canoehead BSN, RN

ER

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All Content by canoehead

  1. canoehead

    Got a nurse aide fired... did I do the right thing?

    canoehead replied to Live.Love.Nurse.♡'s topic in General Nursing

    They didn't correct her on your previous complaints, or if they did, it didn't work. I think that firing was coming for a long time, and you did a good
  2. canoehead

    Icu frustrations after 1 year (new grad)

    canoehead replied to XDeemerDogx12's topic in Critical Care

    My peak as a nurse, feeling like I knew the most, was six years in. Then I tried PICU...crashed and burned. I've done OB, M/S, PEDS, ICU and ER, and although my knowledge increases, the feeling just a...
  3. canoehead

    Patient is a sex offender with a tracker on his ankle

    canoehead replied to Alex_RN's topic in General Nursing

    If I had a patient with a monitor on I'd chart it and ask him directly what was going on. I'd consider a predisposition to violence or sex crimes important information for the safety of the team, and...
  4. canoehead

    Quitting at a facility, can I give resident gift?

    canoehead replied to miss.martz's topic in Patient, Colleague Relations

    Give the gift after you quit, you're not a nurse then, you're a
  5. canoehead

    Oxygen and candles after death=Safety hazard!! what do you do?

    canoehead replied to nurseruss's topic in Patient Safety Issues

    I would blame the Fire Marshall, educate them, then give them privacy, asking how long they would like to be left
  6. canoehead

    Respiration counts

    canoehead replied to kataraang's topic in Patient Safety Issues

    Initial the chart when you take the vitals, the resp rate will be consistent in your entries, and everyone else knows some people don't bother looking. I would also go (once) to the other person and...
  7. canoehead

    When You Receive a Warning at Work

    canoehead replied to Nurse Beth's topic in General Nursing

    The nursing discipline system sells us short. If one of my coworkers sees me do something, and is concerned enough to reports me, s/he should be available for me to clarify what was seen, and what...
  8. canoehead

    Am I over thinking this? Opinions appreciated.

    canoehead replied to Futuremurse23's topic in General Students

    Why would he not like you. There's got to be more to the story. It's not usual for someone to say they don't like you without telling you
  9. canoehead

    Most ridiculous ED c/c

    canoehead replied to Elly Em's topic in Emergency

    I had a teenager have a freaking nervous breakdown in triage because of a sunburn. All fixed with soft words and lotion. His mother came with him, and she could have done that at
  10. canoehead

    Pain Scale

    canoehead replied to 5228shamrock's topic in General Nursing

    I start out with the assumptions that the patients pain is what they say it is. But their behavior can contradict what they say. If they start out at 10/10, I medicate accordingly. Then after an hour...
  11. canoehead

    What would you think if you saw this patient?

    canoehead replied to coffeemamaRN's topic in General Nursing

    I wouldn't ask the doc his opinion, I'd just roll that patient to the ER. Seems like a no brainer to
  12. canoehead

    IVDU pt kept asking for pain meds. Managment kept saying to just give it to her.

    canoehead replied to ella2990's topic in General Nursing

    For this patient, I would have added 2lpm O2 via NP, put her on continuous O2 sat, called the provider for a fluid bolus, a prn Narcan order, and changed the IV doses to SQ (last longer, no rush with...
  13. canoehead

    Who Creates Nanda & how can I become more involved?

    canoehead replied to Plumrose15153's topic in General Nursing

    I've been on allnurses for more than twenty years, and this is the FIRST time anyone has ever said they want to get involved with NANDA. We've had people wondering how they do what they do, but no one...
  14. canoehead

    Patient is a sex offender with a tracker on his ankle

    canoehead replied to Alex_RN's topic in General Nursing

    I would pass on the information in report. He may ask the next nurse "so...do you have any
  15. canoehead

    Emergency Nursing Care Outside of the Hospital

    canoehead replied to sarasrr2's topic in General Nursing

    Having been at an accident scene, remember that when you are stressed and out of your home environment, you are only half as smart as you usually are. Just ABC's and hold
  16. canoehead

    "just" a school nurse rant

    canoehead replied to LikeTheDeadSea's topic in School

    OP, I would be livid. Especially since you were in such a difficult situation. My reaction would be one of these; "You know I can HEAR you!" " I can't believe you said that out loud" "Well, that was...
  17. canoehead

    THE HEALER

    canoehead replied to spotangel's topic in General Nursing

    The others at Planned Parenthood might have been there for preventative care, or a similar situation to yours. What a miserable thing to have happened. Did you ever notify the hospital of the
  18. canoehead

    What's wrong with me??

    canoehead replied to vxxen's topic in General Nursing

    You are learning. As you get used to the system you'll miss less. You'll be able to think of better ways to get through your chore list too. For now, write on the order sheet immediately, and finish...
  19. canoehead

    Is it abandonment or taking a moment to collect myself?

    canoehead replied to Mollythenurse's topic in Patient Safety Issues

    I disagree. The NP took over care of the original patient. As for patients yet to be seen, she has not started care with them, and therefore cannot abandon them. (plus her boss told her to go, and...
  20. canoehead

    IVEA - The Innovative Replacement for the IV Pole - NTI

    canoehead replied to allnurses's topic in General Nursing

    Pediatric patients will be using it as a
  21. canoehead

    Would you let a relationship affect your job advancement?

    canoehead replied to purplegal's topic in General Nursing

    Your BF is not open about his life, his goals, his dreams, and he wasn't honest about a test he didn't pass. I would move on, whether you switch jobs or not, this is not a great relationship. Of...
  22. canoehead

    Should Female Muslim Psychiatric Patients Be Allowed to Wear Hijabs?

    canoehead replied to purplegal's topic in Psychiatric

    No straws?? did you have a spitball problem? Seriously, whats up with straws? I want to know for when I get admitted for
  23. canoehead

    Psych pts protocol

    canoehead replied to joyful_wanderer's topic in Emergency

    Thanks guys, I've worked in the US and Canada and never come across paperwork that limits personal possessions, although I've very often seen things taken for safety
  24. canoehead

    ESI practice thread

    canoehead replied to Lev's topic in Emergency

    A 2. A 1 if they look in the least sick (color, work of breathing,
  25. canoehead

    ESI practice thread

    canoehead replied to Lev's topic in Emergency

    Sit her down, take vitals, verbal reassurance, lung sounds, talk about her history. She may be a 2 and need nebs, she may be just SOB with exertion, and a 3, or she might be hyperventilating with...