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GHGoonette BSN, RN

PACU, OR
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GHGoonette is a BSN, RN and specializes in PACU, OR.

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GHGoonette's Latest Activity

  1. GHGoonette

    Are We Too PC?

    Yes indeed, PC is ruining our lives. Not just in America, but everywhere, and not just Christmas. I read today that in a certain British city council, sex education now has to include the gem that "boys can have periods too", so as not to offend those who are "trans gender" men or binary. Starting with 8 year olds, mind. Then there is the Morris dancing. An action group complained about a demonstration of this ancient practice traditionally held at the local fair, because some of the dancers wear (gasp) blackface. The tradition of blacking one's face for the dance presumably is some tradition related to the old origins of the dance, probably to do with its Moorish roots and chasing off evil spirits. This bunch of fruits actually succeeded in the dancing being banned from the fair. So now, we have a whole new generation of Mother Grundies ruling over us and dictating what we shall deem right and proper. It's a new intolerance, and so far it's getting worse than any that went before.
  2. I'm not sure what Nurse Beth is hoping for here, or if there's anything further for me to add to some of the excellent comments already made, but there is one cardinal rule which all nurses should follow. If you don't know what it is, or what it's used for, don't give it. If you can't find out what it's used for and there's no one there to tell you, don't give it. And if you have given any elderly patient a medication which may have unknown effects, put them on a monitor. Even a simple SATS monitor would have been screaming the place down, the moment her breathing stopped. I have to question the level of pharmacological knowledge of any nurse who does not recognise a word that ends in Curium or Curonium as being of the family of neuro muscular blockers. Only succinylcholine does not conform to that formula, although its other name, suxamethonium, has some similarity. A horrible death, wholly preventable, and I grieve for her family and pity the nurse.
  3. Hey Davey! Nice to virtually see you. I wonder if he's not due for a dementia evaluation? Could be EOA.
  4. GHGoonette

    October 2016 Caption Contest. Win $100!

    Nurse, please tell me there was LSD in my premed....
  5. GHGoonette

    Breakroom refrigerator theft

    Fascinating, this thread is still going! Here's my experience: My boss always provides the basic stuff for tea and coffee, but I could never tolerate chicory, so I've always brought my own 100% coffee to work. What a disaster. I found my coffee jar depleted after 3 days. Then I started bringing my own french press and ground coffee to work, and that solved the problem. Then I started a healthy eating regime. Found I couldn't bring low-carb, low-cal foods to work without SOMEONE raping them! Seems wherever you are in the world, people disrepect you and your belongings.
  6. GHGoonette

    June 2016 Caption Contest. Win $100!

    How much money did you say you needed to start your own Garden Service business?
  7. GHGoonette

    June 2016 Caption Contest. Win $100!

    PLEASE tell me you're not here to prep me for my inguinal hernia repair!
  8. GHGoonette

    June 2016 Caption Contest. Win $100!

    I don't care how stinky it is, bring me the hair removal cream!
  9. GHGoonette

    My husband doesn't want me on ALLNURSES

    My husband doesn't like me posting on ANY social media, but only because I burn the food.
  10. GHGoonette

    Brian Short News

    I am deeply shocked and saddened to hear this terrible news. May God support his family and loved ones in their time of need. My prayers are with you.
  11. GHGoonette

    The Controversy: Mandatory Flu Vaccines

    In South Africa, we are far from having mandatory flu vaccinations imposed on any category of health care workers. However, I am an advocate for the wisdom of getting my annual shot, but I have heard numerous arguments against it. Primary among these is, of course, "I once had one of those and I got flu worse than ever before". Probably because they were incubating the virus at the time. Another one which left me somewhat gobsmacked was "I heard about a married couple who went every year for their vaccination, and now they both have Alzheimer's". This from a colleague RN. In answer to the questions: 1: I always try to get my annual shot, but sometimes I forget, and once I had a raging bout of flu just as it was released and was warned against getting the shot by a doctor. 2: As explained, no, not in South Africa, and is unlikely to become so, at least not in the foreseeable future. 3: No concerns. On the contrary, it's nice to walk symptom-free among all the sufferers! 4: No, and I'm not likely to.
  12. GHGoonette

    Reasons patients turn on their call light

    True, but boring. Very boring.
  13. GHGoonette

    The Nightingale Pledge - Still relevant today?

    Here's the South African version: it's been around for quite a while, as it's the same one I recited at my graduation ceremony: Nurses' Pledge of Service I solemnly pledge myself to the service of humanity and will endeavour to practise my profession with conscience and with dignity. I will maintain, by all the means in my power, the honour and noble tradition of my profession. The total health of my patients will be my first consideration. I will hold in confidence all personal matters coming to my knowledge. I will not permit consideration of religion, nationality, race or social standing to intervene between my duty and my patient. I will maintain the utmost respect for human life. I make these promises solemnly, freely and upon my honour. Short,sweet and to the point. I like the one elkpark posted, though. Very nice.
  14. I've recovered babies, but not newborns. They are usually taken straight to NICU from theater. Might be useful if you want to lend a hand after an emergency c-section.
  15. GHGoonette

    PACU Staffing Ratios

    How many of your patients are children? What percentage are still intubated when you receive them? Are they breathing? If extubated, are they maintaining respiration unaided? I asked a similar question a couple of years ago regarding the 2:1 ratio, and was told that it was "guideline only". I believe the NSW (Australian) staffing ratios calls for 1:1 if the patient still has an artificial airway in situ, and given the high acuity of PACU patients, even 2 staff members to 1 patient may at times be called for. A big question for all anaesthesia providers, to say nothing of the patients themselves and their families, is "Who is watching over me/my patient/my loved one?"
  16. GHGoonette

    June 2013 Caption Contest: Win $100!

    I thought the ad said "Giant Sale", not "Giant's Sale"!
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