MN BigJ

MN BigJ

ER

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All Content by MN BigJ

  1. Case Study

    MN BigJ replied to getoverit's topic in General Nursing

    I was just giving you crap about the afib sinus tach at the same time thing. Besides his renal failure and possible pneuomia/chf (though the BNP isn't real high) and possible meningitis and anemia...

  2. I am watching Michael Moore's "Sicko" for the first time....

    MN BigJ replied to Valerie Salva's topic in Activism, Healthcare

    By the way, don't get me started on SS. The idea behind it is great but the way the idea is implemented is not. It's kind of like the "No child left behind act" in that way. Not that I have all the...

  3. I am watching Michael Moore's "Sicko" for the first time....

    MN BigJ replied to Valerie Salva's topic in Activism, Healthcare

    You see, I'm completely against UHC the whole way so I see what I came up with as a compromise. Part of fixing the whole system. Most of the costs incurred (major costs) are from chronic conditions...

  4. I am watching Michael Moore's "Sicko" for the first time....

    MN BigJ replied to Valerie Salva's topic in Activism, Healthcare

    Medicare is different that Universal Healthcare. Old people should be covered as well but they too should be held to a standard of rules, influenza vaccines and pneumonia vaccines. Anything to reduce...

  5. I am watching Michael Moore's "Sicko" for the first time....

    MN BigJ replied to Valerie Salva's topic in Activism, Healthcare

    I do not believe in Universal Healthcare. I do believe anyone under 18 should be covered. One thing I propose is that if people want to be covered by the government they have to follow certain rules....

  6. Case Study

    MN BigJ replied to getoverit's topic in General Nursing

    I'm still trying to figure out how he is in A-fib and Sinus tach at the same time. I'm sure he needs some lasix, a chest Xray, bipap, possible intubation. And depending on labs he could also be in...

  7. What do the male nurses do to prevent sexual assault accusations?

    MN BigJ replied to SkySoldier's topic in Men in Nursing

    Being in ER I have never had anything like this happen to me. Be respectful of the pt, tell them what you are going to do and what it involves. If you have to get a female nurse for caths or things of...

  8. Knocking a Patient Out, a bad thing?

    MN BigJ replied to CaLLaCoDe's topic in General Nursing

    How many days post oP? what kind of surgery? all of these things make a difference. To assume that they knocked the pt out is different than if they just ignore the pt all together and just don't...

  9. So I have a clinical in the ER

    MN BigJ replied to IlliniGuy's topic in Emergency

    Sounds like you learned somethings, That's what I love about the ER. Almost everyday I learn something new, especially when I was in a very busy ED in a trauma

  10. Gifts from patients

    MN BigJ replied to JustMe's topic in General Nursing

    I guess if I would continue to accept them or not would depend on what they are and how often. If it was $100 in gift cards every week I might tell the person I appreciate the gifts but they really...

  11. Natasha Richardson's TBI and demise

    MN BigJ replied to rhon91's topic in General Nursing

    Following head trauma someone may not show any signs or sx of a bleed for a couple hours, by then ICP could have already been building and within 30 minutes or less of showing the first sx it could be...

  12. morphine IV

    MN BigJ replied to breaking_dawn's topic in Emergency

    They are chemically different but Dilaudid is codeine based like morphine so they have some similarities. I always "pretreat" people getting higher doses of MS or anyone getting dilaudid with a one...

  13. Alcohol Intoxication.

    MN BigJ replied to ghost's topic in General Nursing

    If the person is a chronic ETOHer then you might need a stronger or different benzo, but Librium should do the trick, you don't want to have to many prescribed or people may get confused as to what to...

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

    MN BigJ replied to jenny456's topic in General Nursing

    Physicians Desk Reference is for people that prescribe the drugs, not actually use them. Look at the list provided, all people who prescribe. Now if they would give access to NA's, Dental assistants,...

  15. What regions have the best nursing job opportunities since the economic recession?

    MN BigJ replied to shewalke's topic in General Nursing

    No jobs to be had in MN at this time in acute care. It's very tight all over MN. Lots of layoffs in Minneapolis/St

  16. How long do you drive to work?

    MN BigJ replied to LovePurple's topic in General Nursing

    I used to live 45 miles from work, then I got laid off. Now my new job is 13 miles with 3 12's. I'll drive as much in one week as I used to in one

  17. ER nurses wear "biggirl panties"

    MN BigJ replied to TraumaNurseRN's topic in Emergency

    I'm proud to be an ER nurse, but if it is alright with you ladies, I'll stick to my boxer/briefs and not put on any big girl

  18. Propofol for conscious sedation?

    MN BigJ replied to EMTSNA's topic in Emergency

    We use the Milk of Amnesia all the time for CS. The key is to be trained as to proper doses, not only for the physician but RN as well, as long as you don't over sedate I don't see a problem. With the...

  19. Layoffs in Overstaffed Twin Cities Hospitals?

    MN BigJ replied to sam1998's topic in General Nursing

    I was laid off from North, actually I was bumped because ED didn't cut positions so RN's from other units were allowed to bump in, ED trained or not I guess. Got to love the fricken

  20. Negotiating for wage

    MN BigJ replied to FireStarterRN's topic in General Nursing

    If they are union there isn't much wiggle room. You will get paid for years of experience, period. Non union you may be able to get a few more bucks. Good

  21. How do you prevent psych/etoh elopements?

    MN BigJ replied to mmutk's topic in Emergency

    Personally, I don't see it as our duty to protect idiots from themselves. However, the courts may disagree and just because Al Coholic left and wandered into the river and drown I don't want to be...

  22. For the nightshifters.

    MN BigJ replied to HappyPediRN's topic in General Nursing

    Had 3 12's, switched hospitals and now I'm on the waiting list for 3 12's. I miss my

  23. What would be your perfect computer charting system?

    MN BigJ replied to hsmom24boys's topic in General Nursing

    I hate EPIC and I miss EMStat. More click boxes make faster and easier

  24. Travel Distance to Work

    MN BigJ replied to JAshley's topic in General Nursing

    I'm about 40 miles, I've been straight nights about 7 years so I don't usually have a problem. I know every now and then I need to pull over for a while but 95% of the time it's no problem. Good

  25. *Weird* Patient Allergies

    MN BigJ replied to cherrybreeze's topic in General Nursing

    Speaking of allergies, How does one know they are allergic to Sux or Epi?? Always found that to be