lxpatterson

lxpatterson

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About lxpatterson

Latest Activity

  1. Identifying and differentiating smells

    melena stool is pretty bad, that and fresh clotting blood....maybe it's because those smells are always associated with very stressful
  2. Pt selling drugs out of room

    Very sad! I had an injection drug user being treated for recurrent endocarditis that he gave himself...man, you're 35 with a prosthetic valve, don't you get it? He would disappear for half a day and...
  3. You use the public bathrooms? I've been indoctrinated by colleagues to use only staff bathroom, which is unisex (but essentially a women's bathroom with a supply of feminine products, face cream,...
  4. UNDERWEAR (Yes, underwear)

    Male RN here. Didn't realize underwear would cause discomfort. Will remember to wear pants under my gown the next time I'm a patient! Oh, and funny story about gowns. I was in a bicycle accident...
  5. Critical Access Hospitals

    I started my career in a rural acute care hospital, rotating between inpatient acute medicine and ER. I think it's a great first job because medical staff and senior nurses are usually fairly...
  6. Nursing School Oopsies

    "Several lessons to be taken away: (1) Don't hand over controlled meds to students, even mature ones whom you trust, (2) Don't carry controlled meds around in your pocket, and (3) Treat your...
  7. Drug Testing for Newly Graduated RN

    I'm glad to be Canadian! I've never had to submit to the indignity of a drug test, nor am I aware of any clinicians at hospitals here being required to do so routinely (unless reported for a specific...
  8. All Men Shift

    That's why you always need one female in the headcount. Best ER shift: 1 male RN student, 2 male RN, 1 female
  9. Older professional just starting out

    I look at some of the young RNs (1st career, post-BSN, 22 yr old) that started at my current job with me and I think that older grads have maturity and interpersonal finesse that helps avoid a lot of...
  10. Program Admission Advantage?

    I've done enough schooling to realize that you're just a number to the school: you present a prior GPA and a sum of money and they produce grades for you to take on to your next stage in life. By...
  11. Critically ill pts wanting to go AMA?

    Someone mentioned that legally, an AMA signed by a competent patient is sufficient protection for your licence. Personally, I would document as well that I discussed death and morbidity with the...
  12. That's ridiculous. If we are simply dispensing medications because patients want them then we might as well give them a key to the pyxis and let them help themselves. The reason we don't do that is...
  13. What setting is best for a new nurse grad?

    Float nursing, if you can find a program that will hire new grads, is a great opportunity. Many of the Toronto area hospitals are putting their new grads through a float program. I declined a float...
  14. Doctor's attitude towards nurses

    Haha, exactly! I haven't had run ins like that with my medical staff, but that's exactly what I would say to an uppity locum. I stuff order sheets and things like that on a slow night shift as a...
  15. Working with Chinese Americans

    Of course you have to figure out what the patient's preferences are, without assuming they are ok with stuff because they are from a certain culture. But once you have established that someone is ok...