lckrn2pa

lckrn2pa

ER

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All Content by lckrn2pa

  1. What would cause Hgb to plummet?

    I didn't read all the post but everything about this screams PE to me, within the 1st few sentences of your presentation. Recent surgery, central cyanosis, SOB,fever (common in PE pts). This is a PE until proven otherwise.
  2. Letting off Steam, hope my extinguisher is ready

    Do you really even need to ask? lol, most of the time I can't understand anything they are saying to me but they understand when I tell them to send me to a US based call center.
  3. A friend's Mother is a patient

    These kind of discussions always amuse me and I wonder what these "all knowing and all powerful" nursing instructors think about small town hospitals where you routinely take care of neighbors, family and friends. The reality of the world we live in ...
  4. ascultating the lungs of a female patient

    I've always used the back of my hand to sweep them out of the way when needed. I go about it in a professional manner and don't make any type of event out of it. Move swiftly and profesionally and get it done.
  5. instructor says nursing is not for me..

    What has nursing come to? Your failing clinical cause you can't "chit-chat" with patients and they don't think you will make a good nurse. Amazing, if you had multiple drug errors, always late, never prepared then I could see the issue but cause you ...
  6. New Nurses!

    So your saying that because someone isn't passionate about nursing or they are doing it because of what you perceive as financial gain then that makes them less of a nurse? I ended up in nursing for financial reasons, 20 years ago my best friend and...
  7. q4 hour vital signs in the ER...

    Not saying the PA is right in his/her actions because it was completly inappropriate to yell at anyone for any reason but where was the patients primary nurse? I see your the tech, so are you the only person that does vitals on the ER patients? Just ...
  8. This has been bothering me...

    You should never, ever, ever, ever put yourself in the position where your actions or intentions could be questioned. Never. You should always have a female colleague anytime you have to do an exam on a woman that involves exposing them. As a provide...
  9. first code

    One thing I learned recently that I never really thought about much, don't argue with the doc during a code. Recently during my ER rotation in PA school I went upstairs to step down unit for a code call. Primary nurse gave report as she went in to ch...
  10. What is the difference between EKG and ECG?

    Electrokardiogram developed by Dr Willem Einthoven, a dutch physician. He won the 1924 Nobel Prize in Medicine for this. https://en.wikipedia.org/wiki/Willem_Einthoven
  11. Working 7 on/7 off (1900-0700)?

    I dated an ER-NP that did that schedule but was 11-2300. It was hard, especially the last 2-3 days but we enjoyed it because I was working registry as a RN so I'd schedule myself the same hours/days so we would have 2 vacations a month.
  12. giving iv argumentin

    Sanford Guide, Tarascon Pharmacopeia and Epocrates all list PO forms, no IV forms. As somebody has mentioned there is a company that makes IV but not avail in US, which is where I practice.
  13. giving iv argumentin

    Oh, as a side note, Augmentin is not available in IV form only PO
  14. giving iv argumentin

    Argumentin...............love it! Next time I have a patient not agree with my treatment plan I'm going to write for 2gm Argumentin cephalically lol
  15. Dang it Canes, I just spewed mountain dew all over my freaking keyboard, I'm in tears over here laughing so hard.....
  16. Unusual physician order

    That stuff will even fight off a lower GI bleed. Hey, also a little strip of Iodoform inside your mask works great and hand 6-8 inch strips in the room and will take away the odor.
  17. Unusual physician order

    I love it when administration thinks carpet is a good idea in hospitals. I worked a big inner city level 1 a few years ago and the powers that be decided to drop some money in the ER lobby, new paintings, flat screen tv's all over and carpet on the f...
  18. Are nurses high in demand in California?

    Had no idea it was that bad here, I've not worked since July 2010 when I started PA school so I've not kept in touch that much. I do get calls bi-weekly and emails weekly about travel jobs (was a traveler for 8 years) all over Cali so I figured it wa...
  19. Are nurses high in demand in California?

    Look in the central valley from Bako all the way up to Sac. Just get on the 99 and drive north or south, depending on where your at now. 5 or 6 hospitals in Bako alone and between there and Fresno there are 14 or so. Good luck
  20. Prison job for female RN

    This is true, I've worked a few ER's in central Cali that had the prison contracts and the guards can be difficult most of the time. Some of the prisoners can act a fool but the guards can really show their backsides when they are told they still hav...
  21. "VIP" Patients

    Ugh, famous people....I'd rather have the drunk off the street covered in urine and feces. Couple travel nurse jobs done LA area had to deal with some.
  22. Uh, well, I've done two clinical rotations so far in my last year of PA school and I've been offered 4 jobs. Internal medicine doc that I just finished with this past Thursday offered me a job then on my surgical rotation 3 different surgeons offered...
  23. Nurses' personal medical records

    Would you want a schizophrenic nurse taking care of you? Giving you medications that can have fatal consequences? I do not believe someone with psychiatric issues should be involved in direct patient care. We have to realize that everyday we walk in ...
  24. Nepotism, anyone?

    Get the H E double hockey sticks outta there lol. I'm not one to burn bridges or leave a job on a bad note but if I were in your situation then my exit plan would pan out like this: during the week I'd slowly and inconspicuously clear my stuff out o...
  25. nursing career without touching people

    If you find that job the ask them if they have another one would fit my wishes. I want a hospital job that will pay me my salary but let me stay at home, so not only no patient contact but I don't even have to go in. THE perfect nursing job.