PedsDrNurseTheo

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

Pediatric Critical Care, Cardiac, EMS

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All Content by PedsDrNurseTheo

  1. Share your ICU 'brain' report sheet

    If you're interested still - I've attached mine. Days and nights. Word file - I can send .pdf as well if you want. Hope this helps. I used to fill this thing out extensively - hour by hour. Now I use...
  2. Interpretations please

    Off topic, but again ... It's HIPAA. Health Insurance Portability and Accountability Act.
  3. Is healthcare a right or privilege?

    First, you are not quoting Catcolalex, you are quoting me. Second, your argument is specious. All that must be done to protect your right to free speech, free assembly, freedom of movement, et...
  4. Is healthcare a right or privilege?

    Not even close to what was said. What was said was there is no right, or entitlement, to food. I do what I can to feed the hungry. I refuse to take food from my child's mouth to do so. I find it...
  5. Is healthcare a right or privilege?

    "If anyone will not work, neither let him eat." Eating is not a right. It is conditional upon you doing what needs to be done to earn your keep. Unless you think that food magically appears on your...
  6. when did they stop wearing those cute nurses caps?

    Would that be in the 1300's with the Order of Saint Benedict and the Alexian Brothers? Or 1783 and James Derham, a freed slave who was arguably the first African-American male nurse, (and then...
  7. Pulmonary Artery Occlussion Pressure (Wedge)

    Don't feel stupid. This is a lot of information all at once. Try checking out the sites that have been recommended - especially pacep.org, they helped me a lot when I first started working with...
  8. Pulmonary Artery Occlussion Pressure (Wedge)

    End-expiration: You want to get your measurements of PAWP (and CVP for that matter) at end-expiration because the movement of air into the thoracic cavity (i.e., inspiration) creates a substantial...
  9. Why am I doing this, anyway?

    "Good luck, dude, you're gonna love this one," the charge nurse told me as he handed out the patient assignments for the day. "You win the lottery this morning - dude needs a guy cause he's really...
  10. Conflicting test question...

    Or ... Let the bleeding continue until the screaming/breathing stops, and then drop an ET tube to secure the airway. Because, as we all know ... all bleeding stops - eventually. Just like all...
  11. When does a prolapse colostomy require intervention?

    Like mamamerlee said - we can't give medical advice. That said, as the patient's nurse, if you think it looks concerning, it probably needs to be
  12. Quick Question about what to wear

    I've never shown up to my HR appointment or work physical in less than business attire. If I am not in scrubs and the dress is not specified "business casual" - then I assume business dress. But I'm...
  13. What is the difference?

    Generally speaking, it looks like the rest of the world uses BN and BSN interchangeably with a preference toward BN in Canada and the UK - while the US is strictly BSN. The curricula are...
  14. should I fill out med error form?

    first off, i would hardly call missing a week's worth of levothyroxine "no harm done." levothyroxine has an extremely narrow therapeutic range - the physician needs to be notified and quite possibly...
  15. Is healthcare a right or privilege?

    I do want to throw one other little thought into the mix while we're tossing around ideas. We pay so much for our healthcare in this country and still live shorter lives, right? That's the argument,...
  16. Is healthcare a right or privilege?

    Ok - there is a substantive difference between legal rights and natural or "inalienable" rights. Natural or inalienable rights are generally considered to be those that are generative, or inherent to...
  17. Is healthcare a right or privilege?

    The Urban Institute has some interesting research, however, seems to be more interested in making recommendations that reveal an agenda. While this is to a certain extent, inevitable, I think that...
  18. So I've spent my first year of Critical Care nursing in the Neuro ICU and learned a great deal, but also had some really negative experiences. I promised my NM that I'd give them a year, and did - I...
  19. Nurse with potty mouth.

    And therein lies the point - to you it's fun and amusing. To Praiser it's disgusting and inappropriate always. To others it's not necessarily disgusting, but it is inappropriate ... To me, listening...
  20. Nurse with potty mouth.

    There is a critical difference between dropping the occasional curse word under certain situations - "**** it, that hurt" or "**** we just lost a patient" - and not uttering a sentence without two or...
  21. Do Nurses Get Vacations Every Year

    I am either really tired or I really need to clean my monitor. I read this post as "Do Nurses Get Vaccinations Every Year?" . . .
  22. Nurse with potty mouth.

    Yes, I have - and when I said something to her about it, she gave me a dirty look and said "This is the way I **** talk, if you have a **** problem with it, go talk to the **** manager." I did. She's...
  23. nitroglycerin clarification

    Maybe there is a reason to fact-check with an approved source such as a facilities' P and P, or a published drug guide for reliability, as opposed to a colloquial site that while a valuable resource...
  24. Is healthcare a right or privilege?

    Sorry, nope. Average cost of a public school education in the US is $11,500 per student per year - so unless your property tax bill school millage covers that - I don't think so. You are not...
  25. Oh, you rode your high horse to work today

    OK, I think I'm seeing the disconnect here. We have protocols in place for a lot of things in the ICU that maybe aren't in place on the floor. So for us, a K+ of 3.3 better be addressed. And the...