GHGoonette BSN, RN

PACU, OR

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All Content by GHGoonette

  1. GHGoonette

    The kiss of death: when you know you are about to get fired

    GHGoonette replied to fallinnstyle's topic in General Nursing

    I've seen these practices before, but never in nursing. MANY years ago (I was still in my early 20s lol) I worked for a retail company that maintained a stupendously high staff turnover rate; they'd...
  2. GHGoonette

    IM Morphine

    GHGoonette replied to CapeCodMermaid's topic in Geriatric, LTC

    Speaking purely from a PACU point of view, the accepted best practice is to titrate morphine/pethidine (according to the anaesthetist's preference) and administer IV until the pain is under control....
  3. GHGoonette

    Lingering effects of versed for peds?

    GHGoonette replied to brownbook's topic in PACU

    Surely not in the PACU forum? :) I know you can get some nasty ones in the general forum, but I don't think any of us are nasty here... Some people just don't like opposing views to their own. I've...
  4. GHGoonette

    Lingering effects of versed for peds?

    GHGoonette replied to brownbook's topic in PACU

    There are so many different drugs, and combinations of drugs, that can cause this. Certain kids don't react kindly to the volatile liquids, like Sevofluorane - in fact I'd be more inclined to look at...
  5. GHGoonette

    Electrical cord inside the Foley, pt from ICU

    GHGoonette replied to Asystole RN's topic in General Nursing

    Ah yes, a little Nina and Frederik......
  6. GHGoonette

    how to remember cardiac medicine drug

    GHGoonette replied to deepurple's topic in General Nursing

    Any good medicines formulary should do the trick. You can always google individual meds if you want additional information. Is your drug guide divided into categories according to
  7. GHGoonette

    Electrical cord inside the Foley, pt from ICU

    GHGoonette replied to Asystole RN's topic in General Nursing

    Now let me get this straight...there was what looked like a headphone jack plugged into the foley port; that indicates that you would plug your headphones in and listen to either the bladder or the...
  8. GHGoonette

    Describe your biggest failure and what did you learn.

    GHGoonette replied to nynewrn's topic in Nursing Career

    With every "failure", I learned that the only time it can be called a "failure" is if you give up trying, or give up learning. Your entire life is a learning experience, and the best, most lasting...
  9. GHGoonette

    Just resigned from RN Supervisor - right reason?

    GHGoonette replied to Kentondpeacock, RN's topic in Geriatric, LTC

    Oh sure, you were being taken advantage of. Did you and the other supervisors ever think of confronting your manager/employer as a group and voicing your dissatisfaction? Regardless of "experience"...
  10. GHGoonette

    What is the most effective med(s) for chemotherapy related pruritus?

    GHGoonette replied to Florence NightinFAIL's topic in Oncology

    The only anti-histamine we keep (other than solu-cortef and similar corticosteroids) is Phenergan (Promethazine), which is pretty effective for pruritis and skin eruptions due to allergic reactions....
  11. GHGoonette

    "That having been said..."

    GHGoonette replied to psu_213's topic in General Nursing

    You have just given me a brilliant idea for
  12. GHGoonette

    "That having been said..."

    GHGoonette replied to psu_213's topic in General Nursing

    Ha ha ha...
  13. GHGoonette

    "That having been said..."

    GHGoonette replied to psu_213's topic in General Nursing

    Fribblet moonlights as a proof reader for "True Romance".... oops, sorry, wrong thread; my bad (ARRRRGGHHHH!!!) lckrn, excellent advise, but I don't know if it'll have any affect. We'll just have to...
  14. GHGoonette

    Whats your specialty?What are the Pros and Cons

    GHGoonette replied to Juwon's topic in General Nursing

    PACU, ie post-anaesthesia care unit, also known as recovery room. Care of patients in the immediate post-anaesthesia stage, encompassing airway management, recovery from the motor and cognitive...
  15. GHGoonette

    How do I respond to a poorly written request to be a nursing student?

    GHGoonette replied to BrentRN's topic in General Nursing

    This is almost certainly typed on a smartphone, hence the caps. I wouldn't write the applicant off - she/he did spell psychology correctly, after all. Some of the mistakes can be attributed to typos,...
  16. GHGoonette

    Staffing ratios in isolation units

    GHGoonette posted a topic in Pediatric

    I was involved in a debate with our Hospital Manager today, and the subject was staffing ratios on pediatric wards. He informed me that a ratio of 1:16 was the norm, and frankly, I think he's talking...
  17. GHGoonette

    "That having been said..."

    GHGoonette replied to psu_213's topic in General Nursing

    Spedtacular and ScottE, I agree with you, it's far easier to read a properly punctuated post than to wade your way through seas of poorly-spelled words and poorly-constructed sentences. I try to bear...
  18. GHGoonette

    Staffing ratios in isolation units

    GHGoonette replied to GHGoonette's topic in Pediatric

    Thanks for your responses! Unfortunately, this is in South Africa, and although the unions are getting the ball rolling on mandated ratios, hospitals are still getting away with murder as regards...
  19. GHGoonette

    "That having been said..."

    GHGoonette replied to psu_213's topic in General Nursing

    I think the thread about the "AN Grammar Police" contains enough comments about spelling bloopers, use of cliches, mixing of metaphors and bad paragraphing to render any comments here redundant;...
  20. GHGoonette

    Conscience Schmoncience! Who cares what you believe?

    GHGoonette replied to jmqphd's topic in Activism, Healthcare

    Don't recall implying that I knew every woman who ever underwent an abortion...:) The abortion law was passed in SA in 1996, with the strict rule that counseling had to be provided prior to the...
  21. GHGoonette

    Capnography (ETCO2 Monitoring) Do you monitor extubated patients in the PACU w/ it?

    GHGoonette replied to RNiel's topic in PACU

    I can't see why it should be a standard for all patients; I think in 21 years I've only had an anaesthesiologist request capnography once on a patient in PACU, and that time we just took a spare...
  22. GHGoonette

    What was the lowest diastolic bp you have seen?

    GHGoonette replied to Florence NightinFAIL's topic in General Nursing

    Ok, I think 40/14 wins first prize.... I've had a BP of 135/35, once in my late teens; I wasn't feeling too good, but I was coming down with a viral infection at the time. I routinely see...
  23. GHGoonette

    Conscience Schmoncience! Who cares what you believe?

    GHGoonette replied to jmqphd's topic in Activism, Healthcare

    I don't get this...a Government decision can force doctors to prescribe certain drugs? Just as a matter of interest, is the Government forced to provide full, comprehensive counseling and advice for...
  24. GHGoonette

    Unbelievable !!

    GHGoonette replied to NurseLoveJoy88's topic in General Nursing

    Mind you, I wonder if this is not just an old college wisecrack of mine that grew legs and travelled... Our tutor asked us an off-the-cuff question one day, "what alternative sites are there for...
  25. GHGoonette

    Unbelievable !!

    GHGoonette replied to NurseLoveJoy88's topic in General Nursing

    Sounds like an urban...or should I say hospital...legend Like the student nurse who was asked to get a butterfly (aka winged infusion cannula) and was found hours later in the garden. Or the nurse...