CoolhandHutch

CoolhandHutch MSN, RN

ER, OR, Cardiac ICU

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All Content by CoolhandHutch

  1. Rules for the ER (long)

    CoolhandHutch replied to EDValerieRN's topic in Emergency

    Not so much complaints but observations on behavior we ER nurses have seen time and time again. There's a little bit of truth burried in each of these quips. It's letting the frustrations out- you...

  2. Hypoxic drive?

    CoolhandHutch replied to lyallch's topic in General Nursing

    With COPD patients in respiratory distress (uh, when aren't they...), supplement enough 02 to maintain their "usual saturation". I've knocked out (or think I did) exactly one hypoxic drive in the last...

  3. what treatment do patients who present with migraines......

    CoolhandHutch replied to froghair's topic in Emergency

    Well morphine works for some people...it just depends on the person. Each person responds differently to the different

  4. Are You Man Enough to Be a Nurse?

    CoolhandHutch replied to Raymond CA's topic in Men in Nursing

    Mike, it took me having kids to become a good nurse. Before kids: Chest tubes! 16s in both ACs! He's gonna code!!! Yeeeeeeeeeeeeeeeeeeeeeeee Haaaaaaaaaa!!!!! After kids:Need a blanket? Anyone here...

  5. OB/PEDS Rotation

    CoolhandHutch replied to NSURN's topic in Men in Nursing

    Never were truer words spoken. I hated my OB rotation because there was always that 'out' given..He's a male student nurse. Frankly, I didn't give a rip at the time. However, for those guys that have...

  6. R.N. to P.A.??

    CoolhandHutch replied to Meerkat's topic in General Nursing

    I'm considering it because of the medical model versus the nursing model in advanced practice. Not a big fan of theory, that's all. Not fully committed, just finding out what's out

  7. R.N. to P.A.??

    CoolhandHutch replied to Meerkat's topic in General Nursing

    University of North Dakota (http://www.und.edu) has a program specifically designed for experienced RNs with a bachelors (doesn't have to be a BSN) wanting to become PAs. It's a 20 month program and...

  8. what treatment do patients who present with migraines......

    CoolhandHutch replied to froghair's topic in Emergency

    It is important not to lose sight of the big picture here. We should assume a patient is being honest about their migraine unless we have actual knowledge that they are not (not just suspicion). It is...

  9. Is ER nursing Floor nursing???

    CoolhandHutch replied to zaga21's topic in Emergency

    By "unpleasant codes", I am assuming you are talking about body fluids and such... and no, you can't go to the ER to get away from them. And if bringing a dinner tray to a family member that hasn't...

  10. pain management after surgery

    CoolhandHutch replied to HyperRNRachel's topic in General Nursing

    Try unwrapping and re-wrapping the dressing if you encounter this again- sometimes the docs get gungho an turn these things into pressure dressings. Make sure your surgeon won't get made at you before...

  11. Questionable Allergies?

    CoolhandHutch replied to MS._Jen_RN's topic in General Nursing

    In his best Jack Nicholson voice: Because they can't handle the truth!! I do try to separate then educate allergies versus side effects. However, some patients just want to have their allergies so who...

  12. Learning thread (ER medicine)

    CoolhandHutch replied to TraumaInTheSlot's topic in Emergency

    Name the condition your patient has where this wouldn't work...and don't say "amputees"

  13. medicine or wives tale????

    CoolhandHutch replied to leigh21's topic in Ob/Gyn

    I have 5 boys, the most recent born on 12/31 (yeah, tax deduction!) and there's pretty much nothing you can do to influence the process. Everyone gave me hints on how to make sure I gave my wife the...

  14. Really, really trying to see both sides of the coin...

    CoolhandHutch replied to Marie_LPN, RN's topic in General Nursing

    Marie, remember you have a RIGHT to a respectful workplace. That includes people with and without mental illnesses. Also, there is a chain of command in place- if your NM is unable/unwilling to help...

  15. ortho evra patch

    CoolhandHutch replied to lindamb's topic in Ob/Gyn

    Our physicians have a pretty high index of suspicion for PE when a young woman comes to the ER with chest pains that is on the patch; it's almost assured if she smokes. Very bad

  16. Nursing Diagnosis

    CoolhandHutch replied to Happeetxn's topic in General Nursing

    I don't think a fever ever ranks higher than anything related to airway/gas exchange. Even if the fever causes seizures, your training as an EMT-P teaches what for your first priority?

  17. Uniforms in peds?!

    CoolhandHutch replied to Atlnurstudt's topic in General Nursing

    I think the kiddos are more concerned with whether or not you have a 'shot' in your pocket versus what you are

  18. Common Drips Used in CCU

    CoolhandHutch replied to DangJ's topic in CCU, Coronary, Cardiac

    We are adopting some study (Yale University) that finds better outcomes for patients that have controlled blood glucose; in fact, almost ALL of our patients will be on an insuling drip to titrate...

  19. Lactaction consultant on my 3rd baby

    CoolhandHutch replied to abckidsmom's topic in Ob/Gyn

    There's that many in

  20. How Did We Survive?

    CoolhandHutch replied to Meerkat's topic in General Nursing

    I used to ride standing on the console between my parents in the car....then when my dad bought that green 1978 station wagon OH BOY, all kids in the very back for a picnic! You're right. It's amazing...

  21. Prednisone

    CoolhandHutch replied to FLoridarnl's topic in General Nursing

    Ain't things done for the purpose of CYA great? It should be reported so the process that 'allowed' the error to be corrected, i.e., if you use a pyxsis are the same drug in different strengths in the...

  22. er nurses: what kinds of teaching do you do

    CoolhandHutch replied to baby_gurl0604's topic in Emergency

    Don't stick that in there.

  23. Common Drips Used in CCU

    CoolhandHutch replied to DangJ's topic in CCU, Coronary, Cardiac

    ....and for the nurse....coffee coffee

  24. PACU scheduling

    CoolhandHutch replied to Lola Shea's topic in PACU

    Try offering 10's with the day of the week that rotates..example, week 1 you have Tues off, working MWThF; week 2, Wed off, working MTThF and so on...every fourth week you get a four-day weekend. It's...

  25. Minneapolis School of Anesthesia, what can I do to get in???

    CoolhandHutch replied to magno79's topic in Student Registered Nurse Anesthetist

    I'm in the process of applying as well, so you're my competition...no advice for you I asked them what mistakes applicants commonly make and how to avoid them. What they told me is to call frequently...