canoehead BSN, RN

ER

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All Content by canoehead

  1. canoehead

    Wow

    That first assignment was way too much for me. We'd give that to two people
  2. canoehead

    Hospital Staff Drops Newborn

    When I worked L&D it wasn't unusual to drop a infant in the birthing process, but there was a table 4-5" below the woman's perineum. Not far enough to cause an injury, but it would be visible to...
  3. The patient was too sick for your facility, but you didn't accept her, not your fault. There should have been suction set up and ready at the bedside, but I assume you are sharing a suction machine...
  4. canoehead

    Medical Clearance for Psychiatric Unit

    The example you give, 157/101 wouldn't make me turn a hair for any patient entering an emergency room. The stress of the ER easily will give you that BP. The second BP, I would retake manually if I...
  5. canoehead

    They want us to give drip meds on med/surg

    If the drips involve titrating (and they will) the patient requires 1-1 care. It would be safer for the ICU or RR nurse to be called to the floor to start the drip while the floor nurse facilitates...
  6. canoehead

    What are the top 10 debatable nursing issues? And GO!

    Gloves for EVERY patient contact, vrs choosing to glove based on the
  7. I would be absolutely outraged, as a staffperson, let alone if I was family. I think I'd be up for most anything that would prevent
  8. I'm sure we have the technology to download every bit of information off the cellphone, and then give it back within an hour. They just need to find it and use it. Hoarding a phone for TWO YEARS is...
  9. I think his comments were inappropriate, but I don't think he should be fired for them. He has a right to his opinion, stupid though it may be. If he was in a position of trust and expressed a bias...
  10. canoehead

    How would Medicare for all affect nursing?

    If the government is running health care, AND they also have the ability to change labor laws. In Nova Scotia, Canada, the nurses were in a strike position a few years ago and the provincial...
  11. canoehead

    How would Medicare for all affect nursing?

  12. canoehead

    What's your favorite nursing task?

    Triage. I get to ask for a brief synopsis, take a guess and draw whatever labs are appropriate. I go back after the doc has seen them to see if I got it
  13. If you don't know the patient well, tell her what you know, and ask her to call the sending unit for more details. You can offer to stay with the patient for five minutes while she's on the phone...
  14. canoehead

    Taking patients

    Taking patients? That's what we sign up for when we walk in to work. Sounds like a different specialty would help you find your will to nurse
  15. canoehead

    Hardship: none of my business or a problem?

    I would move the van immediately, she's talked to you about not parking there, the next step is a tow, and it could happen anytime. My first choice would be at the church, or your gym's lot, and offer...
  16. canoehead

    12 hr night nurses-how many recovery days?

    Two days, one to sleep, and one to rest. I think that's a relatively long time, and used to force myself to only take the one day, go out and start chores the second day. Well, that only prolonged the...
  17. canoehead

    Anxious, depressed, and might need to go to HR.

    I've been there, and found it was not worth fighting. Whatever disagreement you have with her, try to smooth it over so she finds another target. Schedule a lot of nights and weekends so you don't run...
  18. canoehead

    Family Behavior during a code

    I would make an incident report of the situation and accusations, and make sure to get a witness to the read out of no calls from the room. Then I'd forget about it. You did nothing
  19. I'd like to know how many decks of cards get delivered to her. And a list of other items that nurses thought she could use. I know someone sent butt
  20. Good point. Often the docs that have a difficult reputation have gotten it because they are being difficult FOR the patient. Make sure you have fresh vitals, have the chart in front of you, and take...
  21. canoehead

    Looking up patients on Facebook

    Public information is open to anyone. BUT if you are making healthcare decisions based on that information you need to check it with the patient for accuracy. For example, if I looked up a hinky...
  22. canoehead

    Latest on RaDonda Vaught case

    In the August 2016 ISMP Nurse ERR newsletter they talk about ten similar cases. Some just as careless as this one, but none of those people were charged. I don't think she used appropriate care, but...
  23. canoehead

    Sexual Assault Exams

    Every nurse in ERs I've worked at were trained on SANE exams, but we would call for a SANE certified nurse first, if they were available. I would expect coworkers to be supportive if someone feels bad...
  24. In the same situation, I would notify my charge and let her take care of that idiot. I expect she'd either get sedation orders, convince him to shape up, or evict him. I would also ignore any...
  25. canoehead

    "Poor Thing!"

    Give her six months. She'll cave, they all