canoehead BSN, RN

ER

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All Content by canoehead

  1. canoehead

    Does this job seem extreme?

    canoehead replied to MSUOUgirl's topic in General Nursing

    How many nurses are on the unit total, for how many patients? Is there a charge or med nurse that doesn't take an assignment? A security guard, or secretary? For physical care, how demanding is
  2. canoehead

    Verge of nervous breakdown

    canoehead replied to skydancer7's topic in Health, Stress Management

    I suggest you take at least two weeks mental health leave from both jobs to get your feet under you. Don't make a decision about quitting until that time is up. Hopefully the solution will become...
  3. canoehead

    Flu Shot or Mask?

    canoehead replied to Nurse Beth's topic in General Nursing

    It's a sign of real knowledge if you can argue your opponents' side and respect their point of view. Name calling, and declaring that they are unfit to practice won't change minds or allow them to...
  4. canoehead

    handling a willful child

    canoehead replied to basketball13's topic in School

    to the OP: Have you talked to the other nurse? I wonder if she just does what the child wants, and that's why you get so much arguing. You need to be as consistent as possible. What does Mom do when...
  5. canoehead

    SVT

    canoehead posted a topic in PICU, Pediatric

    A ten day old infant came into the ER with SVT at 300bpm. Normal lady partsl delivery with appropriate growth, but he had also had SVT at 4 hours old. It was successfully treated with one dose of...
  6. canoehead

    Trauma Room MEds

    canoehead posted a topic in Emergency

    I work at a level 3 ER, striving to be a level 2 someday. At one point we had emergency meds on shelves in the trauma room, so we could just grab and treat as the doctor gave orders. A few months ago...
  7. canoehead

    Nightmare on Night Shift

    canoehead replied to Happynurse2222's topic in General Nursing

    Some shifts are just one crisis after another. You'll get used to who to trust, and who just complains no matter how hard you're working. Even a super nurse needs time to get used to routines and...
  8. canoehead

    Unhealthy habits/Facebook posts from friends/family that make you :( ?

    canoehead replied to ClaraRedheart's topic in General Nursing

    I'm in Canada, and the Trump posts are stressing me out. I wish there was a way to delete all the posts with key words in them. I know it's not my country, not my business, and he's not going to...
  9. canoehead

    I want to quit

    canoehead replied to R8T3D_RN's topic in Emergency

    7:1 is high for an experienced nurse. You'd be stupid to feel comfortable (blunt but
  10. canoehead

    RT says her scope is wider than mine. Ok?

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

    Who cant apply a Bandaid? We don't need orders to initiate a dressing at my hospital. We need to report it to the doc and s/he might order something different though. We initiate IS
  11. canoehead

    Gift for a pt

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

    If a patient really needs something, I've usually got an extra one hanging around, and it's not a gift, just passing a used item along....if you get what I mean. I try to minimize the
  12. canoehead

    Ativan and getting punched in the face

    canoehead replied to Happynurse2222's topic in General Nursing

    She would request the physician respond to bedside (and actually see the patient), then repeatedly reassess and report her findings that the patient is in distress, that the 1mg morphine isn't enough,...
  13. canoehead

    Getting around the 18 y.o requirement

    canoehead replied to npaar's topic in Pre-Nursing Students

    The university I went to had two years of nonclinical courses before anyone had to go on the hospital units. I'd recommend doing all the nonclinicals first, as others have said, and add on sciences...
  14. canoehead

    So over the hygeine talk

    canoehead replied to ana010's topic in School

    I saw an article recently about a school that got a washer and dryer donated, and absenteeism went down...I'll look for it. Whirlpool is giving washing machines to schools to raise attendance -...
  15. canoehead

    Feel like I'm too dumb to be a nurse

    canoehead replied to coconut3431's topic in General Nursing

    Hell yes. I nearly killed someone about ten years ago. And multiple bad but not disastrous errors, every day I can pick out something I could have done better. My tips... if a family member says...
  16. canoehead

    Abandonment

    canoehead replied to farmdog's topic in General Nursing

    Thanks for letting us know what was going on. Everyone makes mistakes, or does something in the heat of the moment that they regret. (This too, shall
  17. canoehead

    Feeling Forced to Stay Late?

    canoehead replied to Kooky Korky's topic in General Nursing

    Sick calls are not unexpected, they are a part of doing business and administration needs to have a plan. Not the nurse - the administration. It's easy for admin to put blame on individual nurses for...
  18. canoehead

    Feeling Forced to Stay Late?

    canoehead replied to Kooky Korky's topic in General Nursing

    Not true, Mrs Boots. You need to notify your supervisor that your coverage did not arrive as scheduled, and that you need to leave. You need to give them an opportunity to find coverage, but you are...
  19. canoehead

    To tell or not to tell?

    canoehead replied to nursingRN123's topic in General Students

    Even if people are using the questions to pass the instructor's test, they are going to go down in flames when they get the NCLEX. So all those years of schooling...a waste, because they didn't do the...
  20. canoehead

    Trauma Room MEds

    canoehead replied to canoehead's topic in Emergency

    Is there a JCAHO standard, or ENA standard about the nurse not leaving the bedside, or the meds being within sightline? We need to go about 50 feet and out of sight/hearing of the trauma room to get...
  21. canoehead

    Treating Respiratory Failure With Ativan/Lorazapam

    canoehead replied to shellyscorner's topic in Patient Safety Issues

    In the situation you describe, if the patient had said previously that she wouldn't accept care from this doctor, he shouldn't have been treating her. She should have been admitted to someone else, or...
  22. canoehead

    Is my safety compromised?

    canoehead replied to Cmtz108's topic in Patient Safety Issues

    I wouldn't work there without a second person. Even a secretary or maintenance person would do, someone within yelling distance that could summon more help. Big fat nope. Send an email with your...
  23. canoehead

    Reporting your workplace

    canoehead replied to nerdynurse7's topic in Activism, Healthcare

    In the first year it is normal to feel overwhelmed. You might have too much work, it sounds like it, or you might not be delegating appropriately. Talk to your supervisor before you talk to anyone...
  24. canoehead

    DON Harassment feel trapped

    canoehead replied to ptcwhit's topic in General Nursing

    Excellent idea. Refer her back to the agency. Repeatedly. Like a broken record. And don't answer your phone- they should teach that in nursing
  25. canoehead

    Is Humalog also used as a corrective insulin (based on BS) at bedtime ALONG with Lantus?

    canoehead replied to Nurse2bnwbie's topic in Patient Medications

    If you have a new diabetic you would dose the insulin based on weight. So, a total daily dose, divided into a long acting and three meal time doses. Our insulin orders have low, med and high dose...