canoehead BSN, RN

ER

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All Content by canoehead

  1. canoehead

    What do you hate most about your job?

    I do NOT do mandatory overtime. And I tell them that during the interview. If things are bad enough that the manager is in helping, its a true disaster, and I will work til I drop. But just filling in...
  2. canoehead

    Does anyone live alone?

    I've been living alone since I was 17. Get a pet. Cats are low maintenance. It's a real home when you have a friendly face greeting you at the door, I couldn't live without
  3. canoehead

    What do you hate most about your job?

    My pet peeve is when other departments make changes for us to implement without getting our input. Or they ask for input after the decision has been made, obviously it's all just for show. I went in...
  4. canoehead

    Irrational patients

    Yes I have told someone to cut the crap. A 3-4x a week drug addict that spied a new med student, and tried for a Percocet prescription. Also a drunk post MVA that had been driving home from a strip...
  5. canoehead

    Coworker physically abusive to patients

    OP, you may want to pick a quiet moment, and a nurse you respect and ask about your preceptor's behavior. Ask, if that is normal behavior on the unit, has anyone ever said anything to him, has anyone...
  6. canoehead

    Hostile families

    I think its inappropriate for the ER to send someone up without controlling their pain. I work in the ER, it's just not done to let someone suffer through their visit at 10/10. Of course, once they...
  7. canoehead

    Fired from first job..."not eligible for re-hire"

    I agree with other posters that the job is gone. However, it does leave you with a "do not rehire" that really affects your life in the future. IF the preceptor was truly lying, you clocked in and...
  8. canoehead

    Patient Conscious During CPR

    I have also seen a patient become conscious during compressions, and unconscious when we stopped. He looked towards voices, but I'm sure wasn't mentating at near a normal level. We tried extra hard...
  9. I need some help. Depression waxes and wanes, but when I feel worst I'm a *****. Unfortunately, in that state I don't care what other people think, I just want to go in and do my job, and be left...
  10. canoehead

    OG Tubes after Intubation - suction

    I'm in the ER, and always assumed there was a reason the ICU wanted an OG for vented patients. An NG is fine too? It would be easier to secure for me, and away from all the oral
  11. canoehead

    Treat the patient, not the monitor

    It doesn't have to be all or nothing either way. I think using the patient assessment as the first look, and then investigating more, AND/OR troubleshooting the monitor are both
  12. Go in when she's calm and explain that screaming makes everyone upset, and you're there to help her. I would add, "I can't think clearly when you yell." If she screams at you, you will walk out and...
  13. canoehead

    Change of shift admissions

    Where I work now there is rarely an available bed, getting someone out within the hour calls for balloons and glitter. I worked an ER in the past that tended to send all their admits up between...
  14. canoehead

    My first cry

    I would have been behind all night with that assignment. It wasn't you, it was a terrible assignment. And FYI, the surgeon would have reamed you out for not calling if he decided the patient had an...
  15. canoehead

    Disrespectful patient

    Let's not attack someone based on one crappy interaction, that she recognized was bad, and asked for help
  16. canoehead

    Disrespectful patient

    The OP really whacked the patient over the head with how inappropriate he was being, so he got defensive and escalated. Your reply is doing the exact same thing to her. You can point out better ways...
  17. canoehead

    Depression and nursing

    Thank you everyone for your replies. Just having your support is helpful. I did try exercise about a month ago, and it helped! But it also flared my plantar fasciitis... And that was just...
  18. canoehead

    Depression and nursing

    I love my coworkers, and my job, and I hate the days when I don't live up to their high standards. There are definitely jobs that are less stressful, but not as engaging for me. And the coworkers you...
  19. canoehead

    Depression and nursing

    I've been treated for over twenty years. It doesn't go into remission, just gets better or worse. I need a way to cope better with the symptoms so I can work without being a cranky coworker. At the...
  20. canoehead

    ER DUI Blood Draw Process

    Our policy is to call the lab and put them in the hot seat. It makes sense, because they are the blood draw
  21. canoehead

    Meaning of your username?

    Mr Canoehead is a Canadian superhero that got a canoe welded to his head while on a portage. You can check out the video above, and youtube has lots
  22. canoehead

    didn't call about anticoagulation

    At our hospital we can float and state we are there to do tasks only. It's unreasonable to take on a full assignment without an orientation. Impossible to get things done in a timely manner if you...
  23. canoehead

    Picked up a resident.

    I may be misunderstanding... but you had gotten back on the unit, and the door was closed and locked? He wasn't going anywhere, right? Probably physical contact wasn't appropriate or needed, just time...
  24. canoehead

    Smoking helps the COPD patient with pneumonia

    I've had patients tell me that smoking helps their cough. That's not necessarily a good thing. You want the crud out. Doctors have said that smoking will calm a cough, but none of them have said it...
  25. canoehead

    Night Shifters - Am I being too sensitive?

    You may as well ask the waves to stop on the ocean. People at work need to communicate, and they will forget that there are sleeping folks within earshot. Its a valid point, but you'll never win the...