canoehead BSN, RN

ER

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All Content by canoehead

  1. canoehead

    Pregnant, Overloaded At Work

    That ratio is too
  2. canoehead

    Nurses who don't have the "passion"

    I was 17 years old when I started nursing school. It was a common profession in my family, I thought I could do a decent job, and it had worth besides just a paycheck. I'm 46 now, still nursing. You...
  3. If her life or health is at risk, I'll restrain and then call. If not, I'll call and hopefully find some sedation that will work instead of physical restraints. It's a judgement call, and hard to say...
  4. canoehead

    Witnessed Cardiac Arrest & Verbal DNR

    If I've started CPR I'm not in a position to examine anyone's paperwork, or verify the family member's identity. Frankly, I wouldn't start CPR off duty unless the person looked like they had an...
  5. canoehead

    The most important question to ask a doctor.

    If the doctors ask you for a decision about pulling my plug, it's already past the time that I would want it
  6. canoehead

    What NOT to do as a new RN.

    If she gets overwhelmed by a running IV, I'd encourage her to ask for help.
  7. canoehead

    Injury at work. Help!

    I would treat that with a Bandaid, and forget it, if it happened to
  8. I just want to shoot the people that volunteer me as a nurse. Maybe I don't want to nurse right now, or I think the person is bonkers, or I don't have any useful suggestions. I can volunteer myself,...
  9. canoehead

    ECG require MD order?

    We can do/order an EKG at nursing discretion. That's been true of the last four hospitals I've worked at. Its a noninvasive test, so you cant do any harm. If the physician didn't want the EKG ordered,...
  10. canoehead

    Is it ever okay to raise your voice ?

    It worked. Good job. I would tend to usher out all the rubber neckers while someone is that emotional. Privacy would be nice, and you can avoid feeding the
  11. canoehead

    Patients wants a back rub

    We don't even have lotion available. I'm in the ER, but we always have admitted patients waiting to go upstairs. I detest backrubs, they make me uncomfortable, but a good foot soak/massage can make...
  12. canoehead

    2 part-time jobs vs. 1 full-time job

    Doing part time, with casual elsewhere has worked best for me. There was a point when I did all weekends in my first job, and the second job knew about that commitment when they hired me, and were...
  13. canoehead

    Demanding Client

    It sounds like he's lost his short term memory. No matter how much you reassure him, he doesn't remember. And without a memory his anxiety builds because he doesn't feel secure. I wonder if some LTC...
  14. canoehead

    Pyxis error

    If your employer goes so far as to deny you access to your car, or if they want a search of the car or your person...that's the point where I would insist the police be called. The police can...
  15. canoehead

    Was this a blood transfusion reaction?

    I was wondering how long you infused the unit over? If it was 3 hours or more, probably the last 15min worth of infusion didn't make a difference. If you were giving it faster, like over an hour, even...
  16. canoehead

    Want to swap to ICU but I cry during codes

    My first code could bring me to tears even a year later if I thought about it. Look at me now, official Crusty Old Bat member. I was too new as a nurse, and not confident in my skills, and too young...
  17. canoehead

    Cyclical vomiting syndrome

    If 2mg dilaudid does the trick, I don't think we're talking drug seekers. Real seekers will go for repeated doses, and some to take home. I'd happily give a dose of dilaudid to prevent hours of...
  18. canoehead

    Things you wish someone told you...

    Check your equipment and stock your station before you get slammed. When everything is right where you need it, life runs a lot smoother. (I go in early just so I know I'm ready.) Pee before the...
  19. canoehead

    What is your Nursing Kryptonite?

    I made it to page three. Now I have the disgusting heebie jeebies. You people are
  20. canoehead

    SVT

    Thanks, that was my best guess, but what a roller
  21. As far as nursing school, I was terrified from registration until two years into practice, and I made it. If I can, you can. Dealing with illness is a whole different ball game when its you or your...
  22. canoehead

    Length of maternity/infant placement

    In my hospital based diploma program, we got a month of 4 8 hour days a week plus a prep/conference day. Two weeks in L&D, a week in the nursery, and a week on postpartum. I think the degree...
  23. canoehead

    Horrible new boss

    I introduced myself to a nurse manager on her first day, she said "don't expect me to remember your name." OK
  24. Yes you can. You can even become a physician with that diagnosis. Im sure everyone's symptoms/severity is different, but don't assume that anything is
  25. canoehead

    Pet Peeves with Doctors

    I wish they'd put things back where they belong, charts, equipment, garbage. I feel like I spend a lot of time being a maid, and I resent