spotangel DNP, RN, NP

ED, Tele, MedSurg, ADN, Outpatient, LTC, Peds

Chronic Care Coordinator

All Content by spotangel

  1. 5 am-The alarm goes off . I get up bleary eyed wishing I could crawl back to bed. I have put in 5 days at my regular M-F job. This is day#6. This job helps me, help my college bound kids. 6 am-I get...
  2. spotangel

    Tell on yourself, if you dare...

    Triaged a young man complaining of a rash. Asked him where his rash was. Without warning he whipped out his member and started ranting about how frustrated he was with this long standing rash. As he...
  3. spotangel

    Thoughts on this blog article

    "What is not okay is a patient getting substandard care because of false documentation!" Totally agree! Document what you did not what you didn't. Be honest with the oncoming shift. If you are not a...
  4. spotangel

    Loss of son and finding a future

    Can't begin to imagine what pain you went through luvmyc. Anniversaries are rough. Stay surrounded by family and
  5. spotangel

    Loss of son and finding a future

    Hugs! Stay strong and nourish your soul. One day at a time and like Kooky Korky said "One foot in front of the other, friend, just one foot in front of the other. " If nursing is what you want to do,...
  6. spotangel

    Tell on yourself, if you dare...

    No! Batman to the rescue! This pt had once stabbed a staff in her psychotic phase , so we never turned our backs on her! The Hosp staff learned that in a
  7. spotangel

    Tell on yourself, if you dare...

    Had a mentally challenged schizophrenic patient that needed a hysterectomy. I went with her and offered to gown and step into the OR as she could get violent in a heartbeat. I was politely denied...
  8. spotangel

    Tell on yourself, if you dare...

    Definitely!
  9. spotangel

    I Gotta See If He Is Dead!

    I had a strange sense of anticipation as I walked in. Working as a perdiem Nursing supervisor(Assistant Director of Nursing) in a busy hospital, I had strongly felt that I needed to put myself down as...
  10. spotangel

    I Gotta See If He Is Dead!

    That is always in the back of your mind. In this case there was pooling body fluids. So I literally mopped up the body before we transferred him to the stretcher. Not pleasant at all. Need a tough...
  11. spotangel

    Tell on yourself, if you dare...

    Once I had to snip off the tie of a PA with my trauma shears! His tie was in a puddle of stool that he was digitally removing as the patient was impacted. I told him,"I know what to get you for...
  12. spotangel

    Tell on yourself, if you dare...

    Laughed till I cried! Bathroom
  13. spotangel

    Fitzgerald agacnp live review

    Fitzgerald is very systematic although I took it for my FNP certification. All
  14. spotangel

    Question About Hiring in ED

    Googled RN residency programs and found this. Check it out. [TABLE] [TR] [TD]Registered Nurse (RN) - New Graduate Carilion Clinic 145 reviews - Cincinnati, OH [TABLE] [TR] [TD=class: snip]Located in...
  15. spotangel

    The Nurse at the Bedside

    I pray that I find you in the ED/inpatient unit when I come in as a pt or family member. Too often the realization that the glue that holds pt care together is the bedside nurse comes only when you...
  16. spotangel

    Need Help Memorizing Heart Sounds?

    Love
  17. He heard that he finally got a bed one floor down after waiting two days in the ED and the elevator was now out of
  18. spotangel

    Nursing Supervisor - Walk In My Shoes For A Day!

    Thanks lennon! Love that
  19. spotangel

    How to memorize cranial nerves

    [h=4]From Dr Google! I remember learning this in Nursing college. Mnemonics[/h][h=5]On old Olympus' towering top a Fin and German viewed some hops[/h][h=5]Ooh, Ooh, Ooh, to touch and feel very good...
  20. spotangel

    Nursing Supervisor - Walk In My Shoes For A Day!

    Thank you! What is amazing is that everyday you come across a new problem to fix. Gets your mind working
  21. Was it the new construction or the" pulsating" Zumba class upstairs for
  22. spotangel

    I Gotta See If He Is Dead!

    5 visitors were not allowed, only 2; the sister who held it together throughout out the day and the brother Marcus who insisted that" he gotta see his brother and make sure that he was dead!" Two of...
  23. spotangel

    I Gotta See If He Is Dead!

    Thanks! First do no
  24. spotangel

    I Gotta See If He Is Dead!

    Opinion appreciated! The patient had called 911 and complained of chest pain and he had identified himself. While EMS was at his house treating him, he had a massive MI. ACLS protocol was followed and...
  25. spotangel

    I Gotta See If He Is Dead!

    Only if the patient has no ID and or was not able to identify themselves. This pt was picked up from his current address and everything else on his ID matched our EMR. So we were pretty confident that...