Vespertinas replied to Vespertinas's topic in Emergency
Ixchel, your understanding of my assignment and responsibilities is inaccurate. Your answers have been not only not helpful but condescending. Whether this was my fault for not conveying the problem...
Vespertinas replied to Vespertinas's topic in Emergency
The case challenge is fictitious and we've been given less than two weeks to present a budget, timeline, short and long term solutions, identify stakeholders, read 81 pages of background data,...
I'm working on an interdisciplinary case challenge being given by the IOM. We're trying to find a comprehensive solution to support the mental health of aging veterans. Our approach will start in the...
Vespertinas replied to Vespertinas's topic in Cardiac
Right. I agree with both of you. Ohiobobcat you made me think that if I can measure a consistent QT interval, then it's likely a T wave. I think my problem was stemming from a patient who was in...
Vespertinas replied to Vespertinas's topic in Cardiac
Based on what you said, it sounds like I should measure the T-wave if I suspect that's what it is. But it's entirely possible that I won't find T-waves in which case it's okay to say it's...
1st year of nursing moment: Agreed to take on an extra 4 hours after my 12 hour shift. Of course someone codes at hour 15. I'm hypoglycemic and full of adrenaline, pumping this patient so hard. When...
Can I or can't I positively identify T-waves in afib? Sometimes I think I can see them and want to measure but then it could always be a P-wave, right? Should I not even bother once I recognize the...
Nah. I've had trouble getting treatment for autonomous patients with MR. No lorazepam for that. It's so sad seeing them walk out AMA knowing the trouble they'll have
Remember, you said "a lot of psych issues" You'll hate me for preaching but please try to still be compassionate to people like this. They're not trying to make life difficult for you and ultimately,...
Vespertinas replied to pinkiepieRN's topic in General Nursing
My first emergency.... a renal transplant patient who experienced a transfusion-related acute lung injury (TRALI) which is basically an immune-mediated flash pulmonary edema. Uh yeah I totally...
Vespertinas replied to pinkiepieRN's topic in General Nursing
Having a bad attitude about management and pulling off the two-faced routine must be exhausting too. I don't even see how this relates to the original topic but I love