TiredMD

TiredMD

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All Content by TiredMD

  1. Nurses, physicians weigh in on new doctoral nurse degree

    TiredMD replied to Brian's topic in Doctoral Nursing Degrees

    I'm trying to mislead people by telling you what I took in medical school? Amusing. Believe it or not, we do have a few prereqs we do before we go to med school. And the fact that a few courses have...

  2. Yelling Doctors, How do you handle them?????

    TiredMD replied to Danielle7's topic in Patient, Colleague Relations

    Thank you. There's a definite undertone here that anyone who doesn't buy into the new-age "everybody should just hug and be happy" mindset is either trolling or some kind of hideous person. The real...

  3. Yelling Doctors, How do you handle them?????

    TiredMD replied to Danielle7's topic in Patient, Colleague Relations

    Don't do it too often, but off the top of my head: 1) Patient acutely decompensating, I asked for critical piece of equipment (pericardiocentesis needle, ET tube, etc) that is not in the room. The...

  4. Yelling Doctors, How do you handle them?????

    TiredMD replied to Danielle7's topic in Patient, Colleague Relations

    Again, let me encourage you to take this cop mentality to the hospitals, and attempt to get one of your physicians arrested for raising their voice. You'd be famous in the hospital for years to come,...

  5. Yelling Doctors, How do you handle them?????

    TiredMD replied to Danielle7's topic in Patient, Colleague Relations

    I absolutely

  6. quick vallium question

    TiredMD replied to jennifers's topic in General Nursing

    Don't worry, bronchitis isn't real

  7. PDR.net does not recognize RNs as medical professionals

    TiredMD replied to jenny456's topic in General Nursing

    Never even opened the stupid thing. When I need administration information, I use Davis' Drug Guide for Nurses. When I need info on adverse effects, dosing, and interactions, I prefer to use sources...

  8. Nurses, physicians weigh in on new doctoral nurse degree

    TiredMD replied to Brian's topic in Doctoral Nursing Degrees

    How can you tell the difference when everyone wears a long white coat and no one wears a nametag? But I digress . . . Under LCME, ethics training is mandatory for medical schools. The actual form and...

  9. Nurses, physicians weigh in on new doctoral nurse degree

    TiredMD replied to Brian's topic in Doctoral Nursing Degrees

    Actually, they're not. I had one seminar on ethics, once a week for four weeks. Everyone is presumed to have learned statistics as an undergraduate, along with the other basics like biochemistry,...

  10. Yelling Doctors, How do you handle them?????

    TiredMD replied to Danielle7's topic in Patient, Colleague Relations

    Whoa, don't think I'm equating yelling with threatening. Threatening is clearly out of order and obviously

  11. Yelling Doctors, How do you handle them?????

    TiredMD replied to Danielle7's topic in Patient, Colleague Relations

    That's kind of interesting, and I meant to ask you about it. I would have thought it would be opposite; that men would get yelled more than women, given the sensitivity to sexual harassment lawsuits....

  12. Yelling Doctors, How do you handle them?????

    TiredMD replied to Danielle7's topic in Patient, Colleague Relations

    Once the OP clarified that this physician was on-call, obviously the yelling was inappropriate. Hell, the anger at being called was inappropriate. But I continue to insist that not only is yelling not...

  13. MD ordered placebo for pain PRN~would you give it?

    TiredMD replied to beetlebailey524's topic in General Nursing

    I love

  14. quick vallium question

    TiredMD replied to jennifers's topic in General Nursing

    Not too sure why so many of these narcs are available as stand-alone products. There is that "synergy" theory that NSAIDs/tylenol in combination with narcs complement each other to provide superior...

  15. MD ordered placebo for pain PRN~would you give it?

    TiredMD replied to beetlebailey524's topic in General Nursing

    I'm with you 100%. In fact, I'll go a step further and say that many, if not most, chronic back pain patients should see Pain before they get sent to a surgeon. We are doing so many questionable...

  16. MD ordered placebo for pain PRN~would you give it?

    TiredMD replied to beetlebailey524's topic in General Nursing

    Sorry, next time I'll lie so that you feel better. Ultram is a wonderful drug! It works just like narcotics and I fully expect it to work every time I give it!! The mechanism of action is identical to...

  17. quick vallium question

    TiredMD replied to jennifers's topic in General Nursing

    Some day I'll understand why my colleagues write for these idiotic Tylenol + Vicodin orders. A tab of Vicodin has 500mg acetaminophen, which is the same as an extra-strength Tylenol. You give 2 tabs...

  18. Yelling Doctors, How do you handle them?????

    TiredMD replied to Danielle7's topic in Patient, Colleague Relations

    If you really believe this, I encourage you to call the police the next time a physician yells at you. I imagine the laughter of the 911 operator will be the last thing you hear before you're

  19. Yelling Doctors, How do you handle them?????

    TiredMD replied to Danielle7's topic in Patient, Colleague Relations

    I think you and I are reading this differently. I read it as the patient's primary care physician, who was not the admitting physician, was called at 11pm to answer a relatively insignificant...

  20. MD ordered placebo for pain PRN~would you give it?

    TiredMD replied to beetlebailey524's topic in General Nursing

    I've met people who swear by it, but as the above poster notes, it tends to be people who are highly medication-sensitive to begin with. For most patients, I don't find much use for the drug, and I am...

  21. MD ordered placebo for pain PRN~would you give it?

    TiredMD replied to beetlebailey524's topic in General Nursing

    Yeah, it binds to mu receptors just like opiates . . . just at 1/6000th the strength. Personally, I think it's a crap drug, a throw-away to pawn off on your chronic back pain patients in the hope that...

  22. Yelling Doctors, How do you handle them?????

    TiredMD replied to Danielle7's topic in Patient, Colleague Relations

    Bingo. If this wasn't the admitting physician, there was no reason to call that late. It's just completely inappropriate. This isn't a case of a "rude doctor", it's a rude nurse. Would the OP have...

  23. MD ordered placebo for pain PRN~would you give it?

    TiredMD replied to beetlebailey524's topic in General Nursing

    Ultram is my placebo of

  24. The law about patients obtaining their own chart

    TiredMD replied to Mommy_of_3_in_AL..RN's topic in General Nursing

    - You have the right to obtain a copy of your medical record; you do not have the right to take the original, nor do you have the right to get it on the spot - Many physicians are reluctant to release...

  25. Body placement in hip fractures/screws

    TiredMD replied to ANH_RN's topic in General Nursing

    Certain rules are somewhat set in stone. For example, a patient with a fresh arthroplasty, you don't want to place stress on the joint in such a way that it will cause a dislocation; hence no...