Anoetos BSN, RN

Emergency Nursing

Member
  • Content

    738
  • Visitors

    11,984
  • Followers

    0
  • Likes

    19

All Content by Anoetos

  1. Anoetos

    All Men Shift

    I've had a couple of occasions where all the nurses and techs in a given area of the ER were dudes. We had to reach out for a female chaperone if we had a pelvic
  2. It feels like fighting a bear and beating
  3. Anoetos

    Student Nurse with a poop problem

    Let's just say it
  4. Anoetos

    Male patient refuses Female Nurse

    I'm not offended, but I think there is a place where things like this come up against necessity and when it comes to saving lives, every one needs to put on their adult trousers and get to work,...
  5. I worked in construction years ago... Then sales... Now I'm an RN... It's worked out well for
  6. Anoetos

    Male patient refuses Female Nurse

    It is reasonable to honor the sensitivities of any patient with regard to gender issues, when they can be accommodated. When they cannot, it should be explained. When they cannot be accommodated, the...
  7. Anoetos

    Student Nurse with a poop problem

    Remind me to tell you about the time I gave a constipated colostomy patient an
  8. Anoetos

    Student Nurse with a poop problem

    So many things I thought I couldn't handle when I was a student and when I was just starting out as a nurse... I do all of them pretty regularly now. Poop? Vomit? Urine? Blood? Bronchial secretions?...
  9. If public health nursing involves teaching, I am very excited to be starting it. I have always loved helping people navigate healthcare and understand things. I've been a nurse for two years. I got a...
  10. Anoetos

    PICC line blood draw

    I usually waste more than I flush. Flushing is for line clearing and patency, so I can't really see the point of a policy of flushing with 10 or more, but I am certainly willing to be educated on it....
  11. Anoetos

    Antibiotic initiation/effectiveness

    There's no way to have known this was coming. Sepsis can "gallop" on an elderly patient, but it doesn't usually. There doesn't seem to have been any indication that she was moribund. She came from the...
  12. Had a girl come in the other night with a tooth ache. No big deal, I get it...the likelihood of getting an oral surgeon on a Sunday morning is nil, but we can give ABX and pain control. Tooth aches...
  13. Anoetos

    Question about IV therapy

    All giving them a hypertonic solution would do is draw fluid back into the intravascular space, possibly correcting a hypovolemic state, but it would do nothing for their hemoglobin and in fact might...
  14. Anoetos

    Medication tidbits an ER nurse should always know

    But I feel like I've derailed the thread with my rant. Sorry about that folks. I
  15. Anoetos

    Medication tidbits an ER nurse should always know

  16. Anoetos

    Medication tidbits an ER nurse should always know

    But more directly to your case, why deny the pt what they want? If they have a high tolerance to opioids it's unlikely that 1mg of dilaudid is going to do much for them. Certainly not as much as for...
  17. Anoetos

    Medication tidbits an ER nurse should always know

    I think sometimes patients get caught up in a cycle which ends up generating narcotic dependency and we are as at fault for this as they are. Let's say they get a spinal fusion which never really...
  18. Anoetos

    Medication tidbits an ER nurse should always know

    I read up on the hypotensive effects of dilaudid and they're actually negligible except with chronic use. I did this after a patient died on
  19. Anoetos

    Medication tidbits an ER nurse should always know

    I only dilute dilaudid for opioid naive patients. For those with chronic pain and high tolerance I push it hard and fast and I always flush. They appreciate
  20. Anoetos

    Medication tidbits an ER nurse should always know

    The problem with hydralazine, Brainkandy, is that it's unpredictable, for every ten patients it works for, there are two or three for whom is either does very little or does too much. That said, I...
  21. Had a guy come in, said he had a fever of 99 degrees F, but what really made him come in was that he was having bad
  22. Anoetos

    Emergency Room Skills

    Pretty new to the ED but so far I've had a lot of success in calming patients down. Usually all it takes is an open handed explanation of what's going
  23. Anoetos

    Any good "nurse" shows on tv? Netflix?

    Grey's Anatomy is ridiculous. Not only do they degrade RNs, the RNs don't do anything. Pt needs to be ambulated? A doc does it. Pt needs meds, a doc gives them. Basically, everything RNs do every day...
  24. Anoetos

    Why do Nurses tell students to go BSN??

    I got my BSN mostly on loans, but with a few grants and scholarships, as well as a decent veteran's discount. The program was a private "ground up" 8 semester deal including prereqs. Credit hours were...
  25. Anoetos

    Why do Nurses tell students to go BSN??

    We had a talk from our Chief Nursing Officer recently in which she noted that the Magnet standard would be moving and that we were aiming for 80% BSN among our RNs (we're currently at about 64%). Then...