silas2642

silas2642

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All Content by silas2642

  1. How to Deal With Ignorant Medical Professionals

    silas2642 replied to tencat's topic in General Nursing

    Sorry you're in this position-- when these situations occur, it's always the patient who winds up suffering the most. You're probably not going to be able to move mountains in this situation, but as...

  2. Scope for nursing school - recommendations appreciated!

    silas2642 replied to crdubs's topic in Scrubs, Uniforms, Gear

    I think that it depends on a number of factors including what kind of investment you want to make (if I remember correctly the Master Cardiology III is quite bit more expensive than the classic II...

  3. Stethoscope - best for the buck

    silas2642 replied to Difficult_To_Stick's topic in Scrubs, Uniforms, Gear

    Yeah. I would agree with the poster who said that the Littman Classi SE sounds like a good scope for you. It's not outrageously expensive, it's a solid scope with a bell and a diaphragm, it's...

  4. How many of your hospitals/clinics offer alternative medicine?

    silas2642 replied to DirtyBlackSocks's topic in General Nursing

    I don't know if all hospitals should offer it, but I will say that many alternative treatments like acupuncture and chiropractic adjustments, while not necessarily helpful have been studied to be...

  5. Discouraged about being a nursing student

    silas2642 replied to psustudent5's topic in Nursing Career

    It sounds like you have a problm that is interferring with your ability to do what you want-- I would definitely try and get this under control before you start nursing school/invest in nursing...

  6. Coumadin, yes or no?

    silas2642 replied to BCgradnurse's topic in Nurse Practitioners, NP

    What does your attending think? Why is he clotting, and has he been referred to hematology? Is he an appropriate candidate for a greenfield

  7. Fired but asked to resign!

    silas2642 replied to RNStudy's topic in General Nursing

    Look did you violate the attendance policy or not? It doesn't matter what other people did, it matters what YOU did... if you don't show up to work, that's an enormous problem. You're no good to...

  8. Anemia: am I the only one who thinks it's all complicated?

    silas2642 replied to BmoreCRNP's topic in Nurse Practitioners, NP

    Honestly I would ask an attending about this issue because you don't want to miss anything like an anemia secondary to malignancy. If her anemia is secondary to one cause, then figuring out the...

  9. Where did you get your license, KMart

    silas2642 replied to litebrightgirl's topic in Nurse Practitioners, NP

    How could you possibly know if you haven't seen the

  10. Dead or Not he was your Patient show some RESPECT!

    silas2642 replied to Jerry 75's topic in Emergency

    He needs to change, there's no excuse for that kind of behavior. Sit down and explain he you can't behave like that (ie you're dealing with human beings who are sick). If he doesn't change, report...

  11. Can a DNR order be a TO

    silas2642 replied to Bug Out's topic in General Nursing

    The thing of it is, what does DNR mean to the patient? You have to be sure that what the pt actually wants-- does that mean no chest compressions, but you can give vasopressors and fluids? Does...

  12. iTouch vs. Blackberry

    silas2642 replied to studentmom6263's topic in Nurse Practitioners, NP

    Just get the iphone; it's awesome. I'll never go back. Every blackberry user I've ever met is so-so on how they feel about it, but I've never met an iphone owner who doesn't love it to

  13. Did I I just get a no-good stethoscope?

    silas2642 replied to luckygal5571's topic in Scrubs, Uniforms, Gear

    It doesn't matter what other people think of the brand or whatever of your stethoscope, what matters is whether or not you can do your job with the stethoscope. A lot of what you're going to hear is...

  14. Curious...using the title "Doctor" for a DNP...

    silas2642 replied to justme1972's topic in Doctoral Nursing Degrees

    Quite frankly, I think that a lot of physicians just don't respect the DNP degree because they feel it's a load of crap-- there is no consistent curriculum across schools for this degree, it can be...

  15. Had first experience of withdrawing pt care, emotionally drained, need some advice!

    silas2642 replied to shoegalRN's topic in General Nursing

    I'm sorry to hear about your night, but it sounds like you helped get the family through what was probably the worst night of their life and you did it with professionalism and a great sense of...

  16. Would you have given the meds??

    silas2642 replied to **LaurelRN's topic in General Nursing

    i think that you should have paged an md if her glucose was down to 39 and asked what he wanted to do with the meds-- hypoglycemia can be dangerous; remember that glucose is the brain's only source of...

  17. Labs for pneumonia and hypoxia?

    silas2642 replied to NewBeee's topic in General Students

    Just curious, did they tell you that the pt had pneumonia, or are you just assuming that the the pt has pneumonia because the the O2 sat is low? Because unless they told you that the pt had pneumonia,...

  18. Low TSH, increased Synthroid

    silas2642 replied to kanzi monkey's topic in Nurse Practitioners, NP

    What was the T3/T4 when you measured it? The TSH alone doesn't really tell you much. Also, how did the pt present and what was the PE like-- these are kind of important clues that you all have to put...

  19. NPs doing median nerve blocks??

    silas2642 replied to JaimeeG's topic in Nurse Practitioners, NP

    I'm kind of with wowza here when asking why on earth would a chiropractor be doing nerve blocks? As far as I know, that's not even within a chiropractor's scope of practice-- I thought that was...

  20. Indications for diagnostic testing

    silas2642 replied to johnson0424's topic in Nurse Practitioners, NP

    Well, asking the radiologist or a physician seems like a good start. I'm just a med student, but we were taught that you should definitely have a pretty good differential in your mind before you start...

  21. Is c-diff seriously contagious?

    silas2642 replied to sprintin08's topic in General Nursing

    I'm not totally sure, but I think that they're more worried about the patients than they are about you. C. diff is found in the normal flora of a lot of people. The problem begins when pts are put on...

  22. What would you have said to this CNA

    silas2642 replied to zofran's topic in Patient, Colleague Relations

    Why did you apologize to her? You didn't do anything wrong. You wrote her a note communicating what needed to be done (which was within the scope of her job), and wrote it in a professional manner....

  23. NP to MD

    silas2642 replied to kimkubick's topic in Nurse Practitioners, NP

    I don't understand why you feel that your scope of practice should be different than a

  24. Here's one I'll bet you don't hear every day

    silas2642 replied to chirodoc's topic in Nurse Practitioners, NP

    Well, you've already been through chiro school once and since that is harder than med school, then med school should be a breeze-- just go for it. You're not that

  25. understanding how a cardiac arrest leads to respiratory arrest

    silas2642 replied to chrissy student's topic in General Nursing

    Doubtful; pretty sure that the diaphragm is striated muscle and as such can use anaerobic sources of fuel. The brain works only on aerobic sources-- which is why it is so sensitive to hypoxia/anoxia...