nursemike ASN, RN

Rodeo Nursing (Neuro)

Member

All Content by nursemike

  1. nursemike

    Studying nursing theory, came across Jean Watson

    Honestly didn't mean it as a rail, and my point about the grammar error analogy was meant to be an admission that I had been unduly pedantic. Probably shouldn't have gotten off on a tangent about...
  2. nursemike

    Studying nursing theory, came across Jean Watson

    Well, I've survived numerous free falls without a parachute, but I've never remotely approached my terminal velocity. And I'm not saying superstrings open the door for all manner of new-age fun. If...
  3. nursemike

    Studying nursing theory, came across Jean Watson

    I concede that pointing out your error was roughly on a par with pointing out a grammatical error or misspelling, and not strictly relevent to the discussion. For that I apologize. Nevertheless, you...
  4. nursemike

    Studying nursing theory, came across Jean Watson

    I, uh, don't entirely agree with
  5. nursemike

    Studying nursing theory, came across Jean Watson

    OK, so in another life, I was a physics major, so I have to quibble, but not only for the sake of quibbling. In the seventeenth century, before there was a theory of gravity, Galileo demonstrated that...
  6. nursemike

    I have patient gown dyslexia

    Before I was a nurse, I was a transporter, so working the beds and carts is no problem. I once had to figure out a totally unfamiliar bari-chair in the middle of a code. Pretty hectic 15 secs, then...
  7. When I do charge, I feel it's an important responsibility to make assignments that are appropriate to the staff. I try to make sure each nurse's workload is equitable, taking into account each...
  8. nursemike

    Pushing Dilaudid?

    In answer to the OP, I push dilaudid slowly, but our typical dose is 0.2 mg. When able, I often try to combine the IV dose with a PO med, usually acetaminophen or one of the combos, like Lortab or...
  9. nursemike

    Neurosurgical/Stroke/Medical Unit Staffing?

    I work on a unit with 23 floor status beds and 9 stepdown. We have a 3:1 ratio in stepdown and 5-6:1 on the floor. Six of our 23 floor beds are in an Epilepsy Monitoring Unit and assigned to one...
  10. nursemike

    Today after clinical I broke down in Tears!!:(

    My own take on nursing school is if you haven't thought about giving up, you haven't gotten your money's worth. As far as not knowing the meds you were about to give, the advice about looking them up...
  11. nursemike

    Hello my name is.......and I am OBESE

    I was losing weight, slowly, by just modifying my diet a little, shortly after I was diagnosed with type 2 DM. Then I started losing a lot, effortlessly. FSBS in the 300's. Thirsty all the time,...
  12. nursemike

    I use up all of my compassion at work.

    As I read it, the OP was stating that she has to give so much of her compassion at work that she has none left for her family when she gets home. As you observe, it's a vent, and it makes sense to...
  13. See, this is why it's so hard to commit. Just when you think you've found your dream girl, you read a little farther and find yourself thinking, hmm...lingerie model. You wouldn't be interested in...
  14. I think I found my soulmate on the internet. Although, I haven't entirely given up on cowboy. ETA: me being the cowboy. Not a cowboy soulmate. Not that there's anything wrong with
  15. nursemike

    I use up all of my compassion at work.

    Glad to see you're open to
  16. nursemike

    I use up all of my compassion at work.

    I find it amazing that someone who isn't a nurse could possibly know anything about, you know, life and stuff. We all know nurses have a monopoly on common sense. JK. I think you are right to be...
  17. nursemike

    What's your personality like?

    Do you mind if I use that?
  18. nursemike

    What's your personality like?

    actually, i'm not 100% sure the patient wasn't asking for an umbrella, in anticipation of me spilling water all over
  19. nursemike

    What's your personality like?

    I like the theory that the introverts are all sitting at the computer, while the extroverts are out having fun. Except for the very lazy extroverts, of
  20. nursemike

    I use up all of my compassion at work.

    Obviously, this situation isn't unique. I'd venture to guess that moments like this are pretty close to universal. But it's also probably a very rare instance that someone can't help it. With the...
  21. Lift with your brain, not with your back. If your pt is unable to help and you don't have equipment readily available, make as much room as you can around him and use a bedspread, possibly folded...
  22. nursemike

    What's your personality like?

    I didn't know I had rosacea until I saw a dermatologist for what turned out to be a seborrheaic keratosis (age spot). He prescribed an antibiotic that felt like being kicked in the gut by a mule, so...
  23. nursemike

    Is this a nursing Diagnosis?

    Infection is a medical diagnosis, made by the doctors. Risk for Infection can be a valid Nursing Dx even when an infection is known to be present, since there can be a risk of spreading it to other...
  24. nursemike

    Report or not?

    So, what exactly is a crumpet, anyway? Stuff happens, and anyone can get sick. Coming in to work to show how sick you are in the expectation of getting sent home is a bad way of handling it. It...
  25. nursemike

    Shift to shift dynamics, gotta love 'em!

    Like most nurses on my floor, I work 12's, so my nocs are 7p-7a. I often describe my nights as spending the first four hours getting behind, then the last eight (or nine) catching up. It's true we...