cmo421

cmo421

Trauma ICU,ER,ACLS/BLS instructor

Member

All Content by cmo421

  1. Why are nurses so angry?

    Reading the forum in the past few months, a common thread I have seen is the anger. It does not seem to matter what the discussion is about or the level of nurses discussing it,anger is a common denominator. All of us have random days of extremes,ang...
  2. How to be a Good Clinical Supervisor?

    Any management job is difficult with very little satisfaction. Hard work and many hours complicate the many requirements made. It helps if you have a assistant to buffer the many needs of heading a unit. If you are talking of shift supervisor,thats m...
  3. I am sure all reading are thinking that they would never tolerate any such behavior. But do you? Think of the unconscious post op that comes in with bizarre tattoos or piercings. Remember that head patient screaming, fighting, spitting and punching t...
  4. Burn out,unfullfilled dreams and lives. Poor working conditions and so much more contribute to this state of mind in some. So many go into health care to fill a hole that is inside of them. It never fills but with anger and bitterness. It is these in...
  5. Nurse's what's your New Year's resolutions?

    I resolve this year to: 1) Try and quit smoking 2) Overcome my PTSD and be able to look those in the eye who facilitated it ,without crying. To be able to look them in the eye,and tell them,in a strong ,steady voice, that they will never again affec...
  6. Nurse's what's your New Year's resolutions?

    Good luck! Life is great after divorce. I always say, I gave up men for lent 12 years ago and lent myself to living!
  7. Helping family understand chronic pain

    How I wish there was a way for evey medical person, especially ER personnel, to experience one day of chronic like pain. If they had to, or family had to, I bet my bottom dollar, that pain control would become a priority and tolerance for those in it...
  8. HIPPA and the Allnurses.com Forums

    Just stating what I have learnt in recent months from personnal experience. I am also a huge advocate for pt privacy,and have been way before it became vogue. I think it is mostly common sence and ethical values that will encourage the profession to ...
  9. HIPPA and the Allnurses.com Forums

    HIPPA is actually a joke. Pt confidentiality and respect is more the answer. Hospitals and such are throwing HIPPA at us all the time ,when actually they,and insurance companies are the greatest rule breakers. One chart and all its information is see...
  10. preauricular abscess

    Mass emailing allnurses for help, is not the way to go. (I received two) While always willing to lend a hand, much of what you need is already in this forum. Try doing a search here and also google. Good luck!
  11. A letter to K.

    What a great job you have done. Learning is an everyday thing and listening is an art. You have accomplished more then most medical people do in their whole profession!
  12. I try to do the best I can when typing here, or anywhere. I also try and proof read. But, I am not very maticulous all the time. Like most nurses and people today, I seem always to be in a hurry. I notice that I am improving over time. Now that I k...
  13. what would do you in this kind of situation?

    If someone is found in a post mortum state,dead, no chance of bringing them back, it is unethical and poor judgement to go pounding on their chest.You might not agree, and cya is always the safe way to go, but I am just saying what is ethical and wit...
  14. what would do you in this kind of situation?

    If u walk in and they are dead,dead,dead, then let them be dead in peace. A full code is done on a warm body,not one in rigor. No family member or ME is going to tag u for making a judgement that is in the best interest for all. Document what u found...
  15. DNR Orders Overturned By Doctors

    Actually, a DNR order can and should be written on admit, no matter what the diag, if the pt request it and has a document. An elderly person of 90 ,might come in for a scope and code on the table. It is what it is. When nature takes its course, a pt...
  16. preauricular abscess

    Merrick Manual will fill u in on all of this and lippincott can help also. Google is also a great idea.
  17. MORPHINE and Dying Patients

    I gave the last dose to my Mom before she died. Ratty resp. ,comatose, but obviously in the last moments of her life. Cried for months over that , but will never regret the fact that my mother died without pain and that her grandchildren,holding her ...
  18. Tired of impaired nurses

    I agree! It worked for the dirty dozen,,,lol.
  19. Help please. Looking for a policy or evidence base practice on post op high thigh wounds. Like after open heart, thigh is donor site for graph. Prone to infection to to proximetry to perineal area. Does anyone have a policy they use or an idea whe...
  20. Policy based on Evidence Based practice needed!

    Well I have never seen one either, but we need one. Betadine is really, really outdated now also. Unless we let it totally air dry, it is useless and also it inhibits new tissue healing. This is fairly new in the literature,but going into practice ov...
  21. Not enough attention to BMs in nursing today!

    Read about Toxic bowel syndrome and its incidence in the critical care areas. With high use of antibiotics and opiates, bowel problems should be a high priority,but sadly they are not. High temp,sedate elder person? Possibly just ***. I so remember g...
  22. Tired of impaired nurses

    "rampant unprofessional behavior" seems to be more acceptable these days ,then not. Witch hunts against those who tire of such and report to the powers that be, is also more the norm. But , ethically, and morally,one does what one has to do. Agree wi...
  23. Looking for some feedback in this area. We have a rate increase in post op cardiac harvest site infections. High thigh wounds,close to peri area. Any standards out there ? I have looked on so many site and can not find what I am looking for. Evidence...
  24. Thanks for the reply. In my research and in speaking to IC people, betadine is now frowned on post op and really anytime. Unless it is let completely dry when used,it can actually become a medium for growth. It also inhibits healing in open wounds ....