LMPhilbric

LMPhilbric

Hospitalist

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All Content by LMPhilbric

  1. Online FNP/ACNP Programs

    LMPhilbric replied to ernursechic's topic in Advanced Practice

    What kinds of bad things have you been hearing? I just graduated from USA and I am very happy with the program. Now the ACNP program, from what I hear, is extremely intensive. The booklist will be...

  2. What was the MOST ridiculous thing a patient came to the ER for?

    LMPhilbric replied to JUSTYSMOM's topic in Emergency

    First, with the 5 year-old, that was in 1939, so I would question the accuracy of her age. I've had many people from rural Latin America who have no idea when their birthdays are or how old they are,...

  3. Online FNP/ACNP Programs

    LMPhilbric replied to ernursechic's topic in Advanced Practice

    I'm at South Alabama in the ER Nurse Practitioner Program. I finish in 26 days (not that I'm counting). It's an excellent program and I'm very happy w/ it, but the ED program is transitioning...

  4. Worst doctors orders ever received

    LMPhilbric replied to jenfromjersey's topic in Emergency

    I forgot one of my all time favorite dumb orders. We had a pt admitted for a TURP. Doc comes in and writes his usual pre-op orders. 1) Senekot S 2 tabs po at hs. 2) Tap water enema in AM. 3)...

  5. Foreign Objects in Body Cavities

    LMPhilbric replied to SWFlorida's topic in Emergency

    OK, I'm laughing so damn hard right now my dogs are looking at me with alarm (both females, I'm happily married so they don't have to worry...lol). What the hell could you possibly be thinking when...

  6. Why get a BSN?

    LMPhilbric replied to vampireslayer's topic in Emergency

    What did I get out of getting my BN? Interesting question. The primary reason I got my BN was so that I could get my MSN as an NP. However, I did learn interesting things along the way that I...

  7. Worst doctors orders ever received

    LMPhilbric replied to jenfromjersey's topic in Emergency

    My all time favorite dumbest order ever written...We had this pt in ICU who had just expired when the doc walked in. As we were trying to explain to him what had just happened, this doc walks in,...

  8. Worst doctors orders ever received

    LMPhilbric replied to jenfromjersey's topic in Emergency

    Better give him the whole freaking tree at that point. And we let these people reproduce...it's really

  9. Worst doctors orders ever received

    LMPhilbric replied to jenfromjersey's topic in Emergency

    I had one from the same doc for metoprolol 25 mg IVP and Lovenox 40 mg IVP. I said "Let's not try to finish the patient off all at once, shall we?" Try po and sc. The only time we did IV Lovenox...

  10. Worst doctors orders ever received

    LMPhilbric replied to jenfromjersey's topic in Emergency

    I would have an awful lot of hs sugars around 114 in that

  11. Worst doctors orders ever received

    LMPhilbric replied to jenfromjersey's topic in Emergency

    Did he work as an executioner somewhere

  12. Triage Rules / Rants

    LMPhilbric replied to ER-RN2's topic in Emergency

    My #1 rule of engagement: If you are bigger than I am and land on the floor, you stay there. I don't pick up anything bigger than I am. I also love the ones who have "anaphylaxis" from Tylenol, but...

  13. Where to go after ER Nursing?

    LMPhilbric replied to S.T.A.C.E.Y's topic in Emergency

    Huh? After the ER???? After I leave the ER, I'm going to retire. OK, I'll be honest. I'm in school to be an Emergency Nurse Practitioner, but I'm still going to be in the ER. I'm never leaving...

  14. What alcohol level do you admit for?

    LMPhilbric replied to TooterIA's topic in Emergency

    Admit for 200?????!!!!!!! We would have a full house year round. 200 in my ER is a total lightweight. We hold them until the BAC is under 300 if they have a sober friend or they get a ride to the...

  15. Rules for the ER (long)

    LMPhilbric replied to EDValerieRN's topic in Emergency

    That is so true. We often refer to our hospital as the Ritz Carlton Hospital when we get someone who wants 1000 thread count sheets on their stretcher or some other such ridiculous demands. "Pardon...

  16. US names for medications

    LMPhilbric replied to Whisper's topic in United Kingdom

    Hi, Sharrie, We do use tramadol here. It goes by the trade name Ultram. It can also be called Ultracet when it's combined with acetaminophen (paracetamol). I used to use these names in Canada, but...

  17. er visitors...a funny

    LMPhilbric replied to UtErRnEmt's topic in Emergency

    I know exactly what you mean! We have several whose names are not to be uttered out loud in the ER. My little dog's nickname is Bacon because her kennel name is Porscha, and my family brought her...

  18. What was the MOST ridiculous thing a patient came to the ER for?

    LMPhilbric replied to JUSTYSMOM's topic in Emergency

    OK, I have a new one. I had a pt come to triage with 2 brownish, reddish streaks on the lateral aspect of her R foot. She said "My mom told me it's blood poisoning and I think's it because I had...

  19. Holding our tongues vs things we really want to say!

    LMPhilbric replied to TraumaNurseRN's topic in Emergency

    OK, I'll admit to this one. I have been known to say (jokingly to pts with whom I have a good rapport) "You're starving? It takes 14 days to starve to death, and, honey, you haven't been here THAT...

  20. turning non-emergent pts away

    LMPhilbric replied to Jennifer, RN's topic in Emergency

    Under EMTALA, ERs are required to screen and stabilize. If the screening shows that an emergency medical condition does not exist, happy trails. So, the foot fungus x 1 year that is screened by a...

  21. Taking admission orders over the phone.

    LMPhilbric replied to YippiNurse's topic in Emergency

    We take basic orders, diet, activity, labs, meds that can't wait to get the patient through until the doc can get there. I don't want my docs writing orders. Then I get phone calls from the nurses...

  22. social intubation?

    LMPhilbric replied to fire_911medic's topic in Emergency

    That's because you're not a hard-core alcoholic. The first 2 would have me put down from now until Christmas. If you could have seen this guy, he was just wild. They found him up a tree. He was...

  23. social intubation?

    LMPhilbric replied to fire_911medic's topic in Emergency

    I guess I should have specified...over 25 means, over 25 on the CIWA scale. 1-8 is mild withdrawal, 9-24 is moderate and over 25 is severe and an automatic critical care

  24. social intubation?

    LMPhilbric replied to fire_911medic's topic in Emergency

    Actually, that is our protocol for alcohol withdrawal, and it's not considered conscious sedation. Based on the CIWA scale, you give 2-8 mg of Ativan to start. If they are over 25, you give 4, then...

  25. social intubation?

    LMPhilbric replied to fire_911medic's topic in Emergency

    I have heard a doc threaten a pt with it, but have never actually seen the follow through. Now we've had people who've had to be sedated to the point where they needed to be tubed to protect their...