canoehead BSN, RN

ER

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All Content by canoehead

  1. canoehead

    ESI practice thread

    canoehead replied to Lev's topic in Emergency

    I would go with 3. Mild SOB, and stable vitals. I would not use my last bed for him, he could stay that way for days. Our protocol allows us to order a chest film though, and he could be bumped up...
  2. canoehead

    Peds ER to Adult ER

    canoehead replied to kbl13's topic in Emergency

    Learn how to spell chlamydia and syphilis. I'm triaging today, and found a huge hole in my
  3. canoehead

    My parents don't want me to become nurse but I don't care anymore

    canoehead replied to JayLuv108's topic in General Nursing

    Ruby, you are a super
  4. canoehead

    new grad, confused, discouraged, overwhelmed, nervous, 2nd guessing

    canoehead replied to AnnaBanana60137's topic in General Nursing

    Preceptoring is stressful. It may have been blowing off steam about one incident that happened among hours and hours of good work. Try to put it out of your mind and continue to do your
  5. canoehead

    Patient complaint-freaking out!

    canoehead replied to CrazierThanYou's topic in General Nursing

    When they do call you in they should have the original complaint and information from their investigation in writing. You should get a copy. No matter how tempting it is, do not engage verbally,...
  6. canoehead

    My parents don't want me to become nurse but I don't care anymore

    canoehead replied to JayLuv108's topic in General Nursing

    There is nothing saying you wont move on to be a nurse practitioner after you get a few years in. I like your ideas, knowing what healthcare is like before making a big
  7. canoehead

    AEDs in the Wild?

    canoehead replied to Ruby Vee's topic in General Nursing

    If they've got money to spend, I'd go with oxygen and a BVM before an AED. Or they could buy lottery tickets with the money and get better
  8. canoehead

    Psych pts protocol

    canoehead replied to joyful_wanderer's topic in Emergency

    One of the patients' rights is ability to communicate with the outside world, and on top of that, if you take their possessions without consent, that's theft. I agree that the precautions are a good...
  9. canoehead

    New grad - to quit or wait it out?

    canoehead replied to TXRN1119's topic in General Nursing

    You have another job ready, quit and put them in your rear view mirror. Your supervisors sound deceptive and
  10. canoehead

    Getting over mistakes as a new grad

    canoehead replied to maggiemckenna's topic in General Nursing

    You transferred two people to the ICU in one shift, and forgot some documentation. Well, phooey, but you picked up on two patients circling the drain, and got them appropriate care, so I guess I'll...
  11. canoehead

    Joint Commission is like critical in laws

    canoehead replied to Emergent's topic in General Nursing

    I thought my current hospital wouldn't pass JCAHO, but they got an exceptionally high rating, and posted it for the public to see. I think it's a schmoozing contest, with no real life consistency...
  12. canoehead

    Contact hours(30 hours)

    canoehead replied to Nicklaus3's topic in General Nursing

    I use http://www.emcrit.com they ask for a $70 membership fee, but unlimited CEUs for a
  13. canoehead

    New nurse feeling hopeless

    canoehead replied to Katastrophe's topic in General Nursing

    No judgements here, you do what you think is best. I recommend you fix the depression part before you make any major decisions on the nursing part. Hash it out with someone. You may find things become...
  14. canoehead

    Nursing Ethics Question!

    canoehead replied to Nugget's topic in Psychiatric

    It's a great idea for that one client. But she's going to mention it to a friend, and they'll tell two friends, and they'll tell two friends, and so on, and so on... How are you going to handle...
  15. canoehead

    New nurse feeling hopeless

    canoehead replied to Katastrophe's topic in General Nursing

    My first year was miserable too, with sleeplessness and dread before every shift. I was only casual, so that helped, and I took university courses towards my BSN at the time. If you could reduce your...
  16. canoehead

    New job doesn't start for 3 months, when should I give notice of intent?

    canoehead replied to nursenickie's topic in General Nursing

    A months notice sounds very fair. Maybe more once you get your PTO request
  17. canoehead

    Nursing Intuition, Part 1: The Visitor is . . . Dying!

    canoehead replied to RobbiRN's topic in General Nursing

    Ruby, great call on the Valium! Your manager lost her common sense for a minute there. I would also buy the book. Hell, I'll buy a photocopy of your diaries right
  18. canoehead

    IV extensions

    canoehead replied to Dubs3035's topic in General Nursing

    for the OP... Mag and Pitocin may both need to be stopped or bolussed. If you stop one you've just slowed the other, because the driving rate changes. Or if you bolus the magnesium, you are also...
  19. canoehead

    Conflicting opinion

    canoehead replied to Ruadh's topic in General Nursing

    From your description, I agree with you. With any luck, she will realize she needs to refresh herself and the problem is solved. You could print out a good article, and tell her that you realized you...
  20. canoehead

    One bad apple shouldn't cause mistreatment...RIGHT?

    canoehead replied to shawnstestimony's topic in Patient, Colleague Relations

    Well, that was a great speech. I didn't see any specific things nursing could change, other than be nicer. That holds for all patients though, not just
  21. canoehead

    Required to stay after night shift?

    canoehead replied to notanumber's topic in Canada

    If you write a letter to your Board, you may get a more useful response than
  22. canoehead

    Nursing is not what it is made out to be..

    canoehead replied to ModernRN's topic in General Nursing

    I agree with the OP, and think people are being a bit nasty to her. I've been in nursing thirty years, and we ARE treated like dogs. As professionals, we don't get to regulate our own workload, we get...
  23. canoehead

    Just had to Heimlich a kid

    canoehead replied to MHDNURSE's topic in School

    delete
  24. canoehead

    Needed to vent a bit

    canoehead replied to I<3NEPatriots's topic in General Nursing

    Legally, management is responsible to provide adequate staff. That's a fact. But in practice they have been telling their staff that its not their problem. It's been working because no one has called...
  25. canoehead

    Needed to vent a bit

    canoehead replied to I<3NEPatriots's topic in General Nursing

    Staffing the facility is management's responsibility. It's their most important responsibility. Sick calls are a normal part of doing business, and they need to have a system to deal with them. That...