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Athanasia

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  1. I have been out of the hospital setting for almost 8 years. I’m back in the ICU and learning Cerner is not fun. I have always been technologically savvy. I don’t see how this is efficient, orders can be easily lost, the redundant rules of charting have gotten worse. It’s not okay to have to chart so much that it interferes with patient care.
  2. I say go for it. I will never understand people who say you should spend time on the floor first, it’s a completely different set of skills and If the ICU is where you want to be, go there ASAP.
  3. I only use 20 or 22 gauges, in outpatient we start at 6am and it's very fast paced so there is simply no time for lidocaine or EMLA cream. We have 60-80 patients per day. I do agree that people have different pain thresholds but they will have to make the decision IV with sedation or no IV without sedation for their colonoscopies and endoscopies.
  4. You think childbirth is less painful? My menstrual cramps are more painful than an IV lol.
  5. It's just an IV, have you ever had one? I have and it hurts for a second...then it's fine. Most adults can handle it just fine. I stick a minimum of 15 people/day. Today 26...everyone was fine, they even thank me afterwards. You know women used to have to have babies without epidurals? People have become big babies, and giving lidocaine is silly for such a minor thing.
  6. I work in an outpatient EGD/Colonoscopy clinic, if an adult asked me to use lidocaine or any kind of numbing cream I would probably try my best not to roll my eyes...seriously get a grip. We usually do back of the hand too bc of the way they lie down during the procedure. The pain lasts seconds then it's over. I understand that many many people are frightened of needles I just have to act calm and very self confident and inform them they will get an IV or no sedation. For the fainters, I just flatten the bed, give fluids and a nice cold wash cloth behind their neck. I've heard everything from frantic over the top screaming to "wow you are awesome, I didn't even feel that". You get sort of numb toward the "OMG I hate needles!" When you hear it everyday.

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