canoehead BSN, RN

ER

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All Content by canoehead

  1. canoehead

    Mandatory Cross-training

    Look up "constructive dismissal." I believe this situation might apply, and could help you make your
  2. canoehead

    Accused of making a medication error

    Do you not sign the med bag when you hang it? We do, and it would answer your question. I'm disgusted that they accuse you of this, but don't tell you what patient so you can go review the chart. You...
  3. canoehead

    Doctor upset by charting

    I would have made a direct quote. If the speaker makes that statement, but doesn't follow up with a formal complaint, it diminishes her credibility. If she has concerns about the treatment, but...
  4. canoehead

    No Respect.

    I'm in the ER and get similar requests for a drink or a warm blanket in the trauma room. I've got Styrofoam cups and a sink, so they get tap water until I can get organized. I've also sent family in...
  5. canoehead

    PTO use

    If you need another weekend off, I suggest you look to switch with your
  6. canoehead

    Made a fool of myself to board of nursing rep

    I think the OP has made an important point. It makes sense to start people with basic nursing skills, and move up. Approach every task knowing why it is done that way and how each part affects the...
  7. Looks ok to
  8. canoehead

    Even if you're new, remember you can think

    What you describe doesn't make you a dangerous nurse in my mind. Especially the first scenario. You notified the physicians twice...as a crusty ER nurse I know to say "I'm requesting that you come and...
  9. canoehead

    Smallest gauge for blood draw?

    It's not necessarily distal, but definitely small veins. And only with high
  10. canoehead

    English As A Second Language

    You are learning new words and in a new environment. There are only so many brain cells in your head, so maybe she could be a bit more patient. I think that with your education you'll be getting lots...
  11. canoehead

    Feeling Guilty

    Normal K here is 3.5, so it wasn't a big error, but it could have been. You'll be more conscious of K from now
  12. Manja, just knowing you are there if they choose to talk has some value. As you gain a few years on the unit you will build a reputation, and maybe things will loosen
  13. canoehead

    Taboo: 10 Things Nurses Should NEVER Say!

    Forget the admission, you'll get hit with a chart! Really truly, I don't believe that word actually makes things happen, but my gut still does a little lurch. The world continues to turn, and terrible...
  14. canoehead

    Taboo: 10 Things Nurses Should NEVER Say!

    Keeping a drip that was dc'ed, keeping the IV in, and keeping the patient on the monitor, all ward off evil spirits. And even if it doesn't work statistically, it makes the nurse look very smart if...
  15. canoehead

    Smallest gauge for blood draw?

    When I put 24G on a pump they start to back out of the vein because of pressure at 500ml/h, 400ml/h is iffy, but 300ml/h goes in fine. A unit of blood over 4 hours is no
  16. Here's hoping the supervisor and the nurse that initially found him, goes to
  17. canoehead

    What's your best 'Nurse Hack'?

    For me, the point of cutting off the prongs is so they don't go in the nose, and the kid gets blow by. What do you do to keep O2 on if they don't tolerate the prongs as is, or a
  18. canoehead

    What's your best 'Nurse Hack'?

    If you have a chance to move visitor chairs, give yourself a clear path to the patient without having to squeeze by junk and people. If all the chairs are on one side, and the equipment you need is on...
  19. canoehead

    My role in student nurse clinicals

    I got caught once with a student and no instructor. I don't mind if a student follows me around, but the instructor needs to be on the floor, and responsible for them. If I'm responsible for someone...
  20. canoehead

    Bedside Handoff

    We tried it and it was so disruptive to the patient anxiety, and also the patients wanted to tell their story again to the oncoming nurse. Or we were waking sleeping patients by talking at the door....
  21. canoehead

    Restraints in Spinal Rehab

    It seems to me that if the patient verbalizes a desire to have the belt on, it's their choice, and therefore not a
  22. canoehead

    Treatment Requested VS Treatment Needed

    Patient satisfaction linked to higher health-care expenses and
  23. canoehead

    My husband wakes me up!

    After doing all the explaining, and getting mad, I would be inclined to do a few household chores at 2am. Vacuum the house, it will just take a minute,
  24. I just get a friend to give me a swirly in the toilet. It exposes me to all the germs, all at once, and my immune system can take out possums in the back yard. And there are no credible studies...
  25. Just jump in, it will make sense as you do it. You can fret about it, or you can hold your nose and jump. The alternative is to throw away those years of work without even trying. You got through...