FlyingScot replied to fencer1119's topic in Emergency
You are absolutely correct and I completely agree with you. What I'm trying to communicate to the NEW nurses here is either utilize your facility's protocol book or get a clear order. This is not the...
FlyingScot replied to fencer1119's topic in Emergency
Well you did go on about the backward thinking, old-fashioned hospitals that didn't follow EBP. Yes, see above post. You might be aware but I bet there are a few less experienced nurses here who...
FlyingScot replied to fencer1119's topic in Emergency
What poster said they wanted to be micromanaged? It certainly wasn't me. All I said was that in absence of protocols (which are defacto orders) no nurse should start a drip without a clear order....
FlyingScot replied to fencer1119's topic in Emergency
Purely anecdotal and as such not evidenced-based. My question is, I will rephrase it, on what planet is it okay for a nurse to decide initial, titrating and max doses of vasopressive drugs in the...
FlyingScot replied to fencer1119's topic in Emergency
Hey now! Not every hospital that doesn't use protocols is old-fashioned, not forward thinking or don't use EBP. Maybe they don't have the money for departments dedicated to evidence-based practice....
FlyingScot replied to fencer1119's topic in Emergency
And as a nurse you should be aware of your scope of practice and abide by it or else you won't be a nurse for very long. Listen, I'm not an idiot order follower. I used to RUN codes. I know standard...
FlyingScot replied to fencer1119's topic in Emergency
That is sooo wrong in so many ways. Believe me, if the patient went south she would have thrown you under the bus so fast your head would have spun. NEVER, EVER, EVER let a physician do that to you....
FlyingScot replied to fencer1119's topic in Emergency
"For example the charge nurse had me start the cardene at 0.5 mg/hr and titrate up by 0.5mg, but I later read to start at 5 and go up in increments of 2.5. Or was the 0.5 appropriate because he was a...
In the time it took her to ask couldn't she have faxed it herself? Sorry but I took the nurse's request as a passive-aggressive statement that she thought the OP was just sitting around and she...
"My questions are: 1) Has anyone considered a similar dilemma? What did/would you do? 2) Practically speaking, what are the implications? Are they likely to refuse to give me references or actively...
By the time you get your BSN and have gotten quality experience you'll be in your 50's. Some flight companies run 24 hour shifts that can stretch into much longer if you get grounded for weather....
FlyingScot replied to Codeblue1982's topic in MICU, SICU
KAM212, can I just tell you how sorry I am for your loss. I have taken care of many ARDS patients (although they were children) and it is one of the worst diseases I have ever had to deal with. So...
You must have me confused with someone else because I never said you or anyone else was lazy. And as far as I can tell I didn't "slam" anyone either. You, yourself, said you were callous and made the...
If 28 years of experience (I need to update my profile) constitutes not being a nurse for very long then, ummm, okay and no I don't work with saints nor am I one but I've never made a decision on how...
If the nurses were really the cause of his port infections and they actually caused the skin breakdown then there was truly something horribly wrong with them and they have absolutely no business even...