sharkdiver

sharkdiver

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All Content by sharkdiver

  1. Guys, do you take this personally?

    I agree that nurses are refused for all kinds of reasons, and never said that you had to like it. It happens to both male and female nurses, and there's really nothing that can be done to change it....
  2. Guys, do you take this personally?

    The issue you're describing is gender modesty. Gender modesty is something that is ingrained to some extent in most individuals in our society. There any number of influences, including cultural,...
  3. Personally, I don't see a problem with this type of request from either gender. As others have said, if it makes the patient more comfortable, why not? I'm sure there are extreme exceptions, but...
  4. Colonoscopy awake, pain-free, no amnesia or hangover

    Question for you: Is there anything that would preclude a CRNA from administering remifentanyl? Given it's short half life and non-accumulative properties I would think it would be a fairly easy and...
  5. Ruptured Appendix

    Did a little research. A recently released study in the UK concluded that antibiotics are a safe and effective initial therapy for patients with uncomplicated acute appendicitis, which statistically...
  6. when patients go off the floor...

    Just to be clear, I never said you were lying to the patient, I said the facility was - there is a difference. Here's a link to another discussion on the subject:...
  7. when patients go off the floor...

    This is a good example of how good intentions can cross into unethical behavior. The premise that if a patient leaves AMA their insurance will not cover their stay is a complete myth - an urban legend...
  8. when patients go off the floor...

    Just a point of clarification. You can't legally force a patient to sign an AMA form....or anything else for that matter. Sure you can try to talk them into it, but if they refuse there's really...
  9. Colonoscopy awake, pain-free, no amnesia or hangover

    remifentanil has a couple really neat properties. it is ultra-short acting with a half life of approx. 4 minutes. additionally, unlike other synthetic opioids which are metabolized in the liver,...
  10. HIPAA in "semi private" areas

    OK, just to put a slight twist on this....suppose the patient clearly states that they want privacy for any discussions with their provider(s) regarding their care and are not comfortable discussing...
  11. a question about cardiac arrest w/asystole!

    Statistically, the odds aren't good. The survival to discharge rate for cardiac arrest w/asystole when the event occurs in hospital is less than 10%, and 60% of those will likely suffer significant...
  12. Uncomfortable feeling during dilitation check?

    Definitely not my area of expertise, but I had a thought.... In the event where it is traumatizing or unnecessarily painful for the patient, especially in situations when it is of little relevance as...
  13. Male nurse in L&D

    This may be your opinion, but it is not factually correct. There is a legal exception to the equal employment regulations that in certain circumstances allows hiring based on gender, and L&D is...
  14. Male nurse in L&D

    You are. As I have said previously, a patient has the absolute legal right to refuse any specific caregiver for any reason. Further, you should be able to do so without any snide comments, patronizing...
  15. Male nurse in L&D

    Correct - I meant to write "hires only females" And yes, I was referring to moving on from that
  16. Male nurse in L&D

    First off, unless I misread the OP he's a nurse, not a midwife, applying for a staff L&D position. Secondly, if every L&D in his area or state hires only males for L&D there is almost...
  17. Male nurse in L&D

    Absolutely correct. It's called a "BFOQ" and legally allows hiring based on gender if the employer can show that they meet the criteria. It's the same exception that allows, for example, a heath club...
  18. Male OB nurse

    Actually, that's not necessarily true. There is a legal exception called a BFOQ that allows hiring based on gender - a number of L&D units have successfully used this by demonstrating that they...
  19. Good luck with that. A sleeping patient that reacts instinctively in self protection to an outside physical stimulus is not consciously aware they are doing so - doesn't even come close to fitting the...
  20. OK, I can see your point.....thing is, every time I see a post commenting on how bloody clothing, helmets, etc. are a bio-hazard, the question keeps popping into my mind: "It's the patient's own blood...
  21. MORAL DILEMA

    I agree completely. An important part of a nurse's job is to advocate for their patient and respect their wishes - you did exactly that, while continuing to provide care and support. You did good -...
  22. I agree. Neither the hospital nor it's personnel have any legal right to dispose of any of the patient's property without their permission. If it's taken as evidence by the police, that has legal...
  23. Customer Service? Maybe on your home planet.

    Rule #1: Never argue with an idiot - they'll just drag you down to their level and beat you with experience. Rule #2: When something a patient says makes you want to react verbally, see rule
  24. How to Address a Catholic Priest?

    His formal title would "Reverend". "Father" also works but is more informal. As tewdles suggests, I'd ask him: "Reverend Smith, how would you prefer we address you?" & take your cue from
  25. As a patient, is it okay to suggest a vein for IV?

    Good thing, because legally you can't. You can try to talk them into it, but if they still say "no IV in my hands", they are specifically refusing consent (not for the IV, just the location) and you...