nursemike ASN, RN

Rodeo Nursing (Neuro)

Member

All Content by nursemike

  1. nursemike

    psychotherapy for elderly dementia patients?

    nursemike replied to AlexanderN's topic in General Nursing

    Not really disagreeing with you. At least at some point, it does seem like it might be more merciful to go over something treatable, but quick, rather than letting a long, terminal illness run its...
  2. nursemike

    psychotherapy for elderly dementia patients?

    nursemike replied to AlexanderN's topic in General Nursing

    DNR doesn't mean do not treat, and letting a patient with dementia go untreated for a CVA or seizures would leave a doctor and facility open to all sorts of liability. Granted, the tests are no fun....
  3. nursemike

    called me a maid

    nursemike replied to ohmeowzer RN's topic in General Nursing

    Of course there is...you don't think people in heaven will have to fluff their own pillows and fetch their own ice water, do you? Eh, maybe that's just a tad cynical, for
  4. nursemike

    Struggling keeping nurses in my unit

    nursemike replied to BellaSRN's topic in General Nursing

    My facility has recently openned a dedicated stepdown unit. Before that, stepdowns were attached to several different units. That's still the case with cardiac stepdown and with neuro/neurosurg...
  5. nursemike

    How much from nursing school do you retain??

    nursemike replied to believeallispossible's topic in General Nursing

    You remember more than you realize. I read once that everything you ever learn, see, hear, smell, imagine--whatever--is stored in your brain, forever. The trick is remembering how to access it. I...
  6. nursemike

    Did I handle this the right way with my coworker?

    nursemike replied to raindrop's topic in General Nursing

    I know, I know, there's nothing more annoying than a self-appointed English teacher, but I just can't resist pointing out that the more traditional expression is "nip it in the bud," as in prune it...
  7. nursemike

    Scared Of Poop!!!!!!!!! Help!!!!!!!

    nursemike replied to nursingstudent424's topic in First Year After Licensure

    Ever heard of projectile vomitting? Well, poop can do the same thing, typically before you reach the toilet. It isn't something you see every day, but when you do see it, you don't forget it. I...
  8. nursemike

    Are you an introvert or extrovert?

    nursemike replied to jessi1106's topic in Patient, Colleague Relations

    Thanks for the link. Interesting. It says I'm an ENTJ (Fieldmarshal--I kinda like that!) But that isn't exactly how I see myself. When called upon to "lead, follow, or get out of the way," my...
  9. nursemike

    Are you an introvert or extrovert?

    nursemike replied to jessi1106's topic in Patient, Colleague Relations

    I'm an extravert. I enjoy the company of others. I tend to seek the approval of others, and my desire to please people is often helpful in patient satisfaction. But extraversion does not equal...
  10. nursemike

    I Contracted HIV

    nursemike replied to sarahwv's topic in General Nursing

    Like everyone else, I'm sorry for Sarah having to go through this trial, and very hopeful she will have a long, healthy life. I feel the same for you, and while I can understand your concerns, please...
  11. nursemike

    Speaking of patient autonomy: Allan Macurdy

    nursemike replied to SharonH, RN's topic in General Nursing

    Excellent point! It occurs to me that one of the drawbacks of being overly paternalistic and failing to respect patients' autonomy is that we're encouraging them to be passive receptors of care,...
  12. nursemike

    Do patient's have the right to smoke even if family doesn't want them to?

    nursemike replied to chuchie's topic in General Nursing

    sorry to quibble over terminology, but i believe the correct term is "inmates," rather than "patients." prisoners do, indeed, forfeit some of their rights as part of their adjudicated sentences, and...
  13. nursemike

    Speaking of patient autonomy: Allan Macurdy

    nursemike replied to SharonH, RN's topic in General Nursing

    Thanks for sharing a wonderful article! Obviously, I don't treat people the way the author describes. Obviously. Usually. Damn. I recently had the rather poignant experience of caring for a...
  14. nursemike

    I HATE nursing! (long)

    nursemike replied to InfoNurse1595's topic in General Nursing

    Years ago, I had a problem with the IRS, and an agent came to see me. I had filed some forms incorrectly and was looking at a stiff penalty, but the agent went through it all with me, and found that...
  15. nursemike

    Telling it how it is.

    nursemike replied to twistedpupchaser's topic in General Nursing

    I imagine we all agree that individualizing is crucial. A lot of time a little tact goes a long way, but sometimes you do have to be a little blunt. I do believe one must always be honest, though....
  16. nursemike

    Telling it how it is.

    nursemike replied to twistedpupchaser's topic in General Nursing

    I've only had a couple of pts with known Alzheimer's. One was fairly early and "pleasantly confused." Would have been funny, except knowing what lay ahead for him. The other was late and tending to...
  17. nursemike

    Telling it how it is.

    nursemike replied to twistedpupchaser's topic in General Nursing

    Looking at your specialty, I feel I have to accept that your are reporting your experience accurately, but my own in acute care neuro/neurosurg has been nearly the opposite. I can explain to an AOX3...
  18. nursemike

    The Addiction of Nursing

    nursemike replied to Flightline's topic in General Nursing

    In my previous, unlicensed job, pushing beds around, I sometimes felt it would almost be a shame to win the lotto and have to give up such a great job. As a nurse, though, I do occassionally put in...
  19. nursemike

    The Addiction of Nursing

    nursemike replied to Flightline's topic in General Nursing

    One of the more peculiar jobs of my carpentry career was remodeling a stable. Met a guy there who worked as a trainer, and commented how lucky he was to make a living at his hobby. He sighed and...
  20. nursemike

    The Addiction of Nursing

    nursemike replied to Flightline's topic in General Nursing

    I got into nursing because it seemed like an opportunity to make a decent living doing useful work. Along the way, I came to feel that God had put this opportunity before me, and I meant to make the...
  21. nursemike

    Your patient fell? You need to be disciplined!

    nursemike replied to casperx875x's topic in General Nursing

    I haven't heard of this one, but it sounds insane. If you're going to pay someone to stay with the pt, why not have them do something for the pt? That said, there have been a few times when I've had...
  22. nursemike

    I HATE nursing! (long)

    nursemike replied to InfoNurse1595's topic in General Nursing

    Some people aren't meant to be nurses. Or, if we aren't supposed to say that, how about, nursing isn't for everybody. There is, in fact, a great deal more to nursing than wiping butts and passing...
  23. nursemike

    Discrimination towards male students? Need advice.

    nursemike replied to Dabuggy's topic in Men in Nursing

    It's a pretty basic truism that two wrongs don't make a right, but a lot of women on these boards appear to cling to the notion that they might. I don't discriminate against women, and I am not...
  24. nursemike

    I quit my job and am seriously considering quitting nursing

    nursemike replied to sandlewood_nurse's topic in General Nursing

    All nurses who bully are fat? All fat nurses bully? All female (cows)? For my own experience, I freely admit I've been fortunate. I work on the unit where I worked as a UAP, and I can say with...
  25. nursemike

    I quit my job and am seriously considering quitting nursing

    nursemike replied to sandlewood_nurse's topic in General Nursing

    While I'm willing to make some allowance that the OP was very upset, what she said was "fat cows," and while she did, indeed, only intend to apply the epithet to some, I find that equivalent to saying...