lapappey

lapappey

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All Content by lapappey

  1. Which Hospital in Mass?

    Beth Israel Deaconess has a good reputation for treating their nurses well. They're also a fantastic hospital. Mass General is a wonderful hospital, medically speaking, but not as well paid as certain others; I have been told that the hospital quite...
  2. Share your mnemonics and tricks

    Acute Pancreatitis: I GET SMASHED I - idiopathic G - gallstone E - EtOH T - trauma S - steroids M - mumps (paramyxovirus) and other viruses (EBV, CMV) A - autoimmune S - scorpion sting / snake bite H - hypercalcemia, hyperlipidemia and hypothermia E ...
  3. Who is your Favorite TV or Movie nurse?

    Belize from Angels in America ... yes, it's a play, but it was on TV (HBO) ... so I guess it counts :chuckle . Doctor: Nurses are supposed to be in white! Belize: Doctors are supposed to be in bed in Westchester! :rotfl:
  4. Nwe Grad in PACU? Ever?

    PACU's will probably like acute care experience, which can be a sort of catch-22, since most acute care nursing assistant jobs like acute care experience ... however, it may not be a requirement. In my PACU, PCA's are responsible for 12-lead EKG's (f...
  5. Nwe Grad in PACU? Ever?

    Our PACU (large teaching hospital) has a few new grads who worked as PCT's here beforehand. Other than that, most RN's have med/surg if not SICU experience beforehand. If you're really interested in PACU nursing and still in school I would suggest go...
  6. What does this mean for Michigan LPNs??

    Ratios are nice, but some of these particular ones seem like oh so much pie in the sky. 1:2 in my PACU? I'd love it. But do we have it? No sir. But wouldn't it be nice? And what does: mean for Surgical Techs in Michigan???
  7. You Know You're a Nurse When...

    Wow. I've done the same thing. Have you ever opened a door with your back? In public? I have. :rotfl:
  8. New edition of Miller bashes CRNAs

    Well, without seeing it, I'm not sure that quoting from a research study qualifies as "bashing." I know that there is research out there that says that CRNAs are just as safe as MDs and also that CRNAs tend to have better pt satisfaction ... what exa...
  9. Ideal? No. Safe? Maybe. But in these situations, you do what you have to ...
  10. Do you clean B/P cuffs between pts???

    qd (night shift techs) and after a patient on isolation or if they are exposed to blood or bodily fluids ... infection control wise I'm sure we could be doing better, but typically, the pt is wheeled out of the slot (PACU) just as the next one is bei...
  11. No She/he Did Not!!!

    Introduce myself as working in the "NEUROLOGY" department to my UROLOGY pre-op patient (seeing as I work all services) and, without missing a beat, start the pre-op interview ... until I saw the look on the pt's face ... :stone ... I guess I was the ...
  12. Look at what showed up as an advertisement on that page (granted, not something that the author endorses, but still something that a pt could very easily come across) ... http://www.healthy-heart-books.com/ Just goes to show that you never can tell.
  13. :angryfire http://www.nytimes.com/2005/01/18/technology/18nurse.html [snip laudatory BS] "Meet Penelope," Dr. Treat said, motioning toward a robotic arm poised over a set of surgical tools. "She is one hot little number." And Penelope is looking for...
  14. :angryfire http://www.nytimes.com/2005/01/18/technology/18nurse.html [snip laudatory BS] "Meet Penelope," Dr. Treat said, motioning toward a robotic arm poised over a set of surgical tools. "She is one hot little number." And Penelope is looking for...
  15. Out with "Nurse" In with...?

    As the only male in one's class, one gets used to the class being referred to as "ladies, and, um, gentle-man" fairly quickly ... :chuckle
  16. New York Times: Robots can replace nurses!

    Oops Should've given credit where credit was due That was Carl Elbing's "Nurstoons" http://www.nurstoon.com/
  17. Out with "Nurse" In with...?

    You know, all those registered NURSES with associates degrees in NURSING who desperately want to be NURSES ... wait a second ...
  18. Interesting beef with AED's

    Point taken, point definitely taken-- So should all pulseless patients be shocked in the field? Does ACLS only mandate not shocking asystole because in the hospital we have resources to confirm that asystole is asystole? I really don't know. Any opi...
  19. Interesting beef with AED's

    Was having an interesting discussion the other day and wondered what people think. AED's were criticized for their inability to recognize occult VF, seeing as the only monitor one lead (lead I?) and per ACLS asystole should be recognized in more than...
  20. Out with "Nurse" In with...?

    Glad to see a sense of humor. Just busting b###s. :chuckle
  21. Out with "Nurse" In with...?

    Holy needle cricothyrotomies, Batman! It's an arrogant paramedic! Can we give this divisiveness a rest please? Both of you! Play nice! There's room enough for both of you. From scene to E.R. doors, the patient is yours. From E.R. doors to OR, the pat...
  22. Interesting beef with AED's

    There would be no change in time for defibrilation if VF was obvious in Lead II(AED's do monitor lead II, right? I said Lead I earlier and that was definitely wrong now that I think about it). If asystole was detected, then the AED would go ahead and...
  23. Out with "Nurse" In with...?

    "Nursing" and "Medicine" are two different disciplines and models of healthcare delivery. Not all laypeople, well, in fact, not all healthcare providers, "get" this, but getting the point across would be even more difficult if we used a different tit...
  24. Interesting beef with AED's

    Ah, but shocking asystole can actually have a negative effect on outcomes. So we can't shock asystole indiscriminately on the basis of "it might be occult VF." I was poking around on the net and apparently about 2.5% of VF's are occult in at least on...
  25. Why did you become a nurse instead of a doctor?

    As a OR tech, a lot of the MD's I worked with really encouraged me to go to med school (well, to go pre-med and then go to med school). I decided to go into nursing after seeing what exactly MD's have to deal with-insurance companies, lawyers, all ki...