canoehead BSN, RN

ER

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All Content by canoehead

  1. canoehead

    Inadequacy and Incompetence

    That mistake was a group project. Huge brain fart, but I assume the patient recovered. You'll never forget again, I
  2. canoehead

    Rumor mill at work

    If she wanted to question you about hygiene, having an in person talk would have been much more informative. I suspect it's not about hygiene...but I don't know what it IS about. And if you didn't...
  3. canoehead

    Ridiculous NCLEX Wait Times

    I graduated in June, tested in September, and was darn happy to have a couple of months to study and generally have the pressure off. We could get a graduate license and work before testing...can you...
  4. canoehead

    Blood Collection Variables are a Risk to Patients

    The labs that I draw have not been coming back with results that are insanely different from what is expected. I haven't had tubes rejected for hemolysis. Twice in seven years lab has been asked to...
  5. canoehead

    CPAP on the unit

    I recently had a man with broken ribs as a patient, he told us he usually has CPAP overnight, and brought his machine and mask in. I was on night shift, and when I assisted him with the setup it was...
  6. canoehead

    CPAP on the unit

    In the last couple of years I've brought up this issue to RT, and the ER nursing and medical departments. Nothing has changed. I even outlined a way we could obtain home CPAP masks for free and found...
  7. canoehead

    Pizza parties, cupcakes, cookies, OH MY

    If they are having cakes 2-3 times a week, for special occasions, it's no longer special. It's just
  8. canoehead

    Reflections after my first code

    If he was 8L positive, perhaps his heart was overloaded and a combination of CHF and MI's took him out. