Horseshoe

Horseshoe BSN, RN

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All Content by Horseshoe

  1. Compassion or reality for obese patients?

    Horseshoe replied to stefanyjoy's topic in General Nursing

    Ummm, but don't you think there is a whole lot of middle ground between "sugar coating" and providing harsh, judgmental, and ultimately ineffective criticism? Surely we've got a whole lot of...

  2. Compassion or reality for obese patients?

    Horseshoe replied to stefanyjoy's topic in General Nursing

    I disagree. I've been thin and fit most of my life and have not experienced what you describe. I have, however, found it very helpful to avoid pointing out the obvious (they're obese) and focusing...

  3. Compassion or reality for obese patients?

    Horseshoe replied to stefanyjoy's topic in General Nursing

    I am absolutely not trying to be rude, but I did find your statement that guilt is a good motivator is nonsense. I cannot think of a better word for it. Please don't ask for opinions if you cannot...

  4. Am I at fault here?

    Horseshoe replied to SarahRN2010's topic in General Nursing

    That's a good point; in report, both outgoing and incoming nurses go over all new orders. You can bet, though, regardless of whether nursing care is a "24/7" and not shift dependent, if I received an...

  5. Unsure of my dad's doctor...

    Horseshoe replied to SweetLikeSugar's topic in General Nursing

    As the mother of two teenagers I would like to add "and vice versa" to your post. To the OP: If this were my Dad, I'd get a second opinion if I had to pay for it myself. That's the only way I could...

  6. What would you do if you were Nurse Ratched?

    Horseshoe replied to purple_nomad's topic in General Nursing

    I haven't spent any time in a mental hospital, but if the nursing staff is anything like that in a regular hospital, the nurses more likely range from outstanding to absolutely horrible. If the worst...

  7. Am I at fault here?

    Horseshoe replied to SarahRN2010's topic in General Nursing

    I think the order for an enema until patient has a "good" BM is ridiculously vague. I doubt I would have given the enema either, particularly as the patient claimed to have had not one, but TWO bowel...

  8. Compassion or reality for obese patients?

    Horseshoe replied to stefanyjoy's topic in General Nursing

    Okay, my opinion is that I think your assertion that "guilt" is a powerful motivator is nonsense. And just how do you intend to accomplish making an obese patient feel "guilty?" I would be very...

  9. What would you do if you were Nurse Ratched?

    Horseshoe replied to purple_nomad's topic in General Nursing

    No kidding. Among other things. For anyone who hasn't read the book or seen the film, here is a nice little description of Nurse Ratched from Wikipedia*: *Warning: spoilers...

  10. Is there work after kids??

    Horseshoe replied to cathlabdino's topic in General Nursing

    In Texas, you are not given the option of NOT taking a RN refresher if you have not worked in 4 years or longer. As part of the refresher, you are required to put in 80 unpaid hours of clinical to...

  11. code blue question

    Horseshoe replied to maiohmai's topic in General Nursing

    See if your hospital offers the following: EKG interpretation class ACLS class (take the EKG class first, then the two day ACLS class) After taking these two classes, you should feel a little more...

  12. Disrespectful, Lazy CNAs who bully

    Horseshoe replied to NurseyPoo7's topic in General Nursing

    i'm guessing you mean "assertive," and i agree with you that learning to be assertive and not come off as aggressive or unprofessional can be a difficult thing to master. it takes practice, but it...

  13. Leaving the ICU after 15 years

    Horseshoe replied to Zookeeper3's topic in General Nursing

    :yeah:that actually sounds like

  14. So... how do you deflect family members when you're busy?

    Horseshoe replied to nenabee's topic in General Nursing

    Wow. Truth is stranger than fiction sometimes. That whole situation is unacceptable and I would have had a hard time letting that one

  15. Relationships with Doctors

    Horseshoe replied to G in Scrubs's topic in General Nursing

  16. 2 1/2 liters ascites fluid drained

    Horseshoe replied to Vtachy1's topic in General Nursing

    Although ascites is usually caused by liver cirrhosis, there are other plausible causes.

  17. RNs to write Diagnoses for medications?

    Horseshoe replied to dinah77's topic in General Nursing

    I hear what you are saying, but if we begin to make assumptions based on doctor's notes, we are, in essence, going beyond our scope of practice. Writing down a medical diagnosis on a MAR, even if...

  18. RNs to write Diagnoses for medications?

    Horseshoe replied to dinah77's topic in General Nursing

    no, it is not within our scope of practice to make medical diagnoses. you did not do this in nursing school-you made nursing diagnoses, which as you know, is not the same thing by a long shot. sorry,...

  19. Becoming an NP with little to no nursing experience??

    Horseshoe replied to Blurr156's topic in Student Nurse Practitioner

    I haven't ever looked into NP programs, so I don't know for sure that there are NONE which immediately follow a BSN program, but it does seem like common sense that in order to become really...

  20. Relationships with Doctors

    Horseshoe replied to G in Scrubs's topic in General Nursing

    I think you mean cliques, right? I agree for the most part not to date a surgeon if you are an OR nurse (please say he's not married). If he is not someone you have to work with, then I don't really...

  21. So... how do you deflect family members when you're busy?

    Horseshoe replied to nenabee's topic in General Nursing

    Probably not. "I'll get to that as soon as I can" is about the best thing you can say at that point. Well, here's the deal: family members are not going to go away, they are not going to...

  22. drug testing in school

    Horseshoe replied to prettylittlenurse2b's topic in General Nursing

    That may or may not be true. I hurt my back once at work. I was leaning over drawing blood and all of a sudden pain just went through me like a lightening bolt. It was all I could do to walk out of...

  23. drug testing in school

    Horseshoe replied to prettylittlenurse2b's topic in General Nursing

    i think it would be really easy to steal drugs at work-and i believe it happens much more than we realize. who's to know if you ever gave those drugs you pulled out of the pyxis? i've had many...

  24. Patients families dictating care and treatment

    Horseshoe replied to MomRN0913's topic in General Nursing

    very important

  25. I can't take it anymore!

    Horseshoe replied to shortsuzy87's topic in General Nursing

    ^^^^^^What a great story. Congratulations and good luck on your future as a