Occ Med, you would be well-served to declare ANY meds, Rx or OTC that you have taken within the past month. Be sure to let the tester know that you...
  17. Cheap reference books??

    Please go straight to Amazon.com They have used books on sale for most book titles, even some out-of print ones. I frequently get books in good used condition for a penny, but have to pay the $3.50...
  18. No, according to the law you can't tell her. But what makes you think (or know) that she didn't already know? And, you OB nurses out there-isn't HIV something that preggo ladies are routinely tested...
  19. Is this prejudicial

    I believe that you would be well covered by the
  20. Crepitus

    I first saw subcutaneous emphysema (and it was called that) back in 1983. A pt who was dying of lung CA ruptured a bleb. Subq emphysema is not due to a buildup of fluid (I read "edema" in the...
  21. Funny fake names for meds

    While working up a pt to be seen in the office one day, I asked her if she needed any med refills. She gave a handwritten list that had the names of three meds on it. The last on the list was...
  22. iv push benadryl

    I never diluted it, but gave it slowly, because it can sometimes cause a drop in BP. I think diluting it is an excellent idea, especially since the pre-filled NS syringes are around-there really...
  23. Abandonment???

    Why couldn't even the Unit Secretary page you in the room you were in to let you know that your assignment had changed, and to check w/the desk? Why couldn't the off-going nurse stick her head into...
  24. Goal of nursing school - training or not?

    My LPN training was superb, I feel. We had LOTS of clinical exposure, as well as classroom preparation. My program had always scored 98% or better pass rate on the NCLEX, and our class kept the...
  25. Boniva-Fosamax = atrial fibrillation ?

    My two EP docs had not heard of the possible connection between the meds and afib, but they have now! They were very interested to hear about