mshultz

mshultz

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All Content by mshultz

  1. Pt Threats and Name Badges (again)

    mshultz replied to Meerkat's topic in General Nursing

    It's not so much that I would have a problem with a nurse who does not want me to know her last name. The problem I see occurring is when I say to said nurse "I will be requesting my complete medical...

  2. ER: The dumping place

    mshultz replied to Happy-ER-RN's topic in Emergency

    The situation in my area has improved within the past few years. There is now an urgent care center, a free clinic for low income uninsured patients, and an office of doctors who take walk-in...

  3. Re: Conscious/Moderate Sedation and Consent

    mshultz replied to CrohnieToo's topic in Gastroenterology

    I would analyze this ethics problem by asking the following questions: Is the patient warned about the potential pain? Since the patient is required to sign an informed consent, he should have been...

  4. Dysfunctional patients, families, and visitors

    mshultz posted a topic in General Nursing

    This seems to be common, from what I have been reading. Some examples of what I mean are: "Why is the trauma team undressing grandma when it's so cold in here?" Patients who sign out AMA. Patients...

  5. Does your hospital provide patient transportation?

    mshultz posted a topic in General Nursing

    At least 2 hospitals in this area provide free patient pick up and delivery for outpatient procedures. I used to think this was standard practice, until I realized we have the largest Amish...

  6. Trend toward private rooms

    mshultz posted a topic in General Nursing

    One of the local hospitals has a goal of providing all patients with private rooms. Reasons for this are: "This is a trend in health care." "Patients are less likely to talk about a sensitive issue...

  7. Chaperone or not during exam

    mshultz replied to masstudent's topic in Ob/Gyn

    I do not have a history as a victim of abuse, and have never been concerned about inappropriate sexual contact from a healthcare worker (male or female). My concern around female healthcare workers...

  8. Video Taping Colonoscopies ???

    mshultz replied to CrohnieToo's topic in Gastroenterology

    I am not implying anything about your past history. I only mentioned the possibility of being a victim of abuse because healthcare workers are trained to deal with these issues in a sensitive manner....

  9. Do Nurses Need Chemistry Education?

    mshultz replied to Dr. O's topic in General Nursing

    At STP (Standard Temperature & Pressure), 1 mole of gas contains 6.022 X 10 to the 23rd molecules and has a volume of 22.4 Liters. Therefore: (5.00 X 10 to the 22nd / 6.022 X 10 to the 23rd) X 8...

  10. Customer Satisfaction Surveys: Tell me what you think

    mshultz replied to UM Review RN's topic in General Nursing

    Excellent post! Although I gave top marks on the 2 surveys, and wrote Thank You notes to the ICU, ED, the EGD/Colonoscopy doctor, and the squad (the squad also got a $50 donation since it is a...

  11. Video Taping Colonoscopies ???

    mshultz replied to CrohnieToo's topic in Gastroenterology

    In recent articles, the local hospital has been describing colonoscopies as "uncomfortable". I realize this will not be reassuring. If your concerns are influenced by having been the victim of abuse...

  12. Average doseage of conscious sedation while doing endoscopy's

    mshultz replied to lmbv55's topic in Gastroenterology

    I assume this was for an upper endoscopy. According to my 15th edition of Harrison's Internal Medicine, upper endoscopies are routinely performed in Europe without sedation. I remember my EGD because...

  13. Dear Abbey, about a nurse

    mshultz replied to Faeriewand's topic in General Nursing

    I agree with Bruce RN about keeping visitors out of the recovery room. However, it seems to be common practice to allow them. One of the responses was from a wife in the recovery room after her...

  14. PLEASE HELP!!! so embarassed about sweating!

    mshultz replied to Bumashes's topic in General Nursing

    Bumashes: What was the temperature of your ward? Today was the hottest and most humid day of the year so far here. I doubt it was any cooler where you are. When I was taken to the Critical Care...

  15. Average doseage of conscious sedation while doing endoscopy's

    mshultz replied to lmbv55's topic in Gastroenterology

    It is assumed that patients do not want to remember the procedure. This was even the case for childbirth at one time. Since the pain cannot always be safely controlled with Demerol or Fentanyl,...

  16. Help! Silver Nitrate stain from cauterization!

    mshultz replied to kellyo's topic in General Nursing

    In my job as a lab tech, I get the occasional silver nitrate spot on my hand. The stain is permanent, but only lasts for a few days before new skin replaces the stained skin. The best course of action...

  17. Family: The Monitor Monsters

    mshultz replied to Nurse-o-Matic's topic in MICU, SICU

    My monitors had no visitors. My visitors came to see me, not the monitors. And as for me, with 20/300 vision without glasses, I did not see much of anything more than a foot away. Surely, I am not...

  18. Visitation and staying the night

    mshultz replied to optimisticSRNA's topic in MICU, SICU

    This was the amount of visitation I had in the Critical Care Unit (1 day as CCU patient plus 1.5 days in CCU as a regular patient; the hospital was full). I also had a short visit from my minister,...

  19. GI terms?

    mshultz replied to hospitalstaph's topic in Gastroenterology

    ileoscopy - Examination of the ileum with a scope. A colonoscopy may include examination of part of the ileum, depending upon patient's tolerance and doctor's skill. ileostomy - Surgical formation of...

  20. Patients reading their own charts-yay or nay?

    mshultz replied to HappyNurse2005's topic in General Nursing

    This position statement is dated November 1995, which is pre-HIPAA. According to the Center on Medical Record Rights and Privacy, Georgetown University:...

  21. Gloves and disease transmission

    mshultz posted a topic in General Nursing

    Have you noticed a reduction in direct contact disease transmission since glove usage was mandated? My own experience with this is as follows: I noticed that I was getting a minor sore throat after...

  22. Gloves and disease transmission

    mshultz replied to mshultz's topic in General Nursing

    Thanks for the responses. Although the news is always reporting about some new disease ready to spread and kill millions of us, it is my belief that in general, things continue to get better. I like...

  23. "French 30" cycle

    mshultz replied to umenosuke's topic in Operating Room

    Is it possible this is a misunderstanding? A 30 minute autoclave cycle on fast exhaust would be used for sterilizing dry materials, while slow exhaust would be used for liquids (so that they do not...

  24. Post-op vision problems?

    mshultz replied to RaginCajunRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Thank you. This helps to explain why my former eye doctor would ask at each exam whether I had ever undergone general anesthesia (he was not interested when I mentioned conscious

  25. Family: The Monitor Monsters

    mshultz replied to Nurse-o-Matic's topic in MICU, SICU

    No, unless both patient and family are comfortable with providing intimate personal care to the patient, seeing the patient recovering from anesthesia, and comfortable with the patient giving intimate...