canoehead BSN, RN

ER

Platinum

  • Content

    6,909

  • Visitors

    55,443

  • Followers

    3

  • Likes

    1,164

All Content by canoehead

  1. canoehead

    Starting a new IV line

    canoehead replied to nurseinthemaking24's topic in Critical Care

    True, Muno. I just tell families ahead of time that I start cussing at midnight, and most are OK with it if
  2. canoehead

    Switching units

    canoehead replied to Jlower's topic in Emergency

    I think ER experience would serve you well. You'd get to see how different docs handle situations that come up. The puzzling out whats wrong, and full assessments will be very helpful in your new...
  3. canoehead

    Why We Need to Talk About Our Mental Health as Nurses

    canoehead replied to sarahvandevrede's topic in Holistic

    We are socialized to take responsibility for every problem, if something goes wrong, tell the nurse. We coordinate everyone, so its easy to blame nursing, and easy for us to take the blame. It's...
  4. canoehead

    New grad getting in trouble with management for weird things.. HELP

    canoehead replied to NewGradRN_CA's topic in Correctional

    How was his girlfriend going to know you chatted with him about anything, unless he told her? And how is that your problem? I bet he chats with other humans too...what does she not let him go to the...
  5. canoehead

    Physician Giving Sedation Without Nurse

    canoehead replied to Udmert's topic in Emergency

    That his problem if something goes wrong. I'd report it to
  6. canoehead

    IV Push Ativan

    canoehead replied to Nurse Nonnie RN's topic in General Nursing

    I've pushed it in multiple hospitals. I think she got relief from her nasty symptoms and was able to finally
  7. canoehead

    Wide complexes not ventricular?

    canoehead posted a topic in CCU, Coronary, Cardiac

    I was in a touchy situation recently, and took on a patient who was in vtach to my eye with diaphoresis and sob. The docs chose to wait for labs before treating the heart rhythm, and with one thing...
  8. canoehead

    Wide complexes not ventricular?

    canoehead replied to canoehead's topic in CCU, Coronary, Cardiac

    tegridy, He needed it to maintain his sats. bt with a sustained hr >150 I would give it to him just to decrease the
  9. canoehead

    Management Timing Nurses Pee Breaks

    canoehead replied to ERArmyRNND's topic in Emergency

    If they bring it up, I wouldnt even respond. "It's not up for discussion, they were necessary breaks." If they want to discuss my productivity, or standard of care, fine. I'd love to see the...
  10. canoehead

    Taking a Long Leave of Absence from Work

    canoehead replied to SilverBells's topic in General Nursing

    I think its a good idea every few years for every nurse. the treadmill can be
  11. canoehead

    Wide complexes not ventricular?

    canoehead replied to canoehead's topic in CCU, Coronary, Cardiac

    His BP was fine, but given diaphoresis and labored breathing on 100% O2, I wouldn't call him stable. His rate was also averaging about 150, and how long would that be maintained? (Turns out, about two...
  12. canoehead

    Taking blood samples

    canoehead replied to J.Robinson011's topic in PICU, Pediatric

    Burrito wrap, hold limb with hand as tourniquet, as a real tourniquet can be too tight easily, wait an extra second for flashback compared to an adult. I tell the parents that I look for the best...
  13. canoehead

    Kathy Visits the Psychiatrist: Part 2

    canoehead replied to Nurse Beth's topic in Psychiatric

    I think this falls on the provider. If he doesnt send out the right orders the secretary has no way of
  14. canoehead

    Patient Orders...help!

    canoehead replied to smcelroy5's topic in General Nursing

    Verbal orders need to be cosigned, or in years to come the physician won't know if they ordered it, or you made it up. It protects you AND your employer. I'd hate to peer through a progress note...
  15. canoehead

    Wide complexes not ventricular?

    canoehead replied to canoehead's topic in CCU, Coronary, Cardiac

    He spontaneously converted...hed been asking for water and been denied because of the chance he'd need to be defibbed. As soon as we gave him a drink, he converted. And THANK YOU everyone,...
  16. canoehead

    Wide complexes not ventricular?

    canoehead replied to canoehead's topic in CCU, Coronary, Cardiac

    so in anyone experience, do you treat these wide complexes differently from a vtach? I would consider this an unstable vtach because of the sob and diaphoresis with high o2 need. I felt strongly...
  17. canoehead

    Another Nurse Accused of Homicide for a Mistake!

    canoehead replied to Wishiwasretired's topic in General Nursing

    She removed his O2 I assume, not just humidity? I wouldnt remove it unless I had a replacement in hand. But I can 100% see leaving the room and being asked to do something else and totally...
  18. canoehead

    Incident Report

    canoehead replied to beeble's topic in General Nursing

    I would not have written that incident report. I'd have just ignored that fact when interacting with the nurse that wrote it, and I would have pointed out to the manager that if thats the worst thing...
  19. canoehead

    Arguing Over a Patient Assignment

    canoehead replied to SilverBells's topic in General Nursing

    I suggest you take the next few difficult patients if at all
  20. canoehead

    Endorsing to the next shift.

    canoehead replied to dudette10's topic in Nursing Professionalism

    Im an old nurse, and I don't mind if someone is overwhelmed and has to hand off undone tasks. I DO mind if they try to hand off twenty minutes before shift change instead of just doing them on their...
  21. canoehead

    Hearing Aids

    canoehead posted a topic in General Nursing

    I got my first hearing aids, and tried to use a stethoscope, without success. There's gotta be a way, and I know someone on allnurses will know
  22. canoehead

    Nurses Week Gifts that Knock You Off Your Feet

    canoehead replied to Joe V's topic in Nursing Humor

    I used to work at a very small hospital, we probably had 150 nurses altogether. I distributed sheets of paper with everyones name and asked all the nurses to write a good quality, or a positive...
  23. canoehead

    How to find a safe surgeon?

    canoehead replied to GypsyTig's topic in Patient Safety Issues

    Talk to the surgical nurses. They know who has good
  24. canoehead

    How to spot a bad nurse

    canoehead replied to Emergent's topic in General Nursing

    If they say they cant drink cold coffee, they're new or a bad
  25. canoehead

    The Unsung Hero of The Emergency Department: The 24G IV Catheter

    canoehead replied to Damon McGill's topic in Emergency

    I’ve given blood with a 24 G, they do it all the time in NICU, and these RBCs are the same size for adults. I do have an issue with 1200ml/h with a 24G. Anytime I get up to 500ml/h the 24s...