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AHarri66

AHarri66 BSN, RN

med/surg, cardiac/telemetry, hospice
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AHarri66 has 9 years experience as a BSN, RN and specializes in med/surg, cardiac/telemetry, hospice.

AHarri66's Latest Activity

  1. AHarri66

    Cape, Anyone?

    I miss Falmouth Hospital! I worked the Med-Surg/Tele floor, and even though some days were rough, it was far better than where I ended up. (I moved South, and the hospitals here are verrrry different.) I can't wait to come "home" to the Cape for a visit...
  2. AHarri66

    Weird Home Remedies That Really Do Work!

    Supposedly the honey on a wound thing works, honey has natural antibiotics in it. Olive oil to kill head lice (you need to leave it on overnight and repeat in 5-7 days), Tea Tree oil to prevent reinfestation. I'm gonna try the garlic remedy for my son's acne...none of the OTC stuff seems to work very well.
  3. AHarri66

    Whats your hosp policy on cell phones?

    My last hospital had a strict No Cell Phones policy (I, too, was told they interfere with equipment), but my new hospital allows liberal use of them by visitors and staff alike! I'm flummoxed.
  4. AHarri66

    Is your bag packed??

    Really? I for one do NOT support slavery of any kind, including that which is government sanctioned. The Draft is Constitutionally ILLEGAL...we are supposed to have a military based on VOLUNTEERS. And, I take exception to your assumption that I would "rather," insinuating that I "wouldn't." As I mentioned earlier, in case you missed it, I was prepared to go to NYC but was TOLD to stay home. If there were a situation in which I could help, I would be there...But under duress?? Yes, the article is somewhat dated, and the plan is old, but the pertinent question is: Has any of you heard of it before? I know I hadn't. Why not? Between my husband and myself we keep pretty well abreast of current policy, it surprised me to find this. And, with government policy the way it is, who knows what would be considered an "overwhelming" situation. For what it's worth, it scares me to think of it.
  5. AHarri66

    Is your bag packed??

    Sorry for the long cut and paste, but I wanted to be sure in case the link disappeared. I don't know about you folks, but I don't want to be drafted! In the event of a crisis, I'll volunteer if I'm able (I was ready to go to NYC after 9/11, but was told there wasn't much I could do.) I'd rather make that decision for myself, than have Big Brother propel me at gunpoint.
  6. AHarri66

    Is your bag packed??

    http://www.charlotte.com/mld/observer/news/5444639.htm the charlotte observer pentagon plans draft of medics selective service wants doctors, nurses ready in event of worst case crisis mark libbon newhouse news service washington - the pentagon is firming up a plan to draft thousands of doctors, nurses and other health-care specialists in the event of a worst-case crisis. the selective service system is dusting off its plan for a "health care personnel delivery system," which has been on the shelf since congress authorized it in 1987 to cope with military casualties from a large-scale biological or chemical attack. at the pentagon's direction, the agency also is examining whether that plan for a "special skills" draft could be adapted to address critical shortages that might arise for military linguists, computer experts or engineers. "we're going to elevate that kind of draft to be a priority," lewis brodsky, acting director of selective service, says. the plan would be needed if an attack on u.s. troops overwhelmed the capabilities of the military to care for its wounded. the president would issue a proclamation ordering an estimated 3.5 million health-care workers to register for a draft within 13 days. congress would quickly enact legislation authorizing the draft for health-care workers 20 to 44. for the first time, a draft would include women. the pentagon would tell selective service how many people it needed in each of 62 specialties. a separate draft lottery would be held for each of those needs. for example, if 300 orthopedic surgeons were required, selective service would choose birthdays in a random lottery and order those dates from 1 to 365. notices would go out to the surgeons, starting with the first birthday drawn, until 300 had been called. the pentagon expects that within several months of the crisis, selective service could deliver surgeons, nurses, dentists, x-ray technicians, etc. -- up to an estimated 80,000 in all -- through the military entrance processing command. the plan isn't very well-known within the medical community. "if you were to ask 10 doctors, maybe one might have heard something about it," said dr. marybeth mccall, chief medical officer at crouse hospital in syracuse, n.y., and an air force veteran. mccall said she was confident that health professionals would volunteer their services in the event of a large-scale emergency, much as they did during operation desert storm and the sept. 11 attacks. "i would say it would be ill-advised to force a draft," she said. "health-care personnel commit to a life of service. we're going to take care of patients wherever they happen to be." congress ordered up the plan in the late 1980s, thinking more about cold war dangers than about an iraqi dictator who might unleash weapons of mass destruction against u.s. troops. pentagon officials say they see no need for a conventional draft of young men to be soldiers. brodsky said the plan has moved to the front burner because of recent signals from the pentagon and conversations with military leaders. selective service maintains 2,000 active draft boards around the country that would handle appeals for exemptions, deferments and postponements. members of those draft boards can expect to be trained in the near future on a special "essentiality" exemption that health-care workers might seek, flahavan said. a doctor might be able to show, for example, that he or she is essential to a community and should not be drafted.
  7. AHarri66

    Atomic-Scale Motor Invented

    Can you imagine the uses? Lots of medical ones come to mind... http://dsc.discovery.com/news/afp/20030721/nanomotor.html
  8. AHarri66

    Finding a good fit.

