TiredMD

TiredMD

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All Content by TiredMD

  1. Passing gas after surgery...

    TiredMD replied to MikeyJ's topic in General Nursing

    Although there is really no good evidence for it, we traditionally describe a "normal" postoperative ileus as lasting 2-3 days, and "paralytic" postop ileus as >72hrs. The small bowel will normally...

  2. Physicians Assisant Question

    TiredMD replied to cherisse12286's topic in General Nursing

    This is a gross mischaracterization of what a PA does, and your information related to independent practice is incorrect. Practice laws vary greatly by state. I'm sure core0 will be weighing in...

  3. what medication do i give when a patient is fasting?

    TiredMD replied to *naughtynurse*'s topic in General Nursing

    Typically our group gives everything except HCTZ, and if on metformin then only half the dose (published guidelines). When they're NPO, you should be careful with the insulin. Some like holding the...

  4. Diagnoses you never thought you'd see?

    TiredMD replied to KarafromPhilly's topic in General Nursing

    Things I've seen ambulance rides for: - ear infection - scabies - "I gots nowhere to sleep tonight" - superficial burn to the scalp and cheek (this one was a helicopter ride) - blood alcohol level of...

  5. "You put me and my unborn child's life at risk"

    TiredMD replied to TigerGalLE's topic in General Nursing

    I laughed so hard when I read this. What a moron! She should worry less about Zoster, and more about whether or not she'll pass on her stupid gene to her

  6. Rude remarks by doc with his own kids

    TiredMD replied to Lorie P.'s topic in General Nursing

    You're under the impression that if you don't sign it, it doesn't

  7. why are we technicians?

    TiredMD replied to FlGasman's topic in General Nursing

    To actually answer the question: the term "practitioner" is historically applied to physicians, though recently some facilities also include NPs and PAs. Think of it as short-hand for "Licensed...

  8. Feacal Management Systems???

    TiredMD replied to kukukajoo's topic in General Nursing

    Our ICU uses them constantly, and they are a God-send to physicians and nurses alike, but always remember the contraindications to their use. Lately I've had two patients who had them inserted when...

  9. Do Nurses STILL want to marry Doctors?

    TiredMD replied to showbizrn's topic in General Nursing

    You really think this is all about money? From what I've seen, what attracts nurses to doctors has more to do with common career interests, a shared desire to help people, and many things to talk...

  10. Medical schools that admit Nurses?

    TiredMD replied to Apollorn's topic in General Nursing

    Sounds like she was protecting her own profession by discouraging you from jumping ship. I have never heard of any particular prejudice against accepting RNs into medical school. That being said,...

  11. Blood pressure meds..without parameters???

    TiredMD replied to ari3sdog's topic in General Nursing

    That's what it sounds like to me too. I don't mind taking calls like, "SBP is What I do mind is rounding on a patient with chronic afib in the morning, and finding out that the beta-blocker was held...

  12. Horrible thing happened in O.R yesterday

    TiredMD replied to Scrubby's topic in General Nursing

    I was only saying that the "majority" comment was probably an exageration. I will eat my words if she says that, of all the on-table xrays she has seen, more often than not the missing object was left...

  13. Horrible thing happened in O.R yesterday

    TiredMD replied to Scrubby's topic in General Nursing

    The smart ones say, "Shoot an xray and document that it's not in there" to cover themselves. I'm not saying they don't get grumpy about it, I'm just saying that I've seen a lot more negative on-table...

  14. Horrible thing happened in O.R yesterday

    TiredMD replied to Scrubby's topic in General Nursing

    "Majority" is a little

  15. Legal Responsibility to report?

    TiredMD replied to chocokitten's topic in General Nursing

    State laws vary, but in general all health care workers are mandatory reporters for child and elder/dependent adult abuse. In most states, violence against an independent adult is not reportable...

  16. Ards

    TiredMD replied to AnnetteWA's topic in General Nursing

    i've noticed that questions like this seem to pop up a lot here. i don't know if nursing school gives you any formal education on how to do a literature search, but here's a quick crib note to make it...

  17. disseminated intravascular coagulation

    TiredMD replied to versastyle's topic in General Nursing

    There are a variety of cutoffs we will use to transfuse platelets, depending on symptoms and underlying comorbidities. But 135k is above all of

  18. IV Antibiotics

    TiredMD replied to TelyRN's topic in General Nursing

    Yeah, this is pretty much the main reason. We've known for a long time that critically-ill patients are prone to developing stress ulcers. Head injuries and burns are the most famous for this, and...

  19. Spin off of dating patients. RN's dating docs?

    TiredMD replied to GeminiTwinRN's topic in General Nursing

    I married a nurse I met in the

  20. Rude remarks by doc with his own kids

    TiredMD replied to Lorie P.'s topic in General Nursing

    Day off? Thanks for making me smile.

  21. Calling yourself a "nurse"

    TiredMD replied to Jamie2887's topic in General Nursing

    I can't speak for the rest of the world, but for physicians this is a constant issue. Dieticians who walk in and introduce themselves as "Doctor so-and-so". DPTs. Pharmacists. Even some NPs and PAs....

  22. HTN urgency with IV Beta Blockers

    TiredMD replied to AndyB's topic in General Nursing

    Oh my God. Thank God you dodged that

  23. Policy on Peds Patients

    TiredMD replied to BlearnRN's topic in General Nursing

    Parents are not required to stay. We have a number of chronic kids whose parents rarely come to visit. Just yesterday I spent a good three hours trying to track a mother down by phone so I could get...

  24. Muscle aches with the flu...

    TiredMD replied to jessiern's topic in General Nursing

    How do you know that you're getting the flu, and not another viral

  25. Muscle aches with the flu...

    TiredMD replied to jessiern's topic in General Nursing

    Strep does not cause respiratory symptoms. If you had a positive strep with respiratory symptoms, it's far more likely that you had a virus/influenza, and are an asymptomatic carrier of group-A...