CoolhandHutch

CoolhandHutch MSN, RN

ER, OR, Cardiac ICU

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All Content by CoolhandHutch

  1. Er nurses worked in OR before, think that if you like OR, you..

    CoolhandHutch replied to lilarox's topic in Emergency

    Two completely different mindsets. The OR is very linear and controlled. The ED is very ADD. After having done both, I'm very much the

  2. Undiagnosed A Fib w/ RVR Medication?

    CoolhandHutch replied to SweetMelissaRN's topic in Emergency

    In the ED, there seems to be a favor of rate control over rhythm control for AFib, hence the use of cardizem. Plus, you mentioned your patient having symptoms for a week- it's possible he has been in...

  3. ACNP vs FNP: My Summarization of the Great Debate

    CoolhandHutch replied to rauscht's topic in Advanced Practice

    The major issue is not the setting but acuity of the patient. Do primary care/family MDs only practice in the clinic? No, they see patients in the hospital. Do they see patients in the ICU? Typically...

  4. Are online ANP degrees destroying our credibility?

    CoolhandHutch replied to jilljw's topic in Student Nurse Practitioner

    I did my RN-BSN completion through an online program and currently I am doing my ACNP through a "traditional" program. A few thoughts about this whole thing: Being an online/distant educated student...

  5. DNP

    CoolhandHutch replied to repsol05's topic in Student Nurse Practitioner

    Much like the "Recommended Education for Entry into Nursing Practice" is the BSN, the same goes for the DNP. Now, how long have we being hearing about the BSN? Today, there are many hospitals that are...

  6. What are you really good at?

    CoolhandHutch replied to proud nurse's topic in First Year After Licensure

    I'm good at making VERY realistic poop from a combination of wet toilet paper and a few drops of betadine. Drop it in a bed pan and leave it at the nurses station....not very professional but it's...

  7. New Grad Starting in ED - Advice on Good Assessments

    CoolhandHutch replied to ecf1972's topic in Emergency

    The hardest part about assessing patients in the ED is trying to figure out what to do with those that have very vague complaints...and making sure they are not ominous. For example, a 20 year female...

  8. Doctors disrespect Male nurses.

    CoolhandHutch replied to Jimmyjuice's topic in Men in Nursing

    I would be more worried about the older, female nurses that resent/dislike/are irritated by/scared of male nurses. They're out there. Now, you are also going to run into male nurses that hate...

  9. Jacksonville U or Chamberlain???

    CoolhandHutch replied to ProudNeWRN's topic in Online Distance Learning

    I did the BSN completion program at JU and would not recommend it- they only "kinda" offer the gen eds- I had to go elsewhere to get stuff like humanities, international studies, and so on. It may...

  10. Torn between a Nursing or Nutrition degree because of my beliefs regarding medicine?

    CoolhandHutch replied to NenaRK's topic in Pre-Nursing Students

    If you think nursing is restrictive, wait until you start with your nutrition classes. There are some more progressive areas in nursing which might suit you but on the whole, it's Western medicine. I...

  11. Placing IVs in shoulder, breast, upper chest

    CoolhandHutch replied to paphgrl's topic in General Nursing

    What's the hurry? Is your patient crumping? Then IO or EJ. For routine stuff, I've done upper arms up to the shoulder. Seen a boob done once, didn't really see the point. Occasionally would do feet in...

  12. Bored in the ER?

    CoolhandHutch replied to sapphire18's topic in Emergency

    The one thing you need to remember that when you get a patient into the ICU the "groundwork" is usually done...line, labs, tubed, drips. Usually. If you are really fortunate, you might even have a...

  13. How to prepare for working in the ER

    CoolhandHutch replied to Jem-RN's topic in Emergency

  14. Upfront payment for non emergent conditions

    CoolhandHutch replied to danggirl's topic in Emergency

    I have heard of some hospital systems doing this, Press Ganey be damned! There is typically more to it- kids under 12 or 16 are exempt, as are people over the age of 60- I can't remember the...

  15. Enough is enough- taking back our profession

    CoolhandHutch replied to forrester's topic in Activism, Healthcare

    I have my pitchfork and torch, where we

  16. New Grad Terrors

    CoolhandHutch replied to adamsli88's topic in General Nursing

    Give it time. And, IMHO, the incident report about not getting someone cleaned out is

  17. RN vs NP vs DNP

    CoolhandHutch replied to Wrangler156's topic in Nursing Career

    Big plans for the future? You realize you're in nursing, right? Last I heard, community organizing was the best route to go for "big

  18. Which temp is more accurate Oral vs Tympanic??

    CoolhandHutch replied to SonorityGenius's topic in General Nursing

    In my experience, in order from most to least accurate: mom's hands, foley, rectal, oral, tympanic, forehead scanner doohickie...those things

  19. To the cynical nurse

    CoolhandHutch replied to EDrunnerRN's topic in Patient, Colleague Relations

    .....even the frequent flyers crump. It's just a matter of

  20. Does anyone who has made a lifelong career of the ED still love their job?

    CoolhandHutch replied to NeoPediRN's topic in Emergency

    One person posted recently that the difference between ER and ICU nurses was; ER = ADD, ICU = OCD. There's more truth in that than you might believe. Never have truer words been spoken. I have also...

  21. Intubation and Sedation

    CoolhandHutch replied to shannonFNP's topic in Emergency

    As that tube is sliding past the vocal cords, my ED docs can count on me asking the same thing every time..."What are we keeping him/her down with?" Saves a bunch of frantic maneuvering when your...

  22. Hyperkalemia and order of meds

    CoolhandHutch replied to RoyalNurse's topic in Emergency

    I always tell my nurses this: PROTECT THE HEART Hide the K Remove the K So, in that regards, calcium always first, the insulin/d50, then kayex. Remember, insulin/d50 only shifts the K but it's still...

  23. APUS American Public University systems

    CoolhandHutch replied to pnmia10's topic in General Nursing

    I took several classes from APUS and had no trouble transferring them to my school. Before you take any class, copy and paste the "course description" and send it to your advisor. They should have no...

  24. Obtaining trauma accreditation

    CoolhandHutch posted a topic in Emergency

    I work at an urban ED that sees somewhere north of 60,000 people at year, mostly complex medical with the occasional walk-GSW (almost once a week it seems). We're a nationally accredited heart center...

  25. Nursing a good job?

    CoolhandHutch replied to kimmy93's topic in General Nursing

    Is nursing a good job? I work in the ER and I can't imagine myself doing anything else. I've joked with my wife that if I won the lottery I'd still have to do this because, well, it's pretty dang fun....