birdgardner

birdgardner

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All Content by birdgardner

  1. Trauma Naked?

    birdgardner replied to mark90's topic in General Nursing

    Rectal exam being called into question. Probably more of a neuro than a GI exam anyway. Rectal exams can rarely result in cardiac dysrhythmias, so not entirely benign. G.Guldner, A. Brdzenski. The...

  2. Trauma Naked?

    birdgardner replied to mark90's topic in General Nursing

    A few weeks ago, I transported (as an EMT) a boarded and collared DUI rollover victim, no significant injuries in my judgement. He did end up trauma naked, totally cooperative, but when he said he had...

  3. How much of nursing can be outsourced to other countries?

    birdgardner replied to SharonH, RN's topic in General Nursing

    Some people are actually sending their elderly relatives abroad for less expensive long term care. I read an article about a man who moved to India with his elderly parents and they weren't Indian;...

  4. Nursing Student annoyed me

    birdgardner replied to FireStarterRN's topic in General Nursing

    Squirtie, your instructor wants you to call a charge nurse when a nurse is having trouble juggling all her patients? Wow. I know I was that PITA student once when a pt's NGT wasn't working well and...

  5. everyone is afraid

    birdgardner replied to gonzo1's topic in General Nursing

    I think people are beating up on you for being intimidated into removing some of your clothes, which is blaming the victim. That said, I hope you develop the confidence you need to resist such...

  6. help with ethical issues

    birdgardner replied to loran's topic in General Nursing

    I wonder if the patient is making a choice, even in her diminished capacity. She is the only one who knows just what it is to live in her body right now. One of my first patients was a 90 y.o. woman...

  7. why are Non Profit hospitals abandoning cities?

    birdgardner replied to oramar's topic in General Nursing

    Because they're going where the money is? In my state, hospitals are operating on a less than 1% margin, and uncompensated care is increasing and the governor is cutting compensation. One of my job...

  8. Please help, orientation problems

    birdgardner replied to pupnurse's topic in MICU, SICU

    Pupnurse, thanks for posting this and updating us. You sound like you could be me in a few months if I get that first job in an ICU. Not that I feel so unconfident now after an externship where I...

  9. Horrible care given to SIL post accident!!!

    birdgardner replied to barefootlady's topic in General Nursing

    If he was on the job at the time he was hurt, he should go through all the necessary steps that would let him get disability if he should need

  10. Best Route To Be a Nurse.

    birdgardner replied to merge's topic in General Nursing

    Go to the websites and find out the pre-reqs - they vary by program. An accelerated program will definitely be fastest to complete. The local county colleges are much less expensive but have a year or...

  11. Ticked off a Chaplin today

    birdgardner replied to pielęgniarka's topic in General Nursing

    Dang. Talk about territorial. Rationing spiritual

  12. Ticked off a Chaplin today

    birdgardner replied to pielęgniarka's topic in General Nursing

    Had the chaplain been seeing the pt and providing spiritual care during his/her stay in the LTC? Then he would have an obligation to the pt and the body regardless of the family's wishes. If so he...

  13. Saw something that really disturbed me tonight

    birdgardner replied to flightnurse2b's topic in General Nursing

    Ditto that. Another option is to call the appropriate state agency with license plate, time, date and location, and description of the woman. If she does that in a public place, imagine what she...

  14. Poll: Do you take vital signs at the beginning of your shift?

    birdgardner replied to uscstu4lfe's topic in General Nursing

    I'm about to graduate, and I want to take vitals myself but find myself wondering whether I will give that short shrift because of time management issues. Where I've been doing my clinicals, all pts...

  15. nursing diagnosis to use for breast tenderness

    birdgardner replied to cez1128's topic in General Nursing

    Alteration in

  16. a belly full of MRSA pus and no abx?

    birdgardner posted a topic in General Nursing

    I'm a senior nursing student in my last semester - one of my patients these last two weeks is post-emergency colectomy, ileostomy, pus draining from the wound and another site, MRSA+. She was...

  17. a belly full of MRSA pus and no abx?

    birdgardner replied to birdgardner's topic in General Nursing

    The four days I have seen her, I have not seen the physicians rounding, and I can't find the answer in the

  18. Have you had to do anything morally wrong?

    birdgardner replied to EricaSAFJAF's topic in General Nursing

    Co bedding depends on what kind of sleeper you are. I would wake up before I made any shift in position but i did not trust dh! I ended up wiring the crib to the bed frame leaving NO gap, with the...

  19. I am a new paramedic... In some hot water, need some help? In trouble?

    birdgardner replied to paramedic_t's topic in General Nursing

    If your pt. is in cardiac arrest, why would you strip off his shorts unless he is obviously exsanguinating through the groin/perineum with every chest thrust? You'll be too busy doing other things....

  20. My Patient v/s My Health Care Consumer

    birdgardner replied to lpnflorida's topic in General Nursing

    I will wash a patient's genitals if necessary; I don't see doing that for a customer or a

  21. too old to become a nurse?

    birdgardner replied to dingmanr2d2's topic in General Nursing

    46 here and graduating in two months. An accelerated BSN might be faster for you if you already have a bachelor's degree. One year and a couple months versus two years for most ADN programs, and...

  22. How did you react to your first code?

    birdgardner replied to AZcardiacRN's topic in General Nursing

    My first -only - code was when I had just been an EMT a couple months. An 83 y.o. woman had been out to dinner with her daughter and s-i-l and collapsed on the way into the house. She was...

  23. problems with the old folks - sorry long

    birdgardner replied to jackson145's topic in General Nursing

    How about getting your grandmother and grandfather some respite time from each other? It sounds like your gf is competent to stay by himself. Do you live close enough that your grandmother can come...

  24. Ornery resident

    birdgardner replied to twister431's topic in Geriatric, LTC

    Are you in charge? The residents need care and help with ADL. You give that help and care. Does that make you in charge, the boss? It doesn't sound like you take care of this patient at all. Ignore...

  25. Is your manager not paying when you work through your break?

    birdgardner replied to ShayRN's topic in General Nursing

    Woo hoo, new girl! She rocks! And if the hospital retaliates, I suspect she'll stir up trouble