LMPhilbric

LMPhilbric

Hospitalist

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All Content by LMPhilbric

  1. phone calls no outsider would believe

    I love the Bunny Suicide books. They are hilarious. We use it as a test to find out whether people will make it in the ER or not. If you fail to see humour in the Bunny Suicides, you will not make...
  2. Pet Un-Peeves, or what I like about Emergency Nursing

    I love being an ED nurse and would never go back to the floor. So why do I love it? I love having to figure out what is the matter with the patient. Pt's on the floor come pre-diagnosed. Ours...
  3. Ah, NHDD (Nursing Home Dump Day). There's nothing quite like it to make your already busy Friday even
  4. er visitors...a funny

    OK, I have the all-time best one ever. This guy comes in mooing and sobbing because he's in so much pain w/ N/V. He tells us that he has terminal liver CA (7 tumours in his liver) and has come here...
  5. er visitors...a funny

    Every time a cop comes in the ER, I tell them I did it (whatever "it" was) and they should take me away. Still haven't gotten one of them to take me up on it. One jokingly put the cuffs on me and I...
  6. er visitors...a funny

    i actually had a "voluntary baker act" (baker act is the involuntary 72 hold for danger to self or others in florida). i had a guy who wanted to go to the county mental health facility for detox, but...
  7. Rules for the ER (long)

    I'm also going to post a rule...it takes 24 hours to die of dehydration and 14 days to die of starvation. You have not been waiting nearly that long, therefore you are not starving nor dying of...
  8. er visitors...a funny

    We had to explain to our new doc that a pt "sinkholed" out in the waiting room. He jumped up ready to save the world and said "Someone syncoped in the waiting room?" I looked at him and said...
  9. Rules for the ER (long)

    I'd be willing to settle for a blowgun or a tranquilizer gun from Fish and Game. I'm not picky. I think it would be really cute to watch someone run around the ER for a couple of minutes, like the...
  10. Got any funny acronyms at your ER???

    How could we possibly forgot Vitamin D and Vitamin P (Dilaudid and Phenergan)? Does anyone else worry about getting a phone call from the DEA wanting to discuss how many gallons of Dilaudid you've...
  11. Got any funny acronyms at your ER???

    Absolutely! And on the rare occasion when someone actually makes it up to the ICU, the ICU nurses used to give us holy-what-for for being so morbid and uncaring, blah, blah, blah. We used to give it...
  12. Stupidest reason to go to ER

    I'd rather have that than the live rattlesnake that just bit the
  13. phone calls no outsider would believe

    Many years ago, when I worked in general surgery in a hospital in Canada, we had a homeless guy who burned himself at the soup kitchen. He was a very happy wanderer, so we pinned a note to his robe...
  14. Stupidest reason to go to ER

    The tampon stuck in the lady parts...one time, and mind you, this is probably the only time this will ever happen, we had a young lady who was a virgin and managed to tear her hymen with the tampon....
  15. er visitors...a funny

    We refer to the DoorGawkers as "Buzzards" because they circle the nurses' station. I politely (but very firmly) tell them that they have to stay in the room because it violates patient...
  16. Rules for the ER (long)

    We have found tremendous success with the "therapeutic foley". I have all but risen the dead with
  17. One of my friends (very Southern) walks out to the waiting room when it is full and announces "Listen up, people! You get in the order that you're dyin' and I decide who's dyin', so don't bother...
  18. 8:1 ratio in the ED?

    I wouldn't do 8:1 on a med-surg floor to say nothing of the ER. We are 2-3:1 on the trauma side and 3-4:1 on the medical side. In season (the winter), when all of the snowbirds come down, you...
  19. hi...anyone from lethbridge

    Well, I left there 15 years ago because the job market went south, but it is still a nice city. I think the housing is pretty reasonable compared to Calgary or Naples, FL where I'm from. It's easy...
  20. Stethescope

    I have a Master Cardiology from Littman and absolutely love it. I'm also allergic to it (never had a problem with the cheap scope, but anyway), so I have a lion stethoscope cover from pediapals.com...
  21. Press Gainey AARRGGHH

    We were supposed to say that too and I could never actually make myself say it. All that came out was a funny choking
  22. ER nurses...what shoes??

    I wear Nike runners that I had to buy in the children's section because my feet are so small. For me, it's not so much the shoes as the socks. I wear Hanes cushion socks when I work and my back and...
  23. Rules for the ER (long)

    One night, we had all hell breaking loose in the ER. We had 2 simultaneous acute MIs, an acute CVA that needed TPA, and only 2 docs on. The one doc was with the CVA, and the other was going back and...
  24. ER Tips

    The other thing that works really well is to turn her on her side and have her pull her upper leg up to the chest as best as she can. Approach the pt from her butt side. This shifts things around...
  25. What would you do?????

    You also need to remember that symptomatic bradycardia is defined as bradycardia that causes hypotension, chest pain or other symptoms. It's possible that the chest pain is caused by the bradycardia,...