canoehead BSN, RN

ER

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All Content by canoehead

  1. canoehead

    You're not going to pull that on me

    canoehead replied to TeenyTiny's topic in General Nursing

    I was working in the ER and got a sobbing patient in pain. She was taken right back to a room, but had to wait 30minutes to see a doc and get orders. I went in intermittently to check on her, get...
  2. canoehead

    Meth cycle

    canoehead replied to pulljosh's topic in General Nursing

    It's possible that he doesn't have enough working brain cells left to make the huge change that getting sober would entail. Where I work, they can make a ream of bad, self destructive decisions, and...
  3. canoehead

    Is this a normal patient load for one nurse?

    canoehead replied to Rivalicious's topic in General Nursing

    A decent staffing mix would be an RN and two CNAs in my opinion. Not just one RN. The workload sounds too high, and the risk of injury when patients act out is pretty much 100%. Eventually you will be...
  4. canoehead

    Alternative sites for peripheral IV access

    canoehead replied to MacDSlim's topic in General Nursing

    I'm in the ER, so if I can get the IV but it's in a weird spot, I go ahead. I notify the doc before using it. Usually if we hydrate for a couple hours there are alternative sites available. I've never...
  5. canoehead

    The good ole days of nursing...share your stories!

    canoehead replied to NurseLife88's topic in General Nursing

    I don't know why they stopped bringing a wagon with treats around. It was a great break for patients even if they didn't buy. They could look, and
  6. canoehead

    How would you react? Body odor discussion.

    canoehead replied to Nurse-rachet1's topic in General Nursing

    You can devastate someone with a body odor discussion, or you can do it gently, and with respect. Don't even bring it up if your patient is stressed, they just won't take it well in that moment. I've...
  7. canoehead

    Allnurses needs nurses

    canoehead replied to Emergent's topic in General Nursing

    What was your old username? I loved those pens
  8. canoehead

    Patient brings own urine sample for preoperative pregnancy testing

    canoehead replied to DineenC's topic in General Nursing

    Point of order! You count pregnancy days and weeks from the first day of the last period, so someone two days "pregnant" hasn't even had the sex that will cause conception. By the time a woman misses...
  9. canoehead

    Please help, need to go back to work now! Have missed 1.5 months +

    canoehead replied to Mustkeepjob32's topic in General Nursing

    I wonder if you can get a reorientation shift with a partner, or if Employee Assistance can hook you up with a counselor quickly. In the end, you are going to have to hold your nose and jump
  10. canoehead

    Ketamine

    canoehead replied to Quinntb's topic in Patient Medications

    That is within the scope of practice for a RN in my
  11. canoehead

    How to deal with preceptor

    canoehead replied to aloha16's topic in General Nursing

    Tell her NOT to touch you! If she continues, report her. And take the time you need to do it safely. You can tell her that speed comes with confidence, and constantly hearing "hurry up!" just stops...
  12. canoehead

    Ketamine

    canoehead replied to Quinntb's topic in Patient Medications

    Are you a nurse? Was it
  13. canoehead

    out with injury and more

    canoehead replied to nursesaysay's topic in General Nursing

    I think walking with a limp is a weak excuse to call her a liability. If that's all she's got (and there might be more I don't know about) then we've got a lot of potential lawsuits walking around at...
  14. canoehead

    Tell on yourself, if you dare...

    canoehead replied to audreysmagic's topic in General Nursing

    I had a patient die close to shift change in the ER. My relief arrived and saw how flustered and behind I was and offered to help out. Huge evil grin from a stressed and overtired canoehead, I asked...
  15. canoehead

    Unreasonable requests

    canoehead replied to emmafrancis's topic in General Nursing

    I make a list, and tell the family that I will pass it on. That's after I've given all the teaching about health and policies I can come up with. If I have to, I call the doc and let them know up...
  16. canoehead

    A Nursing student about to graduate and am completely terrified. Anyone else???

    canoehead replied to BlueHearts53's topic in General Nursing

    I was terrified as a new grad, and rightly so. It took a couple years, but the terror mellowed into anxiety. I felt like I actually knew my stuff after about five years. I was so wrong...I didn't know...
  17. canoehead

    New 2-year contract required months after being hired on. Should I decline?

    canoehead replied to LonghornChic's topic in General Nursing

    As a new grad, some people accept signing a contract in exchange for the orientation the hospital will provide. You have completed the orientation, and done well, and now they may want you to sign a...
  18. canoehead

    Orders from hell...

    canoehead replied to Leonardo Del Toro's topic in General Nursing

    My aunt's nursing school text from 1945 has a chapter devoted to flower arranging and care. We've come a long way baby. Had a patient with SBP in the 80's and a full code. The doc's order was to stop...
  19. canoehead

    Orders from hell...

    canoehead replied to Leonardo Del Toro's topic in General Nursing

    I've seen that many times. If they want an incident report written they can do it themselves. I'm going to write one about the doc who mentioned an incident report in the chart, because now it's...
  20. canoehead

    Tell on yourself, if you dare...

    canoehead replied to audreysmagic's topic in General Nursing

    I was halfway through doing ACLS and my pant split up the back while doing CPR. Damn sure I wasn't leaving and wasting the half day I had spent, but we were in a very small town, and no clothing...
  21. canoehead

    What to give a nurse when they retire?

    canoehead replied to psychnurse25's topic in Patient, Colleague Relations

    One of those very nice four wheeled walkers with a seat. Or a walking stick. She's bound to be sore and achey, and you want her prepared for her
  22. canoehead

    10 months as An assistant nurse, still getting scolded.. so discouraging..

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

    You don't have to run into the room during a code. You can be the one person that stays out watching the other patients. You vou can be a runner for supplies and meds, you can stay by the phone and...
  23. canoehead

    Hmm...that's nice

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

    Anyone that stands behind me and looks over my shoulder is invading my personal space, I don't care if it's a chart I'm reading or comics. If it was by mutual consent, and someone said "can you show...
  24. canoehead

    Workplace gossip

    canoehead replied to amzyRN's topic in Emergency

    I have generally said "I can HEAR you!" if disrespected, and I can't stop and deal with it right then. Than approach the offender privately and asked them to say things to ME if they want me to...
  25. canoehead

    Help! How do I deal with frustrating patients

    canoehead replied to FDE123's topic in Neuro Intensive Care, ICU

    If you were a veteran on the unit your coworkers would take turns answering her bell. You won't have to do this on your own the next time. Yes, it is a test, but now that you know that, its an easy...