canoehead BSN, RN

ER

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All Content by canoehead

  1. When you have an issue with your preceptor, talk to them first, not your boss or your coworkers. You will look mature and its more likely to resolve the issues with warm feelings on both sides....
  2. canoehead

    RVN: Registered Veterinary Nurse, what do you think?

    I'm sort of biased by the fact that after fostering/owning more than 50 cats, and dealing with techs in about 7 towns, I haven't met one that did more than restrain the pet for exam, weigh, do vitals,...
  3. canoehead

    How do you handle rude comments?

    In defense of lee555, I had a coworker tell me her mother had been diagnosed with brain cancer at 8am on a busy work day. Totally inappropriate, and how do you get away from that to care for the...
  4. canoehead

    Mandated

    Mandating the person who called off makes more sense than someone scheduled before and after her shift. I bring up mandating in the job interview. If my boss is coming in too during a crisis, I will...
  5. canoehead

    How do you handle rude comments?

    My responses to ignorance; "I'm sorry, what was that?" Gives you both a minute to think about what to say. "Why do you say that?" Maybe they meant to say something supportive and it came out wrong....
  6. canoehead

    Doctor upset by charting

    We don't have enough information about this specific situation. In general though, the doc doesn't get an opinion on what the nurse charts, unless it is inaccurate. If the visitor states the doctor is...
  7. canoehead

    starting IV on same arm as a mastectomy

    If its a needed med, start the IV wherever you can get one, but keep looking for a more appropriate site. And get an order to use your site in the meantime. I agree that they should have told you...
  8. canoehead

    I’m not happy

    This is one of the best replies I've seen on allnurses. All hail. Keep in mind that a twenty year experienced nurse would leave late if they had to do meds for a brand new set of LTC patients. So many...
  9. canoehead

    This person outranks me?!

    We are really too hard on each other. Everyone is entitled to a brain fart, at least once a day. If someone asks the same questions over and over, that's gonna be an
  10. canoehead

    Did I did not do enough?

    Nursemike, One leg is visibly shorter than the other, by 2-3 inches. No tape measure required. And external rotation of the hip, where the patient cannot tolerate repositioning indicates a likely hip...
  11. canoehead

    No Respect.

    Rn BSN msn You would be surprised how far behind some hospitals are. I worked at a hospital that still had rotating tourniquets for CHF in the crash cart within the last ten years. We never used them,...
  12. canoehead

    Discharging by Wheelchair

    If someone is signing out AMA, and I think its a terrible idea, I will remove all the medical equipment, but I wont assist them with dressing, or calling a ride, or walking out. Lots of times, just...
  13. canoehead

    Does it ever stop?

    I wouldn't have called if there was no po dose ordered. Maybe I'd ask if I was calling for some other reason about the plan for the IV drip. The doc had already reviewed the orders, and decided to...
  14. canoehead

    Please someone help.

    Ask your administrator. If you feel uncomfortable asking the question...theres your
  15. canoehead

    This person outranks me?!

    I got 7/10! I would have guessed that the sputum would not be acceptable because of the acidity of stomach contents killing anything that had come up in the sputum. So nothing would grow, but it could...
  16. You committed to fill your shifts, and you are doing that. Anything else is frosting. when you say no, don't explain, don't apologize, don't make excuses. Just "no, thank you" or they will smell...
  17. canoehead

    Does it ever stop?

    Sounds like a reasonable mistake to me. You can't read minds. Usually once a patient converts we give a po dose, wait an hour and dc the IV med. The oncoming nurse could have informed you without...
  18. canoehead

    Want to Change Locked Unit. What Do I Say?

    Putting a dressing on a wound, and adding that to the care plan is within your scope. Do what you can, and if you initiate care others will be more likely to
  19. canoehead

    Mom hand

    Those temporal artery thermometers can vary 4 degrees side to side if a kid is lying on one side in a cool room. So don't
  20. canoehead

    Reporting for racial slurs/substance abuse

    I agree the behavior is unacceptable. She didn't use those slurs at work. If she presents herself as a respectful kind person at work, and then lets loose, being a jerk at home, I don't think she...
  21. Med surg in a small hospital seems like the best choice. Smaller hospitals wont have the sickest of the sick, or the most complex patients. You can get comfortable there, then stretch yourself by...
  22. canoehead

    Resigning

    They don't care. They will only use your letter to prove what a horrible employee you were (true or not). Don't give them the
  23. This deserves a second
  24. canoehead

    Black Sheep...time to leave?

    I'd just fly low on the radar, and do my best nursing job. If you try to call them out, or force yourself on their little clique, they may decide you're a good target. If you want a more accepting...
  25. I think you will make it as a nurse, but you will need more time to get all the organization skills under your belt. You can organize, you were busy as a CNA, but this is a different set of skills and...