canoehead BSN, RN

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All Content by canoehead

  1. canoehead

    Called In because my coworkers are complaining about me

    canoehead replied to nursinghopeful23's topic in Nursing Professionalism

    Legally, if a complaint is not in writing it doesn't exist. If your complaining coworkers haven't been specific about their issues, theres no way for you to respond. If your manager calls you in and...
  2. canoehead

    Would you File a Complaint?

    canoehead replied to everchangingRN's topic in Nursing Professionalism

    If an elderly man came into my trauma room without a board and collar I wouldn't apply one. They are going out of favor, even on scene. I'd have him stay on the stretcher until a doc could examine...
  3. canoehead

    RN MGR Told me I'm too old.

    canoehead replied to gumbi_12's topic in Job Search, Interview, Resume

    I believe its illegal to discriminate based on age, but whether its worth pursuing is up to
  4. canoehead

    Help with CIWA & RASS

    canoehead replied to JustAdmitToObs's topic in General Nursing

    My CIWA scale is very subjective. So if the patient tells you they are hearing things, is nauseated and has a headache, but you cant see it objectively, how high do you score? Some patients want to...
  5. canoehead

    What do you promote high-value care?

    canoehead replied to guest940422's topic in General Nursing

    In a hospital I used to work in, a certain diagnosis came with insurance authorization for a particular group of tests. So we did all the tests whether they were needed or not, to maximize profit....
  6. canoehead

    Getting Sick as a Nurse

    canoehead replied to EdwardE's topic in General Nursing

    I average calling out 2-3 times a
  7. canoehead

    Nurses aggravating my patients.

    canoehead replied to WittySarcasm's topic in General Nursing

    OP I get what you are saying. You don't have to be overtly inappropriate to wind someone up. Especially if they are sick, on edge and the nurse has all the power. She's been reported for this before,...
  8. canoehead

    Gave medications too early is this an error?

    canoehead replied to daniela095's topic in Patient Medications

    I'd respond the same way as your preceptor. You found the mistake, you realized what went wrong, and consulted with the physician and your preceptor. Youu know not to do it again. Case closed. If you...
  9. canoehead

    Small hospital stopping services?

    canoehead replied to 7vt0*8's topic in General Nursing

    Remember that sick patients don't bypass your little hospital, you'll still get them rolling in. You have to stabilize them before you ship them to the next place, even the pregnant women. No one...
  10. canoehead

    Is it wrong to start infusion that will not finish till next shift?

    canoehead replied to Capp's topic in Patient Medications

    I'm gobsmacked. I'd like to see her try telling a seasoned nurse that horse
  11. canoehead

    Loud Cartoons for Elderly Patients

    canoehead replied to NurseSince2014's topic in General Nursing

    Its a management issue. I'd turn the TVs off, but I wouldn't confront her. She's obviously got a screw loose, and its for a higher pay grade to
  12. canoehead

    Quiting without Notice Due to Poor Relationship with Physician

    canoehead replied to mallethead's topic in Patient Safety Issues

    I would go on the offensive. His actively looking through your Facebook to get you in trouble is harassment. Have a talk with HR/your manager that his behavior is unacceptable, and note all the issues...
  13. canoehead

    As a RN, which would you choose?

    canoehead replied to GenieToBe's topic in General Nursing

    It's all a matter of probabilities. If I arrest it will be a total surprise, I have no medical issues. Presumably what comes on quickly can be fixed just as quickly, or not at all. I have a DNR...
  14. canoehead

    What does this presentation mean? NOT HOMEWORK.

    canoehead replied to FolksBtrippin's topic in General Nursing

    If the tumor recurs in her leg, that would explain the swelling intermittently, and pain. The cardiac issues...I'm
  15. canoehead

    Crisis of confidence

    canoehead replied to Lostsoul123's topic in General Nursing

    I've been there, and you need a break. If its relatively mild, a month off will give you a whole new perspective. Don't even think about trying to make decisions until you've been away from work for a...
  16. canoehead

    Small hospital stopping services?

    canoehead replied to 7vt0*8's topic in General Nursing

    I've done very small hospitals, for example labor and delivery with only one RN assigned to the unit, and ER with the same staffing. If help was needed I had to call for it. Working that way develops...
  17. canoehead

    Nervous nurse's guide to ebb and flow enemas

    canoehead replied to JeneraterRN's topic in General Nursing

    I have learned that suctioning the watery stool up eases the clean up. Have your suction ready right beside the enema
  18. canoehead

    What would you have done

    canoehead replied to MJCRN4898's topic in General Nursing

    That's a stumper. He can refuse care, but once its in nurses need an order to pull it. If he pulled it on his own you dinged for his injury. But you called the doc three times, and he hung up on you....
  19. canoehead

    Old nurse won't retire

    canoehead replied to Emergent's topic in General Nursing

    That's a bit of a judgemental statement unless you know the circumstances that led to their choices. In any case, you aren't responsible for anyone else's social life, so you can cut yourself a bit of...
  20. canoehead

    Old nurse won't retire

    canoehead replied to Emergent's topic in General Nursing

    delete
  21. canoehead

    How do you deal with dizziness and syncope?

    canoehead replied to Guest878640's topic in General Nursing

    OP; The answer and the physiology differs if its syncope, or vertigo, or plain
  22. canoehead

    HELP! Am I asked to be doing something SAFE and Legal??

    canoehead replied to newtonursing123's topic in Patient Safety Issues

    Absolutely no way. Remember, if they go around procedures now, if you are injured or reported, they will again do whatever is easiest on them. They might say "we'll take care of you if something...
  23. canoehead

    Staff- Patient Ratios

    canoehead replied to skyanurse's topic in Patient Safety Issues

    If nurses are quitting, and they say its because there isn't enough staff, then the solution would be to get more staff, immediately. They can do research and trial new ways of doing things later,...
  24. canoehead

    Order of Draw for Labs - Concerns / Looking for Your Opinion / Expertise

    canoehead replied to aroelisland's topic in General Nursing

    The recommended order of draw is a blue top first, and it has to be full to run it. BUT I can get enough blood to run a CBC and a bunch of chemistries, including a VBG, on the blood a blue top takes....
  25. canoehead

    I accepted the fact nursing isn't for me, what do I do?

    canoehead replied to 8Lovenursing8's topic in General Nursing

    I also think you shouldn't write yourself off because of your coworkers making fun of you. They are jerks. If you had just a bit more experience you'd know they are nitpicking, and trying to make you...