PedsDrNurseTheo

PedsDrNurseTheo ADN, BSN, MSN, DNP, RN, EMT-P, NP

Pediatric Critical Care, Cardiac, EMS

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All Content by PedsDrNurseTheo

  1. Can I just say this?

    PedsDrNurseTheo replied to meanmaryjean's topic in PICU, Pediatric

    Thank you so much for this. We get a run of soul-crushing tragedy, and then we get a good run, and then there's months like the last few where it just seems to be so numbingly pointlesssometimes....

  2. Have you ever witnessed this situation?

    PedsDrNurseTheo replied to RNewbie's topic in Patient, Colleague Relations

    OP, FWIW, I think you are right to be upset. If this were one of those Code of Conduct scenarios, I would call it a HIPAA violation; so it may very well be. The practice needs to stop; not just for...

  3. Removing a tic from a patient

    PedsDrNurseTheo replied to kellycinalli's topic in General Nursing

    This. And you don't even really need tweezers - a slow, steady pull will do. He doesn't want to have his face pulled off any more than you want to have it lost in you - he'll let go. But the right...

  4. Removing a tic from a patient

    PedsDrNurseTheo replied to kellycinalli's topic in General Nursing

    true enough. just pointing out that testing is unnecessary and expensive in most cases, as well as running the risk of keeping the critters around for longer than necessary. remove 'em and get rid...

  5. Removing a tic from a patient

    PedsDrNurseTheo replied to kellycinalli's topic in General Nursing

    Testing the tick? Seriously? You've got to be kidding me. The tick has to be fastened for over 48 hours in order to transmit any disease, unless you squeeze the abdomen and force them to disgorge...

  6. proper orientation for CTICU

    PedsDrNurseTheo replied to rn6889's topic in CCU, Coronary, Cardiac

    "fresh heart" - first 24 hours post-op open thoracotomy case, generally valvular surgery and/or CABG "pump case" - any surgical case placed on cardiopulmonary bypass "Thorc" or "thoraco" - unilateral...

  7. 6th Nursing Caption Contest - Win $100

    PedsDrNurseTheo replied to Joe V's topic in News, Announcements

    If that's the stethoscope, let's get out of here before she comes back with a rectal

  8. Miss Tander Teaches

    PedsDrNurseTheo replied to dianah's topic in General Nursing

    We can have all the clinical expertise in the world, but the moment we forget that nursing is a human art, we have failed. Thank you for reminding me, dianah - and Miss

  9. Are men respected by Doctors and colleagues in this field.

    PedsDrNurseTheo replied to BigDiesel's topic in Patient, Colleague Relations

    I've never had a problem. Of course, I'm exceptionally bright, unfailingly helpful, a pleasure to work with, a lot of fun to be around, and smokin' hot, so YMMV. seriously, though, I've not had issues...

  10. professional way for new graduate to quit during orientation

    PedsDrNurseTheo replied to nanner8691's topic in Nursing Professionalism

    Orientation is generally considered part of your probationary period where both you and your employer are determining your 'fit' for the position in question. With that understanding, the...

  11. Which one do you feed?

    PedsDrNurseTheo replied to madwife2002's topic in General Nursing

    Always hardest to ignore the hungry one, though, isn't

  12. Discussions always so hostile here?

    PedsDrNurseTheo replied to xtxrn's topic in General Nursing

    Well. That was certainly constructive and helpful. Thanks ever so

  13. How many call ins?

    PedsDrNurseTheo replied to Simply Complicated's topic in General Nursing

    Yeah, that sounds just like ours. I suspect we work at the same place. According to my NM, the discipline piece is designed to prevent cases of abuse of call-outs; though how this is differentiated...

  14. Fed up with a tech. Long- sorry.

    PedsDrNurseTheo replied to missladyrn's topic in Patient, Colleague Relations

    While I don't disagree that the OP should take action to protect her license, up to and including finding another job - that does not solve the issue; the tech in question will still be employed to...

  15. How many call ins?

    PedsDrNurseTheo replied to Simply Complicated's topic in General Nursing

    3 in a six month rolling calendar period. Fourth is subject to escalatable disciplinary action (verbal, written, suspension, termination.) Also, on your 4th call-out, they won't pay PTO for the...

  16. Fed up with a tech. Long- sorry.

    PedsDrNurseTheo replied to missladyrn's topic in Patient, Colleague Relations

    Operating outside the scope of one's practice (i.e., adjusting medication rates when one is not certified or licensed to do so) and representing one's self as an licensed professional when one is not...

  17. Random ?

    PedsDrNurseTheo replied to LPNPayne's topic in General Nursing

    Oh, I know. Was being tongue in cheek with it. Getting ready to start graduate school, so I know all about the frustration aspect. Learning for me is as much about the process as the answer,...

  18. Random ?

    PedsDrNurseTheo replied to LPNPayne's topic in General Nursing

    I was kind of aiming towards pointing the student in a general direction rather than giving them the answer entirely, bless your kind

  19. odd question about sweat

    PedsDrNurseTheo replied to Caeli_89(SN)'s topic in General Nursing

    We cannot give medical advice on this forum - see the TOS. That said, it might be wise to suggest that your father see a physician; unusual and drastic changes in body chemistry may be cause for...

  20. Random ?

    PedsDrNurseTheo replied to LPNPayne's topic in General Nursing

    Research the condition first. Once you know the pathology, you get a pretty good clue as to the generally recommended treatment. So once you know that choledocholelithiasis is gallstones, you can...

  21. USA Fall 2011 MSN/FNP program

    PedsDrNurseTheo replied to ousooner's topic in Post Graduate Students

    I am starting in August, same as y'all - I'm in the acute care adult/gero track. Looking forward to seeing y'all on the discussion boards! As far as the program goes, I work with an NP who is an alum...

  22. white scrub tops and males

    PedsDrNurseTheo replied to jltbone's topic in Men in Nursing

    White scrubs are not necessarily feminine. Just be thankful they're not asking you to wear a

  23. Highest Troponin Levels You've Seen?

    PedsDrNurseTheo replied to Dogstar's topic in CCU, Coronary, Cardiac

    Holy smoke. That sounds like a process error! For anything over 250, our lab just says **** >250 HI!*** And we say "Hi, busy

  24. ST Depression, ischemia as baseline? Ummm...

    PedsDrNurseTheo replied to GoNightingale's topic in CCU, Coronary, Cardiac

    It depends. While ST-segment depression is most certainly a common sign of ischemia, it is not always definitively caused by ischemia. So the ST-depression might very well be baseline, while not a...

  25. I feel guilty in canceling my extra shift...

    PedsDrNurseTheo replied to ARRR10's topic in General Nursing

    Now that's funny. (Just a note - If you are going to flame someone on spelling and grammar rather than content - do make sure your comment is free of typos and grammatical errors.) As far as the...