canoehead BSN, RN

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All Content by canoehead

  1. canoehead

    Feel like an incompetent nurse

    canoehead replied to PinkRose34's topic in General Nursing

    For the patient with abcess... no matter what the WBC level was you are still going to do the same treatment. It's nice to know the WBC, and you should notice if its going up or down if blood is drawn...
  2. canoehead

    Random tests?

    canoehead replied to Medsport's topic in General Nursing

    I wonder if the Board would accept CBD oil as opposed to THC? The CBD would be the anti-inflammatory anyway. If you wrote to them inquiring, you could save the response, and share it with your...
  3. canoehead

    Unsafe Nurse Residency

    canoehead replied to Nikkib0911's topic in General Nursing

    When I got trained for L&D in a small unit I had six years experience in pediatrics, and they said six month of preceptorship would be given. They gave me a L&D textbook, and I gradually went...
  4. canoehead

    Nurses with nasty attitudes

    canoehead replied to Marian96's topic in Ob/Gyn

    I doubt that woman was legit. Did she have hospital ID? I would call security if she didn't identify herself and the parents didn't know
  5. canoehead

    Correcting Name Labels on Lab specimens of Stroke Patients

    canoehead replied to lab211's topic in General Nursing

    We would print out new labels in the unit and relabel before sending them to the
  6. canoehead

    New job and asking for time off

    canoehead replied to direw0lf's topic in General Nursing

    I've been in a similar situation, and I told them when they made the offer that I had previous plans for a particular two week stretch. It wasn't a problem, My new coworkers were unhappy that I got...
  7. canoehead

    It's Driving Me Crazy

    canoehead replied to AlmostThere19's topic in General Nursing

    I've gone in a bit early to read charts for all my career- thirty years and about ten hospitals. Yes people do it, and no, the hospital doesn't mind. It's not illegal, or I'd be in jail. Specific...
  8. canoehead

    New Nurse Venting

    canoehead replied to NewtoNursing75's topic in General Nursing

    I think that your concerns are well founded, and you left every job for good reason. You could have gone to HR and gotten some coworkers fired, but I can respect your decision to just leave. In your...
  9. canoehead

    Preceptor is SO BAD!

    canoehead replied to Guest606's topic in General Nursing

    I notice that all the "my preceptor is terrible" posts seem to come from nurses new to the profession. I think the problem is more reality shock than bad preceptors. IMO more clinical time during...
  10. canoehead

    Gossiping Nurses

    canoehead replied to Beau Wolf's topic in General Nursing

    You are going to make mistakes, you're human. Consult with your charge nurse if you need to make a judgement call, and you can be secure that nothing was missed. Let them talk...but make a point of...
  11. canoehead

    Two Jobs: Full-time night, Part-time day

    canoehead replied to ADNRN2016's topic in General Nursing

    I had two full time jobs for a month at one point. I wanted to stick my head in an ice bucket. I had a set schedule with the first one, and was clear in my interview that I was only available on my...
  12. canoehead

    Labor & Delivery - highly litigated field

    canoehead replied to SaraKay76's topic in General Nursing

    When I did labor and delivery I found it LESS anxiety producing because ACOG had specific recommendations for almost every situation. I just followed along their algorithms and documented physician...
  13. canoehead

    Freaking out over a patient fall!!

    canoehead replied to Zenndaya's topic in Patient Safety Issues

    Even with the gait belt, he would have gone down if I was doing it. Even with a second person, depending on his
  14. canoehead

    Medical Clearance for Psychiatric Unit

    canoehead replied to smcRN2592's topic in Patient Safety Issues

    I argue that if we would discharge them home with that BP, they are safe to send to
  15. canoehead

    Aggressive Resident and Alcohol

    canoehead replied to guest336699's topic in Patient Safety Issues

    I think there should be a care plan in how to respond to aggressive behavior. If withholding ETOH is part of the plan, fine. But if there is a care plan in place, it should be followed rather than...
  16. canoehead

    Should I or shouldn’t I have given Ativan?

    canoehead replied to Nurse Pure-Spring's topic in Patient Safety Issues

    I suppose it "should" be administered once symptoms begin, but if you might ward off symptoms altogether, that's an even better result. Technically its a medical call, not nursing, but no harm done,...
  17. canoehead

    How to Best Handle A Patient When They Jerk During an Injection?

    canoehead replied to MagicalGirl's topic in Patient Safety Issues

    If you are doing an IM injection, just encourage relaxation. The more they anticipate it, the more they will jerk. IV sticks, rest your pinkie on their hand, or just below whatever site you are using....
  18. canoehead

    What should I have done differently? Did I endanger my patient?

    canoehead replied to misha's topic in General Nursing

    I would not have made the second call. I would have asked for parameters, if I remembered to. You did a good job. If the oncoming RN has concerns that you don't share, he is welcome to make his own...
  19. canoehead

    New RN Can't Handle the Unit. Is this Normal?

    canoehead replied to Snmk19's topic in General Nursing

    It sounds like you're working with a bunch of jerks. Get your year in and move on. The mass exodus means it not just you having a problem, and supportive units exist, you just need to find
  20. canoehead

    RN's skipping vital signs

    canoehead replied to rn_patrick's topic in Patient Safety Issues

    If the patients are refusing or generally not cooperative, "sweet talking them" into vitals may play into manipulative behavior. Respecting a patient's right to refuse can be therapeutic in an...
  21. canoehead

    "Addiction" Nursing is an outdated term.

    canoehead replied to havenrn's topic in Addictions

    Every twenty years we change the words used, but it's all the same, with the same stigma once people become familiar with the
  22. canoehead

    Ridiculous class schedule, please help

    canoehead replied to PrinPrin2's topic in General Students

    It would have been an average load when I was in university. If you don't want to do them all at once, find out what is available during the summer and take it
  23. canoehead

    Are hospitals doing this now? ,(Vent)

    canoehead replied to Lucinda4000's topic in General Nursing

    I would have to prioritize it with my nursing tasks. If someone needs to go next door for an Xray I can probably buzz them over quick. But if they need to go to the floor, that takes longer, and I'd...
  24. canoehead

    The one thing in nursing/medical that makes you shudder?

    canoehead replied to RegenerativeNurse's topic in General Nursing

    Anything gross I can tolerate. Patients and visitors that decide regular hospital rules don't apply to them for whatever reason really trigger me. Yes, you are sick, but everyone is sick here, and the...
  25. canoehead

    Swaddling

    canoehead replied to Amino's topic in General Nursing

    What a *** rocket. If you approached her in a helpful way, it was completely appropriate to demonstrate a different technique. As for the reporting..."go ahead" would be my