CNL2B

CNL2B

multispecialty ICU, SICU including CV

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All Content by CNL2B

  1. Healthcare is a commodity

    What's your point? Do you have something to say that is going to refute his opinion? If not, then don't bother posting. VMSR, I think your post was right on the money. I would have given you more...
  2. did i just ruin my career at 21

    OP is likely going to a real live ground program at a university. Whoa, the novelty these
  3. did i just ruin my career at 21

    Honey. Your post makes me so sad! Stop beating yourself up over this. You are 21 YEARS OLD -- is that right? You are just a baby. You are finishing your BSN now, which is plenty early in your...
  4. help !!

    You could try the DON directly instead of going through your manager. I guess I would start there. I had a similar situation when I started my current job. It's a long hiring process here, and by the...
  5. Have you contacted the school directly? No disrespect, but this is a message board. What will and will not transfer into your prospective school isn't really something any of us are probably going...
  6. Phone calls & families <sigh>

    I agree with you on this one. If this hospital has a system set up where a PIN is used, I bet it's against policy to give the PIN out over the phone. Good pick
  7. Phone calls & families <sigh>

    awww, thank you. i get warm fuzzies. :redpinkhe :redbeathe
  8. Phone calls & families <sigh>

    i could go ahead and correct it now, but it's too late. for me, it's one of those things where you type faster than you think. my fingers are more used to typing two pps in a row (happy, crappy,...
  9. Phone calls & families <sigh>

    I work in an ICU. The vast majority of the time our patients are too sick to contribute an opinion as to whether or not they want information given out. Unless we have a list of people the NOK has...
  10. Phone calls & families <sigh>

    I have a feeling you are gonna be preaching to the choir on this one. The only thing I haven't figured out is if the general public really is that totally unaware of HIPPA (even though it has been in...
  11. depressed about new ltc job

    Whoa -- I don't do LTC, but NO, you can't pass your 5 pms with your 9's! Hold your horses right there! Unsafe with big red sirens --- lots of HS/9 pm meds are q12h/BID. What if the AM BID med was...
  12. Flushing a central line

    Air embolus is a risk with central lines, but it takes a lot more air than you might think. There has to be enough air there for the bubble to get lodged in the RV enough so that it stops blood flow...
  13. Hypothetical, yet sticky situation for a new grad

    Agreed with above in that the limited experience I have with hospice (with my dying grandmother at home) -- narcotics that I have seen in home hospice are kept in the fridge at home and they are...
  14. Jackson Pratts do you flush?

    JPs are only flushed per MD order. If whatever is coming out is sticky/clotty or will otherwise plug up the tubing (and stripping isn't enough) this is when I have seen it ordered, generally...
  15. Hypothetical, yet sticky situation for a new grad

    I would have done it as long as I could have called the hospice agency and spoken with the nurse and it was OKed. Would have asked for a dosage that she wanted to use as well as I don't do hospice,...
  16. Any info at all on bkat 8 pleeeaassse

    Not all hospitals use this method of assessment for their new hires/orientees. That is probably why you aren't getting a lot of responses. I've worked at only one over the years that did use this,...
  17. Bizarre Case- Any guesses?

    He might not have been lying to you...could have been clean for some time, living with vegetation on his valves, and not known
  18. HELP!

    WHAAAAAT? Holy crap. Is that for
  19. Bizarre Case- Any guesses?

    Endocarditis is highly correlated with illicit IV drug use. Generally the solutions they shoot up are not sterile. Bacteria travels to their heart valves and gets stuck on them and continues to grow...
  20. Bizarre family member behavior

    It's not that I was weirded out that he wasn't there -- it was the attempting to control the situation from afar that I was weirded out by. Families do indeed run the gamut, from being totally...
  21. "And what would you like me to do about it?"

    I had an outpatient once when I was working at an endoscopy center that came in for a colonoscopy. Apparently he had s@#t himself when he was doing his bowel prep. He flattened out his feces soaked...
  22. HELP!

    I think the overall cases of HPV infection are probably much higher. I think they figures I was quoting had to do with the strains that cause genital warts only -- so 25% of the population has...
  23. Bizarre Case- Any guesses?

    That sounds about right. IV drug use --> endocarditis --> severe sepsis. Patient will likely need valve replacement if he doesn't die first. Gotta love it when 30 year olds slowly kill...
  24. Time to call a duck a duck?

    I don't think that said poster was being derogatory and I think that midlevel is generally an accepted term -- I've actually never heard someone take issue with it (until now). PA and NPs cannot, in...
  25. Bizarre family member behavior

    Thank you for being complimentary. I am not entirely sure that I handled it well at all -- I felt weirded out. FYI in my state in an ICU it is ok to keep all 4 rails up for patient safety without an...