    I went into nursing school with every intention of becoming a nurse midwife. I understand reproductive health almost intrinsically, and having had awesome experiences with CNMs and Women's Health NPs, I thought that was my spot. Four years later, I am no closer to the maternity ward than I was before I started school. Instead I did a stint in LTC and Rehab, then on to acute care med/surg and telemetry. I HATED cardiac in school, with a passion! But now... I've accepted a position in post-cath recovery, and hope to go on to the cath lab, or maybe a Cardiovascular-NP, who knows? I like cardiac now, I find it fascinating. There is still a lot for me to learn, and I look forward to the challenge. Sometimes what you think you like isn't "it" for you...sometimes it is. Many nurses have told me they changed areas numerous times before they found their "niche." Some never settle in one area because they like the challenge of learning new things. Good luck! With your inquisitive spirit, you should do well.
  9. AHarri66

    What type of report do you like best?

    We generally tape report, but verbals are pretty common, too, especially on rough days. I like aspects of each...with taped reports I can always go back to it; with verbals I can ask questions, especially if the off-going nurse is habitually short on details: "We all know Mr. Jones, nothing new on him. He slept well." PERIOD! (I didn't know Mr. Jones from Adam!!) And this on a Tele floor.
  10. AHarri66

    How Do You Manage To Clock Out On Time?

    I rarely get out on time, but I aim for it every day. As altomga said, it depends on the # of pts I have, and their acuity/needs. I do try to cluster my duties, and I try to chart as I go; ie. meds and assessments together, then charting as soon as I leave the room. It doesn't always work, but it keeps me organized so that I spend my time constructively.
  11. AHarri66

    Implants.....

    By the way, did you happen to notice the long list of "problem" photos? They were on the same site (the first one). Some had to have multiple surgeries to correct the problems. http://www.implantinfo.com/banda4/problemindex.htm Just thought I'd mention it.
  12. AHarri66

    Implants.....

    FDA Reconsiders Ban on Breast Implants Mon Jul 21, 5:32 PM ET AP - WASHINGTON - Consumer groups are urging the Food and Drug Administration to follow stricter standards in considering whether to lift its decadelong ban on the sale of breast implants filled with silicone gel. Controversy over breast implants arose in the early 1990s, when thousands of women claimed implants gave them serious diseases, from arthritis to cancer. The FDA banned implants filled with silicone gel in 1992 for all but a few cancer survivors enrolled in special studies. Saline-filled implants, in contrast, were allowed to sell as long as women are told they're prone to leaking and deflating, which would require more surgery. For silicone implants, the influential Institute of Medicine (news - web sites) declared in 1999 they don't cause major illnesses, although they break relatively often and can cause local complications such as pain and hardening of the breast. Recently manufacturer Inamed Corp. asked FDA to let it sell its version of silicone implants. FDA is expected to seek recommendations from its scientific advisers before deciding but has said its primary consideration will be how well women fared in the two years after getting silicone implants. Research, including some by the FDA's own scientists, shows silicone implants often begin breaking about seven years after women receive them, the National Organization for Women and Public Citizen said Monday. One in four women need a second operation because of implant problems within five years, the groups said. "The FDA is simply not looking at enough information to reasonably assure women that silicone gel breast implants are safe in the body over many years," said NOW President Kim Gandy, who urged the agency to require years of additional data. Dr. Celia Witten, FDA's chief of implanted devices, responded that the agency always considers whatever long-term safety data are available before deciding a product's fate.
  13. AHarri66

    Really need some advice about orienting/vent

    Giving students to a new grad???? And not one, but FOUR???? You're learning yourself, how can they expect you to teach, too??? That's just ridiculous! "Hazing" sounds right to me, too. At my facility, new Med/Surg nurses (whether new grads or not) spend at least 2 or 3 days with Staff Ed on the floors, then are assigned a preceptor. They shadow for a day or two, then their "assignments" are upped one patient every few days or so, depending on their experience and/or comfort level. Students are ONLY assigned to experienced nurses, and on top of that, their instructor is somewhere on the floor. I'm flummoxed.
  14. AHarri66

    Any advice would be appreciated

    1) Take a break sometime during your shift! Sometimes it's hard, especially during the first few months, but GET OFF THE FLOOR! It's not fair to you or your patients to have you running like a nut for 8 or 12 hours. It's not safe and it's not healthy. 2) Keep a spare uniform (scrubs, undies, shoes, the whole 9) in your car or locker. 3) Take notes. I still carry "cheat sheets" with me stuck to my clipboard. 4) Eat well (HA!), sleep well, and take your vitamins.
  15. AHarri66

    First Death (vent)

    The first time one of "my" patients died I was only about 6 months out of school working in LTC. "Mary" had been unresponsive for 2 or 3 days already, and in renal failure. Before I left on Monday I went to say good-bye to her and without thinking said "I'll see you on Friday, Mary." I fully expected her to die the next day, but lo and behold, when I came back Friday she was still alive! Still unresponsive, in total failure, but still there. I went to her first, sat down with her and held her hand. I said, "I'm back, Mary. It's okay now, you can rest." About 5 minutes later I was called out of the room for something that needed my immediate attention. Not 5 more minutes went by before the LPN working with me said, "You'd better come, Mary's gone to a better place." I couldn't believe it... I felt guilty for a while there, like I somehow kept her from dying when she should have by promising to see her 4 days later, and not only that, but by leaving the room when she did pass... The first does stay with you, I think. I try now to stay with any patient that I think is imminent...I hold their hand, stroke their head, and talk to them the whole time. That's what I would want, to go out hearing a caring voice and having human contact.
  16. AHarri66

    Infusing TPN

    The ONLY thing we infuse with TPN is lipids, and that is attached below the filter.