MCRNENC(C)

THANK YOU FOR THIS! The Sat/Stat thing drives me CCCRRRAAAZZZYYY!

The patient has pancreatic pseudo-cyst and a critical K of 2.7 Those two stressors alone could have cause the onset of A Fib - add to that her pre-existing conditions of HTN, CHF, obesity, and diabetes; it could have been a "perfect storm" type of scenario. And - as with many medical conditions - sometimes a definite cause cannot be identified.

I have been working all nights for over two years. I find it easier than switching back and forth between days/nights. I do 12hr shifts. I just stay on a night type of schedule when I am on days off. I have no small kids at home - and no reason to have to get up until noon, or whenever I feel like getting up. I'm often up half the night on days off doing housework or other chores. I figure I can vacuum or clean a bathroom just as good at 0200hrs as I can as 1400hrs. The only pain is when a scheduled appt somewhere has to be early in the am, but that happens rarely. Some of my friends find it hard to wrap their heads around - as would most people I expect. But it works well for me - and after 29yrs of nursing - if it works - I'm not gonna change it!

"Therapeutic Wait" This is EPIC! Hope you don't mind - but I will be adopting that phrase!

we do give out motrin/tylenol for fever. we aren't that mean. lol!

i work in er. we recently had a 3 month old sids - no debriefing, no "how are you dealing with this" , no nothing. and i think it's affecting me more that i thought it would. the only thing we got relating to this was a message from our supervisor reminding us to send a community health referral in incidents such as these so that the family will get proper follow up. hello! what about us? how is this type of incident dealt with in you place of work?

no pain meds in our er until the patient is seen by the doc. and from the amount of people who come in with their coffee in hand and make-up on just so and dressed as if they were going to a party and not an er - and then tell the triage nurse their pain is 10/10 - i'm glad.