GHGoonette BSN, RN

PACU, OR

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All Content by GHGoonette

  1. GHGoonette

    Would you rather work for a public or provate hospital?

    GHGoonette replied to mawy568's topic in General Nursing

    I'd love to work public, but at my age and given the lack of opportunities for white nurses at my level of seniority in the public sector, it's not an option for me. Truly, I'm sick of the relentless...
  2. GHGoonette

    Bitter dried up nurses that need to RETIRE

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

    Echoing the previous post - "Wow, the end of the thread!" I'm another one who reads a thread to the end before posting a response, because it's on the cards that someone, or many someones, has already...
  3. GHGoonette

    Health care costs are RIDICULOUS!!!!

    GHGoonette replied to OhioCCRN's topic in General Nursing

    Ok, this is a local story, but it's an amusing one; middle aged lady has a fall out cycling, sustains a cut on her forehead. Family takes her to a nearby private hospital emergency room. Dr comes in,...
  4. GHGoonette

    My friend was fired - Was she wrong?

    GHGoonette replied to ravenshroud's topic in General Nursing

    Ok, you guys are going to have to enlighten me here - cough medicine, although prescribed and technically the RN's responsibility, is not related to an RT's scope of practice? I think the question...
  5. GHGoonette

    Multiple general anesthetics in children can increase developmental risks

    GHGoonette replied to wtbcrna's topic in Certified Registered Nurse Anesthetist, CRNA

    The only anaesthetic agent mentioned is Ketamine; is there any data on similar findings with other
  6. GHGoonette

    General Anesthesia in Children has low mortality rates

    GHGoonette replied to wtbcrna's topic in Certified Registered Nurse Anesthetist, CRNA

    Very true; given the sophistication of modern anaesthetic agents and intra-operative monitoring, anesthesia is far safer today for people of all ages. However, the researchers should bear in mind that...
  7. GHGoonette

    Health care costs are RIDICULOUS!!!!

    GHGoonette replied to OhioCCRN's topic in General Nursing

    Sadly, the cost of establishing and maintaining a hospital is exorbitant. Look at the costs of beds, linen, monitors, multiple computers etc etc ad infinitum, and you're just scratching the surface....
  8. GHGoonette

    Transfer of Pediatric Patients back to the Unit from PACU

    GHGoonette replied to Vicki_RN's topic in PACU

    That's quite a distance. Our paeds ward is one floor up from theater so it takes about 2-3 minutes to get the kiddies up there. However, we don't have a PICU, so any youngsters needing ICU care go to...
  9. GHGoonette

    "New Program Seeks to End Nursing Shortage and Improve Real Estate Values in US"

    GHGoonette replied to Mukfay's topic in General Nursing

    This, especially. Far too many factories have closed in my country due to the flood of cheap Asian, predominantly Chinese, imports. More and more people are moving to Asian-built vehicles; Chana, GWM,...
  10. GHGoonette

    "New Program Seeks to End Nursing Shortage and Improve Real Estate Values in US"

    GHGoonette replied to Mukfay's topic in General Nursing

    In my youth the prospect of foreign invasion was terrifyingly linked to the spectre of nuclear war. Today it's being done by peaceful means, but it is nonetheless invasion. Understand, I'm not...
  11. GHGoonette

    How do I orentate someone when...

    GHGoonette replied to WittySarcasm's topic in Geriatric, LTC

    Ah, but orientate is as correct as orient - depending on which side of the Atlantic pond you happen to live. Consider this: the noun is "Orientation", not
  12. GHGoonette

    post op and renal failure

    GHGoonette replied to isthatso?'s topic in General Nursing

    Don't forget incompatible blood transfusion. Also, certain muscle relaxants used in neuro-muscular blockade may exacerbate an underlying renal condition, and can cause quite a dramatic drop in
  13. GHGoonette

    "They found something behind his heart!"

    GHGoonette replied to Penelope_Pitstop's topic in General Nursing

    Delana, Suanna beat me to the punch; the thymus was the first thing that occurred to me. Question is, would it show up on a cath? If it's hereditary, it's unlikely to be a clogged artery. You don't...
  14. GHGoonette

    How do I orentate someone when...

    GHGoonette replied to WittySarcasm's topic in Geriatric, LTC

    Ok, step one: she's a new person you're introducing to your family. Take her on the guided tour, showing her the layout, rest rooms/tearoom and explain the rules, at the same time introducing her to...
  15. GHGoonette

    Is nursing really a profession?

    GHGoonette replied to RN Marx02's topic in General Nursing

    yes, it's the snotty attitude about "professionalism" that sometimes ticks me off, too. however, as has been pointed out, this probably is a homework question, so the op is looking for that by which a...
  16. GHGoonette

    Increase abuse of Bath Salts

    GHGoonette replied to WendyBensonRN's topic in Addictions

    I don't normally venture into the addictions forum - it's hardly my specialty, but the heading caught my eye, obviously arousing my curiosity. Googling Cathinone I came up with Khat, which is...
  17. GHGoonette

    learned an important lesson last night - re: narc count

    GHGoonette replied to punkydoodlesRN's topic in General Nursing

    Yeah, I'd have challenged her there and then. Best practice is really to leave drugs in their original packaging with the security seal still intact, but I suppose it's not always feasible to do that,...
  18. GHGoonette

    Is nursing really a profession?

    GHGoonette replied to RN Marx02's topic in General Nursing

    If j22 hadn't pointed the OP towards that brilliant thread, I would have. Nursing is defined as a profession because it fulfills the requirements of the definition of a profession. It is composed of a...
  19. GHGoonette

    Surgeon's Error?

    GHGoonette replied to Lahryn04's topic in General Nursing

    Sorry, can't offer any opinions on what may be a personal medical/legal issue in your life. Sorry you went through this, gallstones are the pits.... I suppose we should be grateful he didn't nick the...
  20. GHGoonette

    what is the difference between the PACU and the post operative care unit?

    GHGoonette replied to cowgurl89's topic in PACU

    It might be one and the same, but it might also possibly be referring to a phase 2 recovery area. Are there specific job experience and/or qualifications required? Phase 1 requires either some...
  21. GHGoonette

    When is patient education TOO much?!?

    GHGoonette replied to Nursey103's topic in General Nursing

    Nah, not at all; certainly wouldn't be for a reasonable person. Your only mistake was in not recognizing that your patient cannot be reasoned with. You gave her information that she was not interested...
  22. GHGoonette

    When is patient education TOO much?!?

    GHGoonette replied to Nursey103's topic in General Nursing

    There are plenty of people out there who just refuse to be educated, even if it's in their best interests. Maybe because they're scared of other people ruling their lives, and consequently WILL NOT...
  23. GHGoonette

    IM Morphine

    GHGoonette replied to CapeCodMermaid's topic in Geriatric, LTC

    AAAARRRGGGHHHHH!!! Ok, yeah, I hear you I am like a hen with one chick when it comes to our monitors, lend one to another dept and it either comes back broken, or doesn't come back at all. We still...
  24. GHGoonette

    Lingering effects of versed for peds?

    GHGoonette replied to brownbook's topic in PACU

    Some of our anaesthetists use a combination, inducting with sevo, then maintaining with propofol and fentanyl. The cranky ones have always been inducted with sevo. I spoke to one of the younger guys...
  25. GHGoonette

    IM Morphine

    GHGoonette replied to CapeCodMermaid's topic in Geriatric, LTC

    Seriously? you saying that your average LTC doesn't have one pulse oximeter on the premises? What do you do if you have patients with COPD or who are on BP meds? Many of the vitals monitors these days...