originalred

and did i mention those of us who wear corrective lenses... or walk with a limp or do not have a daily BM? all reasons that an employer could refuse to hire a good nurse. Forgive me for posting the question

and when u find ur self working all alone dont whine. Those of us in the real world will be working somewhere that understands the real world... just me

im sure your eating a double bacon cheeseburger as you read this. I wonder if they will fire me for speeding a little on the way to work when im on call. Does your family have a history of cvd or diabetes?? ur next as we promote health. Do u wear sunblock? skin cancer is a health risk. Are ur tires properly inflated? health risk... just saying. And ur right.. the company has obligations but where do they draw the line?

Is there a hospital in Dallas that refuses to hire nurses that test positive for nicotine? Im all for not smoking but as a term of employment?? Where will it stop? Elevated Cholesterol... Genetic screening... Its getting out of hand. Or is it just me?

thats why im calling report... they need to have a bm. discharge criteria for pacu

Missing a little. Have worked with surgeons that used no local... pt wakes up in pacu miserable.... use local= much less narcs needed. I would never use a doc that did not use local.

Denton presby

Give aureus medical a call. they have been good to me

Dont be afraid to ask for more. housing counts. but gas, food...

Attitudes changing on propofol yet??

Great post tridil2000. Well put. I,m sure you will NOT be popular on this thread for long. Hang in there.

rn29306. I would rather suck it up and take care of my patients if 2, 5, or 3 more years of school would close my eyes to the rest of the world. There is an old saying about an ostrich but I will not get into it here. Open your eyes and look at the number of cases done BY NURSES with 2, 3, 4, 5 years of college and 2, 3, 5, 15, 20 years experience and let's see what is dangerous and what is not. There are still maps (and package inserts) floating around that show the world is flat...don't go on any cruises... I am glad that someone, somewhere stepped up to the plate and decided to take that leap of faith and proved that this theory was wrong. Someone (Drnaps) will do the same eventually. When someone opens their eyes.

We have been following the info and direction offered at drnaps.org. It is great to find a site where you are not threatened with legal action and called unsafe cowboys pushing anything, anywhere... We too use propofol for thousands of cases a year and have had far less reactions to it than with versed, demerol... And the reactions that were seen were handled by a well trained nurse and an ambu bag. Someone needs to look at the science and change the wording on a piece of paper and resolve this "great debate" once and for all. We MUST respect every drug we give. Aspirin can KILL. TYLENOL can kill. We do not see these drugs limited to those with 3 more years of education...

Hang in there guys. Our BON recently had a review of our practice act and RN administered propofol for endo... THEIR anesthesiologist stopped the rebuttal being offered by the BON exec after our Docs presented their data, and wanted to review our data in depth before any decision was made. His statement was "they have scientific evidence that needs to be reviewed before any decision is made". In the past, any time anesthesia providers were involved it was automatic...NO. We took this as a good sign. The package insert is a tough one to overcome. For years droperidol stated a 12 lead should be done prior to admin...Did I ever do that ...no. Did any one else...I don' know. Was anyone sued...I don't know. If you look at any insert you can probably find something to limit it's use. I do know that if I am having a procedure done...RN propofol is OK with me. Airway management....give me a trained, field tested paramedic any day of the week. Just like ACLS does not qualify you to manage an airway according to some opinions...3 more years of school does not qualify you to give a drug that is so damn dangerous. Not meant to offend anyone but the "tribal mentality" drives me crazy. Show me numbers of patient's that have had poor outcomes with dip vs those with the other agents used. If not...let's look at changing that little piece of paper.....that if I am not mistaken was written in part by an anesthesiologist. Show me the proof.

Most abstracts, discussions, arguments... are biased based on your experience. Some of these "articles" have thousands of procedures done with propofol and no negative outcomes...At some point we have to look at the big picture and total number of positives vs the occassional negative. People would stop driving cars if the only thing they thought about was the crash on I-5 yesterday. People died and it is tragic but look at the total number of people who do get where they are going. Same with planes... Same with propofol...