Be_Moore

Be_Moore

Pulmonary, MICU

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All Content by Be_Moore

  1. If they can ask for it..they aren't too sedated...

    Realistically, I think the mistake was in telling the patient that you weren't going to give them. My process for people like that: "Can I have drugs?" "Yes, I'll be right back with them." Go get...
  2. If they can ask for it..they aren't too sedated...

    And had she aspirated them you would've been in a world of poop too. I think you made the right
  3. IV lasix, hypotension, ICU

    Not likely. Was the patient perfusing? And the MD didn't want to put one in..was the MD on crack? Did you try getting a palpated manual
  4. IV lasix, hypotension, ICU

    If patient was already suffering from pulmonary edema, patient needed lasix..especially with packed cells coming. What the patient really needed was an art line. If a patient needs pressors, they...
  5. Male Surgical Nurses

    You have to go to school an extra year afterwards. But it isn't worth it, no one hires male surgical nurses
  6. Can they PLEASE stop calling her a nurse!!!

    It makes it worse, I think...how was a tech getting Fentanyl? Too bad for Rose. Maybe my hospital system will start seeing some of their more uppity insured patients, however. See, every cloud has a...
  7. What ever happened to "mother nature"?

    Like it or not, healthcare is a business. The longer it takes for a woman to give birth, the more it costs. This is the same more or less in all fields. Which is why we send people home while they are...
  8. Public Health in Ghana, per Obama

    Because we don't see a lot of Malaria, Polio, or TB in this country. And compared to many of the African nations, our HIV rates are nothing. "Nobody made a greater mistake than he who did nothing...
  9. MSN to MD program

    I don't remember the program being an MSN to DO program. I work again tomorrow and I will either ask said chica or email her to get the information we were looking at. I wasn't paying that much...
  10. MSN to MD program

    There are MSN to MD programs, but I would hardly call it a short cut. From what I understand they are 3 years instead of 4...but that's not a shortcut because you have to spend the extra time getting...
  11. In the ICU for sure, ask the nurses to help. They are our patients and we usually have everything arranged just so...and honestly, you Rad Techs make a huge mess of things. I'd rather you ask me to...
  12. Nurse-to-CNA ratio

    Yes. But when I have only 2 patients, and sometimes only 1, what do I really need a CNA for realistically? Not saying they are useless, but with that many RNs ancillary staff becomes less necessary....
  13. Nurse-to-CNA ratio

    In our ICU at night our CNA patient load is 24:1...which is okay because the nursing ratio is 2:1. During days it is 12:1 Patient:CNA ratio. We don't include the techs in report at end of shift, but...
  14. The Dreaded Death Bath and a Moral/Ethical Dilemma?

    And to sum up my OP in the form of a question (one question, two parts): Would you say that with the new policies of cutting reimbursements for patients who recieve HAI's / wounds during...
  15. Need NCLEX help desperately

    NCLEX-RN is not a test of nursing knowledge as much as it is a test of patient safety. Pick the answer that is safest for the patient and you can't go wrong. The best part of the NCLEX is that it...
  16. Survey oriented

    Welcome to the new
  17. Jehovah Witness and Blood Transfusion

    If the spouse (next of kin) gave permission and the patient was unable to consent, then there is no legal problem. The problem is more moral/ethical in nature, and the reasoning for the rushing is...
  18. Want to move

    Also, don't look at a "pay cut" in terms of concrete numbers...look at pay vs. cost of living index. Because could you afford a $2/hr paycut if your rent/mortgage was $1000 less a month? Or does a $6...
  19. Are nurses really that important?

    I'm in a teaching facility, and I feel exactly opposite about the above replies. The intern/resident teams are very apt to asking questions about how the patient has done over night. They are also...
  20. how to separate work from home

    Do 1 of 2 things. 1) Get a job that you don't hate / don't dread going to. 2) Stop caring. I recommend #1, but #2 works while you are working on
  21. A ton of physicians and NP's use ePocrates. As soon as it is available for my phone I will get it. ePocrates has a free drug guide download, as well as a paid-for full program that has a lot of very...
  22. CAN ANYONE ONE HELP

    Yep, that's pretty much it. SIRS is an overreaction to an insult (injury or infection). SIRS itself has specific diagnostic criteria based on vital signs and labs. SIRS is a pre-requisite for the...
  23. Please help! What would you do?

    Wrong! Retail and food are great, because like it or not, nursing is a customer service profession just the same. You are selling healthcare and if they don't like you, they won't come back to your...
  24. Do nurses have an advantage in becoming a doctor?

    I would almost say nurses have a disadvantage. Nursing school is difficult...a lot of BS work and studying. Most people's GPA's suffer a bit going into nursing school. I think I graduated with a...
  25. What is considered the most serious,risky surgery?

    Well, chiropractors have their place in this world, much like optometrists do...but there are things that are outside of their scope that are necessary. To return to the above example of trauma, while...