macawake

macawake MSN

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All Content by macawake

  1. How do you deal with demanding/unreasonable patients?

    I respectfully disagree. No two patients are alike, a script is in my opinion much too inflexible to adequately address each individual situation. I think that it also ignores two integral components...
  2. Leaving an epidural catheter in

    Are you a recent graduate? Anytime you encounter a medication, proceduce, equipment et cetera that you aren't familiar with, you absolutely have to find out how to handle it safely. For your sake and...
  3. Evolution and Nursing

    I agree. I don't find the "believe in me, or else.." -sentiment overly appealing either. Fear would in my opinion be a very unfortunate reason for belief. And why would the being that created me,...
  4. Evolution and Nursing

    I agree with you. I think that the world would be a better place if we could all be respectful of each other. I don't always have respect for the opinion itself, in the sense that I embrace or...
  5. Evolution and Nursing

    I have to wonder why you found it necessary to make this post? Do you understand exactly how empty that threat is to me? Surely you must see that it's only meaningful to someone who believes in the...
  6. Evolution and Nursing

    I agree. This is why I very rarely get into discussions with a religious person about the reasons why I'm an atheist. I can't seem to be able to explain why without hurting someone's feelings or seem...
  7. Anticholinergic Meds

    I'm looking at the poll result. Are all gastrointestinal disorders created equal? Would we treat constipation the same way as diarrhea and painful bowel cramps? Might anticholinergics be useful in one...
  8. Hemoglobin level

    The average adult blood volume is 70 ml/kg of body weight or 7% of body weight. This means that a person weighing 70 kg would have an estimated blood volume of 70ml/kg * 70kg =4.900 ml or...
  9. Anticholinergic Meds

    When embarking on long treks in the desert or planning on lengthy sauna stays Sorry.. but this looks like homework to me. What's the MoA of anticholinergic medications? Would any of the effects/side...
  10. Which to follow: MD or Policy?

    From what I understand of OP's post there's a policy in place that states that the physician first has to discontinue the old order and then write a new one and this apparently hadn't been done. Seems...
  11. Which to follow: MD or Policy?

    For me this would depend entirely on the type of facility/unit I was working in. If I have a good working relationship with the physicians and know that they are "stand-up" type of people and the...
  12. How do you deal with demanding/unreasonable patients?

    I personally don't like the term drug seeker. If the patient reports pain I'll assess and administer the pain meds that are prescribed and evaluate the effect. These patients actually very seldom get...
  13. Pt threw a bedpan...

    I realize that several posters have already pointed this out to you, but really this isn't a good way to teach puppies. I feel rather strongly about this or I wouldn't have bothered to add yet another...
  14. Pt threw a bedpan...

    Be that as it may but I was reasonably adept at distinguishing between a person throwing something vile at me with a glint of highly aware, deliberate mean satisfaction in their eyes and a person...
  15. Evolution and Nursing

    In my case, infinitely difficult ? You see the question I ask is, how did your "Big Banger" come into existence in the first
  16. Gel Nails

    I'm not sure if I understand your question. Are you saying that it doesn't matter if our hands aren't as clean as possible since we cover them with gloves anyway? I certainly touch my patients...
  17. Wow. Just wow

    I was responding to the post I quoted :) Since that post mentioned implementing verbal orders before transcribing them and standing orders I think I managed to keep it within the apple
  18. Wow. Just wow

    I do too. You're a nurse after my own heart. There's no way that I'd let a patient suffer needlessly while I'm busy with administrative rigmarole. The verbal order is valid once I received it, in my...
  19. Wow. Just wow

    I'll take your word for that kill me now-type of pain is to be expected after knee surgery. I still don't understand what kind of feedback you expected when posting your scenario in a thread about med...
  20. Wow. Just wow

    Is the spouse qualified to decide if there are any complications present? I wouldn't be comfortable with taking her word for it and would urge them to seek medical attention. It's obvious that if the...
  21. Evolution and Nursing

    Thank you Elle, I genuinely appreciate you taking the time to answer my question. If I understand you correctly you don't think that science or scientists are evil but that they are being used/duped...
  22. This debate makes me appreciate the policy at my hospital. Short nails, no nail polish of any kind. No rings. No wristwatch. No sleeves below the elbow. Delightfully simple
  23. Aah .. In some situations I find that it's beneficial to be extra super
  24. (For what it's worth I think that the OP is female). I don't think that the speculation about OP's gender was an implication that all men are sexual predators. I think that both male and female...
  25. The study on pigs actually never proved that airborne transmission had in fact occurred. There is forty years of epidemiological data and research that shows that the mode of transmission is through...