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I'm excited and just needed to tell someone! :)
Congratulations!
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Could use some advice or a listening ear...new RN, newly abusive husband
To reiterate aNader_RN's advice, do not go back for your stuff without a police escort. Stuff can be replaced. You, your dad, and your brother cannot. This psycho could easily shoot all of you. The most dangerous time for someone in your position is when you are actually leaving the scumbag. To reiterate GrnTea's advice, do not tell the landlord, the utilities, etc., and get a new phone number. Let him keep (and deal with) everything that's in his name -- his problem now, not yours. Just leave now and take that poor dog, too.
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Could use some advice or a listening ear...new RN, newly abusive husband
Leave. Now. And take the dog.
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Any recommendations?
I love SAS shoes. They're expensive, but they're very supportive and comfortable, and they last a LONG time.
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Advice: On An MD Order
I gave cialis last week to a female pt with essential pulmonary HTN. I had to look it up to satisfy my "what the ???" reaction, but when you think about its mechanism of action, it makes sense.
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The chance they'll touch you is inversely proportionate to their hygiene level...
That's one of the reasons I now shave my head! I don't know about its effectiveness, but it makes me feel better.
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Working as a software consultant RN
Take it! I have had both patients and computers crash on me; it's much easier to reboot a computer. And although they **** me off from time to time, I've yet to have a computer puke on my shoes or wear out the call light.
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Reporting to ICU
It is a good point, but just to clarify, it was made by Fribblet, not me. I failed to negotiate the quote function properly the first time around and accidentally usurped Fribblet's thought while trying to agree with it. Sorry, Fribblet!
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Reporting to ICU
Frankly, I think that's part of the reason for a lot of the ER/ICU tension. The personality types that gravitate to each specialty are fundamentally different. Sometimes opposites attract, but mostly it's just like oil and water. Very true. But I do love my ER colleagues :redbeathe (and they seem to tolerate me fairly well -- out of sympathy, I suppose ).
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Reporting to ICU
I'm sorry this goes on. It seems inevitable that many people from different units develop tunnel vision and can only see things from their own perspective. I'm afraid those of us in ICU are prone to this more than most. The nature of your job in the ER is totally different from the ICU, and some people will never understand that. Also, there are b****y people everywhere you look -- don't let 'em bring you down. Some of my best friends at work are ER nurses (and damn fine ones), and we all get a kick out of indulging in the whole "ER vs ICU" thing, but it is totally light-hearted and all in good fun. I hope this helps. If not, since you're an ER nurse, I'd be glad to dangle a nice, shiny object in front of you and you'll be completely distracted in no time flat (just kidding!). Love, a male Trauma/Surgical ICU nurse :)
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Smoking coworkers and fair breaks
Even better -- if you're a non-smoker, bring a toy bubble-blowing pipe to work, and go out with the smokers on their frequent dodges. Then blow bubbles as they do their thing. Sauce for the goose, eh?
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Lower stress areas to 'get your feet wet' in nursing?
Trauma/Surgical ICU... NOT!!!
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Just took my NCLEX...
I felt the same way you do, and I told myself beforehand that I'd just wait on the "unofficial" pre-BON result. Of course I broke several traffic laws on the way home to try it, and it worked like a charm for me. I just had to know something, and it really calmed me down until I got the preliminary result from pearsonvue. All of my classmates and co-workers who've tried it say it worked for them, too, including one who unfortunately didn't pass (she got cocky and didn't study ). She got the "bad" pop-up, so it seems to work both ways. So... congratulations (preliminary congratulations, that is)!!!
- Pearson Vue Trick - Does it Work Every Time? Part 2
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Highest Troponin Levels You've Seen?
Hello Everyone, First, a caveat. I'm in my last semester of school doing a precepted clinical in CCU, so basically, I know absolutely nothing about anything. Please forgive my ignorance. If you would indulge me, I'd appreciate it. Just curious -- what is the highest troponin level you've ever seen? I had a patient last week admitted through ER with an initial troponin of .21, chest pain, a slightly depressed ST segment (ECG normal otherwise), and a dx of r/o MI. During the night, his next two troponins came back at 78 and 144. He came to the unit on nitro and heparin drips and received an MS IV push twice for mild chest pain. We kept him NPO, the doc was, of course, notified (when each lab was received), and pt sent to the cath lab in am. He is now post-CABG and doing well. But 144?!! It seems pretty high to me, and my preceptor had never seen a number that high, either.