canoehead BSN, RN

This is a great question.

Back away slowly, and get some blinders.

You can't give what you don't have. How anyone could find you at fault is crazy.

If my manager wants me to do something and I have doubts, I get them to put it in writing. Then it’s their head. Or if I want to go over their head, it’s in writing and taken seriously.

Since my manager got my resignation letter she wants a meeting tomorrow to “address some issues.” Hopefully they can’t fire me for insubordination after I resign. That would cut off a lot of other potential jobs locally. Heard from a coworker th...

I quit last night, wrote my resignation letter and sent it. This past week we boarded 30 admits in a 25 bed ER. Last night I had five patients, then an ambulance patched in with a presumed stroke, GCS 6, and they wanted me to take that person too. I’...

True, Muno. I just tell families ahead of time that I start cussing at midnight, and most are OK with it if forwarned.

I think ER experience would serve you well. You'd get to see how different docs handle situations that come up. The puzzling out whats wrong, and full assessments will be very helpful in your new practice.

We are socialized to take responsibility for every problem, if something goes wrong, tell the nurse. We coordinate everyone, so its easy to blame nursing, and easy for us to take the blame. It's standard after a physical assault for nurses to be aske...

How was his girlfriend going to know you chatted with him about anything, unless he told her? And how is that your problem? I bet he chats with other humans too...what does she not let him go to the store either?

That his problem if something goes wrong. I'd report it to management.

I've pushed it in multiple hospitals. I think she got relief from her nasty symptoms and was able to finally relax.

I was in a touchy situation recently, and took on a patient who was in vtach to my eye with diaphoresis and sob. The docs chose to wait for labs before treating the heart rhythm, and with one thing and another there were no new orders until 2h later ...

tegridy, He needed it to maintain his sats. bt with a sustained hr >150 I would give it to him just to decrease the workload.

If they bring it up, I wouldnt even respond. "It's not up for discussion, they were necessary breaks." If they want to discuss my productivity, or standard of care, fine. I'd love to see the policy on how many bathroom breaks, for how long, are...

I think its a good idea every few years for every nurse. the treadmill can be overwhelming.

His BP was fine, but given diaphoresis and labored breathing on 100% O2, I wouldn't call him stable. His rate was also averaging about 150, and how long would that be maintained? (Turns out, about two hours, but it was ugly) I had him wired for...

Burrito wrap, hold limb with hand as tourniquet, as a real tourniquet can be too tight easily, wait an extra second for flashback compared to an adult. I tell the parents that I look for the best site, and I'm slow, so with all the looking they ...

I think this falls on the provider. If he doesnt send out the right orders the secretary has no way of knowing.

Verbal orders need to be cosigned, or in years to come the physician won't know if they ordered it, or you made it up. It protects you AND your employer. I'd hate to peer through a progress note looking for actionable notes, they are impossible to tr...

He spontaneously converted...hed been asking for water and been denied because of the chance he'd need to be defibbed. As soon as we gave him a drink, he converted. And THANK YOU everyone, now I have some reading to do.

so in anyone experience, do you treat these wide complexes differently from a vtach? I would consider this an unstable vtach because of the sob and diaphoresis with high o2 need. I felt strongly that the patient should have been emergently card...

She removed his O2 I assume, not just humidity? I wouldnt remove it unless I had a replacement in hand. But I can 100% see leaving the room and being asked to do something else and totally forgetting to go back. Thats why you keep the dirty gros...

I would not have written that incident report. I'd have just ignored that fact when interacting with the nurse that wrote it, and I would have pointed out to the manager that if thats the worst thing she could find after 12 hours, I call it a pretty ...

I suggest you take the next few difficult patients if at all possible.