sleeplessonthelake

When I first took the ACLS, in 1983, we were taught to insert the central line. In my last ACLS course there was no practical of central line insertion.

I have allways primed my tubing awith NS then ran my pack cells. Then changed my tubing p the PRBC's have ran in and KVO my NS or as your protocal calls for. Allways watch your pt closely when administering PRBC's or any blood products.

My dad is a Korean conflict/War Veteran and even though he is seen basically by residents. The only time he see's the attending is when his illness or injury warrents. But, he will tell you and I will also, the residents will visit him off duty just to sit and talk with him, gaining more insight into his situation. This has been a great comfort to him. My hat is off to the healthcare workers of the Veteran's administration.

My two ex-wives, who are RN's, and their attorneys.

When it comes to pts. like the afore mentioned, laughter is the best medicine. You can allways find soemthing humorous in the actions/behavior of these special pts.

I could not be more grateful for and proud of my kids, Tanner Dale, Tiffany Jane and Tyler Dale.

In my travel years. I was granted a wonderfull oppertunity to work in Kaiser Permanente South in Sacramento, CA. I should have stayed, but got homesick. Miss you Tupper, Susan and many more.

Where . Thank You All for a helping year of 2007 and have a safe New Years.

I've known alot of impaired nurses, all in the OBN PEER assistance program in OKLA. Two deceased, takeing their own lives. Both due to the OBN placing them on the OIG exclusionary list, making it impossible for them to work due to medicare/medicaid exclusion. In my opiniion this is Double Jeopardy, these nurses were violated twice for a single offense after they voluntarilly reported themsleves to the OBN. First OBN sanctions judication then Office Of Inspector Generals exclusionary list and sanctions. Both excellant nurses, one overdosed and the other took a hunting knife to his throat in his ex-wife's front yard. Both senseless. How much punishment should be ajudicated to fit this crime of Addiction.

In high school I was an orderlie, got to know some doctors, became an EMT. Then a Paramedic and eventually an RN. I retired at age 50. Now, I'm back in college studying law. Oh, the reason I became a nurse, my interest in biochemistry, early marriage, kids and the need for increased income ASAP.

It was about this time of the year in 1990. I was working 3-11 in a major metropolitan ER. The police dept. paramedic unit brought two motorcycle accident victims in. Most serious was a 21 yr female with massive internal injuries. The driver was DUI, picked the girl up in a campus bar. He lost control of the bike and the girl slid striking the edge of the road curb posteriorly. I had put 6 units of pack cells and 1 unit of cryo into her, as she began to DIC. DIC is an amazeing situation to watch in a concious pt. At one point the girl looked straight into my eyes, she didn't call me RN,nusre or Doctor. She said," Rick, am I gonna die?" I said," No." she smiled and closed her eyes. She didn't ask this of anyother staff member working with her, not even the doctor. Then the OR team arrived and took her to the OR. The OR nurse I knew called me 30 minutes later and told me the girl coded as they were moving her onto the OR table. They couldn't get her back. My question is , I knew the girl wasn't going to make it. How valid should you be with a pt. concerning their situation. I consider myself a religious man, should I have given her time to make piece with the lord, if need be. Even the doctor, who I went hunting with, didn't have an answer.

i've worked acute care for 23yrs, specializing in sicu-cardiovascular openheart recovery. i've had pts. with mrsa,pneumococcal pneumonia. most serious were pnemococcal pts. on the vent. in my area you have to have 1yr experience prior to being allowed on the unit. this tells me you really need to get your feet wet prior to stepping into a specialized area. but that's just my opinion.

I do know that accreditation does effect the transfer of college hours and your receiving credit for these courses completed at this instituion. Which will effect your future degree aspirations. Also, degree of science or art is very important in future degree quest/goals. Good luck.

As a RN for 23 years and one who witnessed another nurse suffer a needle stick, our hospital had a very advanced needle stick protocal. Where blood was drwn routinely for one year, also one where both pt. and nurse had blood drawn for baseline lab values initially. Also be carefull who you tell of this incident, need to know basis only, this is your best advice at this point. Good luck.