athomas91

athomas91

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All Content by athomas91

  1. transgender nurse (transvestite)

    athomas91 replied to nursecathy's topic in Patient Safety Issues

    i find it disturbing that as nurses we attack each other just for having differing opinions.... that is what makes our profession unique and wonderful... nursecathy - you have some very valid concerns...

  2. pain in the ed

    athomas91 replied to MAGIK GIRL's topic in Pain Management

    i see that everyone has made very good and valid points...there are those who are indeed in great pain - and there are those who really just want the meds...i think it would be ridiculous to argue...

  3. liver failure and LR

    athomas91 replied to CRHSrn's topic in Certified Registered Nurse Anesthetist, CRNA

    :roll :chuckle

  4. I'll just be a Nurse! (rant)

    athomas91 replied to BunnyBunnyBSNRN's topic in General Nursing

    i wouldn't worry about it - either he won't make it....or he will and his co-workers will eat him alive...and dump every s%$tty patient on him....:roll

  5. pain in the ed

    athomas91 replied to MAGIK GIRL's topic in Pain Management

    i cannot speak for others - but when i speak of physical dependence - i am referring to the actual physical dependence of the body of a narcotic- as the receptors adapt to a narcotic- yet the body...

  6. Adults Who Can't Swallow Pills

    athomas91 replied to Medic946RN's topic in Emergency

    i am sorry you have had to live w/ implications such as those...my father and my sisters have always had horrible mouth ulcers (usually when sick) and i know they are both painful and

  7. pain in the ed

    athomas91 replied to MAGIK GIRL's topic in Pain Management

    well let's get some straight facts....a narc, is a narc, is a narc - they all have the potential for addiction in even those who are not "predisposed" psychologically or emotionally...there is a...

  8. liver failure and LR

    athomas91 replied to CRHSrn's topic in Certified Registered Nurse Anesthetist, CRNA

    Tenesma has an outstanding amount of knowledge....i really enjoy the

  9. Adults Who Can't Swallow Pills

    athomas91 replied to Medic946RN's topic in Emergency

    i can honestly say that the origional poster nor myself would ever have a problem w/ those who have health issues related to swallowing or health issues that have effected their swallowing.... and you...

  10. transgender nurse (transvestite)

    athomas91 replied to nursecathy's topic in Patient Safety Issues

    i must agree w/ nursecathy on some issues....and i don't want to hear any "bigot" type remarks because i have a multitude of very good friends who hail from many different lifestyles.... however - as...

  11. did any one go to this university?

    athomas91 replied to Emery's topic in General Nursing

    it was never an option for me - i have problems following rules...however...i have worked w/ 2-3 RN's from BJU and they have been phenomenal

  12. liver failure and LR

    athomas91 replied to CRHSrn's topic in Certified Registered Nurse Anesthetist, CRNA

    i am fully aware of what substances LR consists of.....my point is if there are better fluids out there to use, why would LR be used in that scenario.... and.... in an acidotic state - the K+ will be...

  13. Adults Who Can't Swallow Pills

    athomas91 replied to Medic946RN's topic in Emergency

    ummmm..... when she told me about the member w/ the bumps on it that she had in her mouth - asking if those could have been herpes....i am not implying - i am stating that is likely where SHE got HERs...

  14. Dysfunctional Collaborations

    athomas91 replied to hbscott's topic in General Nursing

    i agree w/ the general thoughts posted in that greed and ego have been primary reasons for the AMA to oppose APN practice.. Personal experience has made it very clear to me that there are those who...

  15. CRNA or Anesthesiologist

    athomas91 replied to 8YRSAWY's topic in Certified Registered Nurse Anesthetist, CRNA

    first and foremost you need to decide whether you want to be a nurse or a doctor - although CRNA and MDA's focus on the same material, i feel it is approached from a differing point of

  16. liver failure and LR

    athomas91 replied to CRHSrn's topic in Certified Registered Nurse Anesthetist, CRNA

    Tenesma - thank you for your post - i look forward to the day when i will have all that info... i guess my question is - i know that LR isn't going to cause a sudden state of acidosis...but if someone...

  17. Panniculectomy

    athomas91 replied to kmchugh's topic in Certified Registered Nurse Anesthetist, CRNA

    down's patients have the tendency to sublux at C1-C2.... so you have to be careful not to rip their head off their neck??? how did i do

  18. and the problem is..........?

    athomas91 replied to marcicatherine's topic in Emergency

    or the pt that is deathly allergic to tylenol - but percocet works for them

  19. Stories from the Edge (of sanity)

    athomas91 replied to Mushu's topic in Emergency

    or when parents bring in a kid w/ a 104 temp and you undress them, administer meds....and they redress and cover them back up...."but their cold...." - yeah, it will help bring the temp...

  20. whats your nurse pt ratio for ED?

    athomas91 replied to E.D.ucated's topic in Emergency

    the post i posted earlier (4:1) does not stand true for our fast track - only our Core ED patients - sometimes our fast track nurses can have 10 or 12

  21. Adults Who Can't Swallow Pills

    athomas91 replied to Medic946RN's topic in Emergency

    i am on the same wagon w/ the daughter who cannot take liquid meds...nothing will make me puke faster.... but i must honestly admit - on a busy nite in the ed when you are trying to move patients and...

  22. liver failure and LR

    athomas91 replied to CRHSrn's topic in Certified Registered Nurse Anesthetist, CRNA

    i haven't looked this up... distant memory going here..... but the lactate byproducts can make an acidotic state

  23. What's your craziest story of the ER

    athomas91 replied to debo_lpnER's topic in Emergency

    did you know that there is a direct correlation of tooth:tattoo ratio and death..... they never die when the ratio is 1:1 or

  24. What's your craziest story of the ER

    athomas91 replied to debo_lpnER's topic in Emergency

    OMG -- this happened early last spring and i laughed for months just due to the fact that it so accurately portrays the hillbilllies that surround the area i live in.... call goes out for EMS (now...

  25. Come backs...

    athomas91 replied to ER Tigger Girl's topic in Emergency

    well.... how long is it going to be? answer: "and what time was your appt?? oh, that's right - there wasn't one...." for pt's on the phone ... answer: "hang up the phone now, or get placed behind...