canoehead BSN, RN

ER

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All Content by canoehead

  1. canoehead

    Boyfriend wants me to stay away

    This is going to be a recurring theme in your relationship, because you will always have patients with one bug or another. I'm willing to bet there will be a new virus every few years as well. You can...
  2. canoehead

    Why do so many cheerleaders enter nursing?

    I'm A NERD.
  3. Over time, mortality is 100%. Even if the things you say occur, OP, and they improve health, you're going to get negative effects from economic factors. But a good statistician can find numbers that...
  4. canoehead

    Severe vasovagal response.

    I've had several patients pass out from vagal reactions. One passed out in the triage chair, went grey, so I lowered him to the floor and couldn't get a pulse. Called a code, but once he was on the...
  5. TALK TO YOUR OWN PHYSICIAN ABOUT YOUR CARE. We cant give
  6. canoehead

    Do you ever meet with parent lawyer?

    Easy, make him subpoena
  7. canoehead

    Keeping your head...

    I try to consciously stop and assess for a second before I start working. (Take your own pulse first) It's easy to lose IQ points in a crisis, but falling back on the ABCs should get you through the...
  8. canoehead

    Blood Transfusion With Leaking AAA

    I looked up the manufacturers recommendations a long time ago. Tubing is good for two units or four hours. But the blood needs to be checked every
  9. canoehead

    Lazy patient

    I stand at the bedside and provide supplies, and verbally cue the patient for each action if they say they can't do something. It takes more time than doing it myself, for sure, but usually they...
  10. canoehead

    My First Enema, PANICKING?

    Aww, how cute, your first enema! Your instructor made it a literal poop splatter. That position was dumb. Get the patient lying on their left side so the fluid flows down with gravity and can soak the...
  11. canoehead

    Would this be considered abandonment?

    My next move would be to write to your BON and describe the situation, then ask for guidance. You can't work double shifts every time and keep your
  12. I would not report. I would not mention it to another soul at
  13. canoehead

    Asked to Write a Formal Explanation

    Get them to make a request in writing for your explanation, with all the evidence they have, CNA s statement, video, whatever. You don't need to reply until you get all the
  14. canoehead

    Recently terminated- being reported to state BON

    In Maine, if they terminate you, they are obligated to write to the BON and make a report as to why. Being reported doesn't automatically mean they think you should lose your license. I've been in...
  15. canoehead

    Gloves at all times?

    Long time no see Tweety! I would just say that its not policy in your institution, and leave it at that. Sounds like an attempt to get some power, so including her in planning the day might make her...
  16. canoehead

    Help me choose a shift please! Time sensitive..

    They look the same, pros/cons wise for a single person, but day rotations don't come up that often, and it would be easier to care for the kids.
  17. I suggest committing to phone scrolling for a particular time, and the patient agrees to cooperate with your procedures during particular times. Once all the work is done, you can both sit and scroll...
  18. canoehead

    Vancomycin Infusion Rate During Hemodialysis

    You have to follow the pharmacy recommendations, no matter what another coworker
  19. canoehead

    Rude doctors

    When I'm getting more requests than I can possibly finish, or when they ask me for something they can do themselves and I don't have time to "discuss" it, I say "I'll put that on my to-do list." It's...
  20. canoehead

    Free Standing ER Patient Abandonment

    I actually asked the Maine Board this question, but it was over fifteen years ago, so it would be worth asking your own Board. Their response is that you need to give sufficient notice to your boss...
  21. canoehead

    Why did I give the med before surgery?

    It was ordered, and its reasonable to assume that the doc indicates he has looked at the meds being appropriate for surgery if he wrote that order. I would have given
  22. canoehead

    Let me hear your perspective...

    If she was outside the window for lysis, and the CT showed nothing they could fix, labs normal, it makes sense to me that they give her 24h to recover, or for the drugs to wear off, and watch for...
  23. canoehead

    PTO not in the budget for remainder of year

    We may not get approved for time off, but we can cash it out. Not ideal, but
  24. canoehead

    Eyedrop adminstration for people with dementia

    If they will close their eyes and tip their head back, put the drop in the inner corner of their eye, then ask them to open, and it will slide right
  25. canoehead

    Why is BSN required for CRNA?

    It should be easy to switch from your RN to a BSN degree then. Your science credits could be used against