butterball1980

butterball1980

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All Content by butterball1980

  1. What is happening with safe nursing..

    I have been an ER nurse for several years. I've always been very proud to be an ER nurse, but see some pretty sad trending in the field. I have a family member that works in the ICU, so I often hear...
  2. Seasoned Nurses - This one is for you

    The ongoing fight of ADN/Diploma vs BSN. We aren't using common sense, nor are our employers. The "magnet status" has created monsters and pushed for "higher education" that in truth has very little...
  3. Safe Nursing a thing of the past?

    2 weeks ago, my 60 year old mother, for only the 4th time in her life, went to an ER in a moderately sized hospital, part of a large statewide hospital system. Her symptoms/age and recent medical...
  4. Safe Nursing a thing of the past?

    Wow. All I can say is
  5. Safe Nursing a thing of the past?

    Okay, I apparently am not making my point so let me try this. When I have an ER patient, as the triage nurse, I do a primary assessment - mentation, resp, disability and skin color. In addition to...
  6. Safe Nursing a thing of the past?

    In regards to the medical professions relying on machines too much for assessments and diagnostics - if a pulse ox is 98%, do we then assume the cap refill is prompt? If the pulse ox shows a pulse of...
  7. Safe Nursing a thing of the past?

    My point was, literally nobody in this ER did a hands on, physical assessment. I wasn't looking for a diagnosis of my mother, the main point in my comment was that this ER did not do an appropriate...
  8. Physiology of FHR monitoring

    I am semi-new to L&D. I have been to numerous monitoring classes and remember hearing somewhere there could be a tracing yet the heart could not be mechanically functioning. This had to do with...
  9. What do patients say that irks you?

    "Nipple Confusion"!!!!!!! When explaining to mom and dad that their 9-1/2 pound baby desperately needs a bottle for a low
  10. Physiology of FHR monitoring

    I have sent some letters out to the local educators that do our fetal monitoring courses and hoping for some responses soon. If I don't hear back from them, I'll send off some questions to some of...
  11. Physiology of FHR monitoring

    Why not? If it is an electrical current, as in an adult, you can have electrical current without mechanical activity and I don't know why a fetal heartrate would be any different. And if you do have...
  12. Physiology of FHR monitoring

    Again, I am referring specifically to Fetal Scalp Electrode and this is a big difference from doppler, external heart monitor. I have been researching this for several days without much luck but I did...
  13. Physiology of FHR monitoring

    I should have clarified. This was an IFM, fetal scalp electrode which would not be the same as doppler and would be picking up electrical activity of baby. That's why I compared it to adult PEA....