Anoetos BSN, RN

Emergency Nursing

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All Content by Anoetos

  1. My BSN is useless. Gotcha Sooo tired of this
  2. Anoetos

    Will I get in trouble ? ? ?

    Yeah, without the written permission of the facility and, most importantly, the patient, this is illegal. I don't want to go overboard, but I have to say too that I am wondering about your judgment....
  3. Anoetos

    Do you ever hold Lantus?

    I am with everyone else. I hold coverage all the time even if a patient has a BS just high enough to warrant coverage but will be NPO for any length of time. But glargine? No, it has no peak and the...
  4. GET A HOSPITAL JOB. I understand that you're a single parent, that you already have a job at Starbucks that you love, that you don't intend to work as a nurse in the hospital setting, that you don't...
  5. Anoetos

    I flunked out of clinical today..

    This really sucks and exemplifies everything thats wrong with nursing school. Where I work, there are 16 nurses working at any time, probably only three of us actually wearing a watch. An absolutely...
  6. Anoetos

    CIWA woes

    You have a point. But I can't help seeing a difference between expressing frustration over an incident and expressing that one does not like a patient because his condition is his own fault. One...
  7. Anoetos

    CIWA woes

    Anyway, to get back to the topic, and I apologize for derailing it, people addicted to drugs and ETOH are difficult to deal with. I work in progressive care, we get advanced CIWA cases very often,...
  8. Anoetos

    CIWA woes

    Echo, I get what you're saying. I was thinking about it as I wrote what I wrote. I am not without character flaws. God knows I have many. But I am also of an age where I don't have a lot of illusions...
  9. Anoetos

    CIWA woes

    I care. I care because once upon a time, I was that guy. I can certainly understand needing to protect yourself and your family from such people. I can even understand being completely worn out by...
  10. Anoetos

    CIWA woes

    I disagree. I have never been this way. I have never been one to look down on or judge the ill or those in my care. I won't start now. Additionally, I am well inoculated by my own poor choices made...
  11. Anoetos

    CIWA woes

    Yeah, "how dare you" is a bit dramatic, but I was struggling to capture my utter disdain for nurses who pass judgment on their patients. I'm not a 22 year old kid, I am a new nurse yes, but I am...
  12. Anoetos

    CIWA woes

    Wouldn't nursing be so much easier if patients could die less irritatingly?If they could just be a bit less inconvenient to us? How annoying it is that the patient in 7 wants to get his life...
  13. Anoetos

    Which is best 3p-3a or 7p-7a

    One thing about 7-7 is that in the winter, here anyway, you're driving to work in the dark and driving home in the
  14. Anoetos

    What to do about refusing Dr. orders?

    250 bolus where I work is usually run over 15 minutes... NS @ 250cc/hr is just a rapid dehydration
  15. Anoetos

    What to do about refusing Dr. orders?

    Why am I getting the feeling that these are things we like to tell ourselves which, in actual practice are often far from the truth? You can bet that many Physicians do not consider themselves our...
  16. Anoetos

    How do you pronounce "centimeter" ???

    Thank you, I've taken to saying it that way, but I was never sure and there's disagreement among my
  17. Anoetos

    masters degrees without ever working at the bedside?!

    Is this because nursing is an "applied science"; that is, it's really all about doing things with actual people, whereas chemistry and physics and so on are not? Like medicine, there is always a...
  18. I think a good part of the problem with less than optimal instructors in nursing school is that most (all?) SBONs require them to be nurses, but not necessarily teachers and, often, even the ones with...
  19. Anoetos

    What to do about refusing Dr. orders?

    Fwiw, New Nurse agrees with DNP: get the facts. If the facts are not readily available (e.g. The doc doesn't think s/he has to explain him or herself to you) use your chain of command. As far as the...
  20. We were always told that we could not possibly cover everything in lecture and that we were responsible for knowing everything in the book and that it was all fair game on test day. In fact, they...
  21. Anoetos

    How do you pronounce "centimeter" ???

    What I want to known is whether it's Cef-uh-PEEM, or
  22. Anoetos

    How do you pronounce "centimeter" ???

    Northern Midwest where T's tend to get skipped or stopped, it's SIN-uh-meeter. I have never heard of
  23. Anoetos

    insulin per sliding scale

    That IS interesting if you're talking about meds like Metformin. I was taught to never hold those. There must be some other reason. Is this patient undergoing a blood sugar challenge of some
  24. Anoetos

    insulin per sliding scale

    For many hospitals, there won't be a policy, it's a nursing judgement issue. There is a protocol for what to do if BS is outside of certain parameters, and for a pt with a specific Dx of DKA/HHNKS,...
  25. Anoetos

    RN-BSN How much ballpark?

    Depends on whether it's a state school or a private institution. JUST your NURS classes at a private school will probably cost in excess of 20K conservatively, at my school (in Michigan, FWIW), these...