Horseshoe

Horseshoe BSN, RN

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All Content by Horseshoe

  1. What is the lowest hemoglobin you've observed with no symptoms?

    Horseshoe replied to Horseshoe's topic in General Nursing

    I figured some would have stories of Hgb in the 5s with few symptoms, but wow, in the 4s. Hard to imagine, but the human body does seem to have a remarkable ability to compensate-until it no longer...

  2. What is the lowest hemoglobin you've observed with no symptoms?

    Horseshoe replied to Horseshoe's topic in General Nursing

    Yeah, so this got me thinking about low lab values and chances of the patient compensating so well as to create doubt about the results. Of course, labs should be repeated if it's not smelling right...

  3. What is the lowest hemoglobin you've observed with no symptoms?

    Horseshoe replied to Horseshoe's topic in General Nursing

    I had a pretty "normal"looking patient in for something unrelated to GI, and his H & H came back at 6 and 23. Doctor was there and ordered immediate transfusion and consult for STAT colonoscopy. I...

  4. Would this be considered abandonment?

    Horseshoe replied to Twinkle007's topic in General Nursing

    Yeah, let's see how a lawsuit goes if the only nurse leaves and something that could have been prevented simply by having a nurse provide expected care happens. The facility is sued, but I'm betting...

  5. Would this be considered abandonment?

    Horseshoe replied to Twinkle007's topic in General Nursing

    You are being abused, no doubt about it. That just really boggles the

  6. Dilute Lasix before giving IV?

    Horseshoe replied to guest1139088's topic in General Nursing

    I have never in 24 years of nursing had a doctor order a med and direct over what time frame it should be pushed. This is something that a nurse is required to know or to find out if she doesn't know....

  7. What to do about DNP and flu shot?

    Horseshoe replied to Travelingon's topic in General Nursing

    Some years it's low, some years much higher. But your second point in bold is patently false. Even if a person who gets a flu shot goes on to get the flu, there is a high chance that the flu shot...

  8. Coronavirus (COVID-19): We Want to Hear from You

    Horseshoe replied to tnbutterfly - Mary's topic in Disaster Preparation

    OMG, I just

  9. Patients wants a back rub

    Horseshoe replied to Oceanpacific's topic in Patient, Colleague Relations

    There was no “banging around,” lol. I view this as a relic not as a sexist one, but because I’m betting 99% of nurses simply don’t have time for that given today’s nurse/patient ratios....

  10. Justifying the cost of an Ivy League Nursing Education

    Horseshoe replied to Barbiegirl1229's topic in General Students

    Different strokes,

  11. Dilute Lasix before giving IV?

    Horseshoe replied to guest1139088's topic in General Nursing

    Sorry, that's just a silly assertion. I dilute/reconstitute meds all the time, according to the directions on the label. No doctor's order is needed to do that. A doctor would think I was crazy if I...

  12. What to do about DNP and flu shot?

    Horseshoe replied to Travelingon's topic in General Nursing

    What does that have to do with the price of tea in China????? I don't think that humble brag is going to get the response you were looking for, but thanks for sharing. Look, it's true that the annual...

  13. Justifying the cost of an Ivy League Nursing Education

    Horseshoe replied to Barbiegirl1229's topic in General Students

    I agree with you UNLESS you can get in and get the great financial aid that the Ivies offer. Other elites often give great merit aid. So...even if one believes that they just want to be a floor nurse,...

  14. What to do about DNP and flu shot?

    Horseshoe replied to Travelingon's topic in General Nursing

    A "history of cancer" is not a contraindication to the flu shot. "Could put someone out of remission"-also not any kind of standard assertion. There has to be more to that story, or the MD is very...

  15. Justifying the cost of an Ivy League Nursing Education

    Horseshoe replied to Barbiegirl1229's topic in General Students

    It is ridiculous to insist that going to an Ivy does not give graduates a leg up. There are certain careers that recruit almost solely from Ivies and other "tippy top" schools. Investment banking and...

  16. Dilute Lasix before giving IV?

    Horseshoe replied to guest1139088's topic in General Nursing

    Yeah, I remember pausing at that post but didn't reply to it. Something might well be unnecessary or even not best practice-but that's a different thing than being "out of our scope." One could...

  17. Coronavirus (COVID-19): We Want to Hear from You

    Horseshoe replied to tnbutterfly - Mary's topic in Disaster Preparation

    Is there actually really something called "limited airborne spread"? Doesn't airborne transmission, by definition, mean that the particles are so small that they are able to remain in air circulation...

  18. Dilute Lasix before giving IV?

    Horseshoe replied to guest1139088's topic in General Nursing

    Additionally, I'm sure the OP doesn't care about all the unnecessary charges his patients are incurring from this practice, but they certainly

  19. What to do about DNP and flu shot?

    Horseshoe replied to Travelingon's topic in General Nursing

    Wherever did you get that

  20. What to do about DNP and flu shot?

    Horseshoe replied to Travelingon's topic in General Nursing

    Are we actually seeing an increase in autism, or are we simply recognizing it where we didn't before? 50 years ago, someone might be labeled "an odd duck," "insensitive to the feelings of others,"...

  21. Dilute Lasix before giving IV?

    Horseshoe replied to guest1139088's topic in General Nursing

    Okay, someone bored with school right now? Why is the OP showing up as two different screen names? guest1139088 on posts but Patrick8403 when quoted by

  22. I can’t stop crying over a bad death

    Horseshoe replied to rmacns's topic in General Nursing

    You had nothing to do with her dying. You did not have the ability to stay with her. Try not to fill guilty. Lessons to take forward: You can never promise any patient that they "are going to be...

  23. What to do about DNP and flu shot?

    Horseshoe replied to Travelingon's topic in General Nursing

    Yes, well , research shows that you are more likely to get GBS after having the flu than after getting the flu vaccine. So...wouldn’t you be better off going with the better

  24. Witchcraft Resurgence

    Horseshoe replied to HelpfulNatureHopeful's topic in General Nursing

    False

  25. What to do about DNP and flu shot?

    Horseshoe replied to Travelingon's topic in General Nursing

    Worth