GHGoonette BSN, RN

PACU, OR

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All Content by GHGoonette

  1. GHGoonette

    Becoming friends with patients?

    GHGoonette replied to kablo's topic in Patient, Colleague Relations

    Fine if you were discharged, met her by chance afterwards and then become friends; totally wrong if you were her patient and she allowed you to befriend her. There's all sorts of issues at...
  2. GHGoonette

    Not staying on top of pain - confusing orders - myths?

    GHGoonette replied to Biogirl4's topic in Patient Safety Issues

    My favorite anaesthesiologist walked in today, and said to me, "How would you like it if this happened to you...less than 24 hours after your hysterectomy the surgeon comes and cancels all your pain...
  3. GHGoonette

    a question about post-op temp and incentive spirometry

    GHGoonette replied to BB8789's topic in General Nursing

    It will help reverse the effects of pulmonary fluid accumulation and prevent infection. If the patient has an infective focus elsewhere, say for example in the bladder or in the surgical wound, thus...
  4. GHGoonette

    a question about post-op temp and incentive spirometry

    GHGoonette replied to BB8789's topic in General Nursing

    Breathing exercises may form part of what we refer to as "lung physio" and are indicated in post-op patients where there is shallow breathing and a reluctance to cough. Inactivity/bedrest may result...
  5. GHGoonette

    Things about your workplace that make it nice to be there

    GHGoonette replied to cerendipity, rn's topic in General Nursing

    My colleagues, co-workers and our doctors. There's a real "family" atmosphere amongst the staff, and we're very lucky in that, for the most part, our drs are so nice and genuinely respect us. Sure,...
  6. GHGoonette

    Interview today for a PACU job... nervous

    GHGoonette replied to misty_dawn's topic in California Nursing

    I think you need to find out what kind of surgery they do, whether you'll be recovering major cases, if it has a busy trauma unit etc. Get an idea of the kind of specifics they might possibly ask you....
  7. GHGoonette

    Intubation Question

    GHGoonette replied to RN015's topic in Emergency

    OP, if you have some spare time, why don't you arrange with theater staff to go up and observe a few inductions? You can ask to assist with a couple of intubations AND learn how to apply cricoid...
  8. GHGoonette

    Will a Doctor help ya out??

    GHGoonette replied to johnny depp23's topic in General Nursing

    Op, most doctors love airing their knowledge! Ask them intelligent questions and they will love you to bits-even the crusty ones! As for asking questions in the middle of a code.... none of the...
  9. GHGoonette

    Dept. of Human Services nurse ??

    GHGoonette replied to ImThatGuy's topic in General Nursing

    Interesting...with all that patient education, I'd have pegged it as community health. Have you done a demographic on the areas they're advertising for? The possibility occurs to me that one of your...
  10. GHGoonette

    Dept. of Human Services nurse ??

    GHGoonette replied to ImThatGuy's topic in General Nursing

    Sounds like primary health care; possibly a clinic or what we refer to as a "day hospital". Do they give any indication of what the hours
  11. GHGoonette

    Patient Care Tech to Registered Nurse

    GHGoonette replied to dscott76's topic in General Nursing

    Definitely, reading the posts on this forum I get the impression it gives you a huge leg up! So grit your teeth and put on your happy face, it'll be well worth it in the long run. Something like...
  12. GHGoonette

    need some advise regarding workplace harassment

    GHGoonette replied to hardware syndrome's topic in Patient, Colleague Relations

    First off, OP, were you previously made aware of mistakes you had made? If, as you say, your narcotic count is always right, what grounds did they produce for accusing you? If you make mistakes it is...
  13. GHGoonette

    Can someone explain this job requirement for hospital?

    GHGoonette replied to swtchariot's topic in General Nursing

    Depends on how many applicants they get-like with any job. Good luck, may the competition be
  14. GHGoonette

    student nurse needs ideas : Urinary Tract Infections

    GHGoonette replied to Airidis's topic in General Students

    OP, I think you'd better be up front with us: is this really your patient or is this a cleverly disguised homework question? You seem to be asking us to diagnose, and you know we're not allowed to do...
  15. GHGoonette

    Massive RN Layoffs

    GHGoonette replied to Obamacare's topic in Activism, Healthcare

    I don't have anything to contribute to the essence of this thread, but reading references to the economic crash, I'm just curious as to opinions as to how it happened. As the saying goes, "when...
  16. GHGoonette

    student nurse needs ideas : Urinary Tract Infections

    GHGoonette replied to Airidis's topic in General Students

    Quite right, and definitely produces a fishy smell, but there should also be concomitant lady partsl and/or oral thrush, visible on examination. Good point though!
  17. GHGoonette

    Dog days

    GHGoonette replied to RN4LaftR's topic in General Nursing

    We have a local shelter that does not put animals down, unless they're too sick to have any quality of life. They survive on donations, and have volunteer vets who treat their "charges." If there is...
  18. GHGoonette

    student nurse needs ideas : Urinary Tract Infections

    GHGoonette replied to Airidis's topic in General Students

    As you know, cystitis tends to cause a "fishy" smell where there is infection present. If she is diabetic, you may also get the "green apple" or sweetish smell. If she drinks insufficient water, the...
  19. GHGoonette

    If we had a conservative nurses forum

    GHGoonette replied to FLmomof5's topic in Activism, Healthcare

    Politics and religion have no place at work, unless the staff are mature enough not to allow discussions to spiral out of control...which is very rare. It shouldn't matter what anyone's political...
  20. GHGoonette

    DDNR Violation :(

    GHGoonette replied to nicenurselpn's topic in General Nursing

    Considering that the instructions are so detailed, then I agree, this nurse was in violation. I also think a wise UM should counsel her regarding it. I would hate to think of a nurse losing her job...
  21. GHGoonette

    student nurse needs ideas : Urinary Tract Infections

    GHGoonette replied to Airidis's topic in General Students

    How old is she? Has she had previous urological investigations, and if so, what was she treated
  22. GHGoonette

    Hospitals that fall short of what you expect

    GHGoonette replied to labelle777's topic in General Nursing

    If the hospital is pretty enough and modern enough the patients will go there. My old hospital went bankrupt because it was old, rather tatty on the outside (though scrupulously clean on the inside)...
  23. GHGoonette

    Most influential Nurse

    GHGoonette replied to CASM's topic in General Nursing

    I originally thought of my old tutor at college, who was the most brilliant teacher I ever met, but then I remembered some old nurses from my earlier forays into nursing. In particular, I recall a...
  24. GHGoonette

    Just got Hired into Inpatient PACU!

    GHGoonette replied to NurseVN's topic in PACU

    That's a good question; many PACU nurses just don't want to work anywhere else, and speaking for myself, it's far too easy to get a bit "rusty." The best advice I can give you is to make sure you stay...
  25. GHGoonette

    A few (somewhat embarrassing) questions?

    GHGoonette replied to eaRNed's topic in General Nursing

    1; The responses given are correct, eating or drinking before abdominal ultrasound will affect readings, and there is the possibility of surgery in the immediate future. 2: Here's one I learned about...