TiredMD

TiredMD

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All Content by TiredMD

  1. How do you get someone to show you their butt?

    TiredMD replied to megananne7's topic in General Nursing

    I usually buy them a drink

  2. Vancomycin infusion after allergic reaction

    TiredMD replied to phoebebrat's topic in General Nursing

    What an interesting thread. Great example of why physicians need to be absolutely clear about their orders, and why the aggrevating "read back" is so important when giving/taking verbal orders. Couple...

  3. in shock my daughters life on the line need your help!!!

    TiredMD replied to cathleenrmermaid7's topic in General Nursing

    I didn't see the wound, so I can't really comment on whether or not it was infected. I have seen plenty of stage 4 decubs that are not infected. The real issue with these things is that you have to...

  4. Maintenance helping with medical procedures.

    TiredMD replied to Nurse-C's topic in General Nursing

    Fair

  5. in shock my daughters life on the line need your help!!!

    TiredMD replied to cathleenrmermaid7's topic in General Nursing

    Sorry, I wasn't clear. Stage 4 decubs don't develop in two days, and everyone here knows it, but no one wants to say anything because of the emotion involved. They are chronic problems that develop...

  6. in shock my daughters life on the line need your help!!!

    TiredMD replied to cathleenrmermaid7's topic in General Nursing

    Funny how everyone is just ignoring this

  7. Maintenance helping with medical procedures.

    TiredMD replied to Nurse-C's topic in General Nursing

    Honestly, that just sounds like a lot of supposition about what various organizations and lawyers would think about doing. In the places I have trained, these things are done routinely and without...

  8. Maintenance helping with medical procedures.

    TiredMD replied to Nurse-C's topic in General Nursing

    Workman's Comp is insurance. They may not cover an injury sustained by employee acting outside their stated job description, but they have no regulatory or enforcement authority. As I understand OSHA...

  9. Maintenance helping with medical procedures.

    TiredMD replied to Nurse-C's topic in General Nursing

    If the maintenance person isn't HIPAA trained, then the institution is violating the law every time he walks through a patient care area, so this aspect is kind of moot point. Last I checked, there...

  10. "New Nurses's Don't Know Anything."

    TiredMD replied to Diary/Dairy's topic in General Nursing

    Gotcha. Going back on q3 call in a week, and dreading what I'm about to walk back

  11. How many years does it take to become a Neonatal N and what degree is required?

    TiredMD replied to gymnagirl44's topic in Nurse Practitioners, NP

    I have heard that there are no national standards for specialty NP certification, and that it was dependent on individual state nursing boards to determine certification requirements and scope of...

  12. "New Nurses's Don't Know Anything."

    TiredMD replied to Diary/Dairy's topic in General Nursing

    I hope the OP's comment referred to pain meds that were written prn. If the pain meds are written for scheduled doses, then they need to be given as scheduled. Very frustrating to get those 3am calls...

  13. thyroid bipsoy

    TiredMD replied to Ms.RN's topic in General Nursing

    never had any of my moles removed . . . the worry is not usually malignant transformation. the worry is usually that the fine-needle aspiration did not adequately sample the lesion, and that it is...

  14. Ns Bolus

    TiredMD replied to TIMFOGARTIE's topic in General Nursing

    Pressure bag that

  15. How many years does it take to become a Neonatal N and what degree is required?

    TiredMD replied to gymnagirl44's topic in Nurse Practitioners, NP

    Then I would suggest you get a good handle on what Neonatologists and NNPs actually do. I love working with infants as well, but the NICU is in the 9th ring of hell as far as I'm concerned. If you...

  16. Can labor nurses be sued by the babies?

    TiredMD replied to newlabornurse21's topic in General Nursing

    Dunno much about the nursing side, but from a physician standpoint, what's really devastating Ob/Gyn's in lawsuits is the manner that compensatory damages are calculated. Think about it: I screw up a...

  17. Exactly HOW addictive do you think Ambien is?

    TiredMD replied to justme1972's topic in Patient Medications

    There is a difference between addiction and dependence. I've seen many people who were dependent on Ambien. I have yet to meet an addict. Who the hell prescribes daily Ambien for someone for 3 years?...

  18. Hypoglycemia and Asystole

    TiredMD replied to Ni_Ni's topic in General Nursing

    this is a really interesting question, and prompted me to go back through some of my cardiology textbooks (which i hate hate hate). my intuitive answer was going to be something along the lines of,...

  19. negligence vs. malpractice??

    TiredMD replied to driveinstyle2005's topic in General Nursing

    That's just because I haven't finished residency

  20. Help with this doctors order....

    TiredMD replied to Melandru's topic in General Nursing

    Ah, but the rub is that it's not actually an unacceptable order at all, unless the facility itself designates the apothecary system as unacceptable. JCAHO has their minimum list of unacceptable...

  21. "I want him extubated NOW...I dont care if he's not ready"

    TiredMD replied to jbp0529's topic in General Nursing

    And you will make her wait a minimum of 6-12hrs, which will keep her away from the ICU and make everyone upstairs happy. Think of it as "taking one for the

  22. Help with this doctors order....

    TiredMD replied to Melandru's topic in General Nursing

    A doctor who knows what a "grain" is? He must be in his

  23. Sudafed

    TiredMD replied to bollweevil's topic in General Nursing

    Dating a female Urologist? Yech. Teaches me why so many women get creeped out about dating an Ob/gyn. I once asked my wife if she would have married me if I had matched to gyn. She said no. And she...

  24. Sudafed

    TiredMD replied to bollweevil's topic in General Nursing

    :chuckle Classic. Didn't know that. Everytime I think about priapism, I think about needle drainage. Then I thank my lucky stars I chose Orthopaedics and not

  25. Sudafed

    TiredMD replied to bollweevil's topic in General Nursing

    I couldn't agree more. Phenylephrine is completely worthless. These days I actually give out Rx's for the pseudoephedine or recommend they try the OTC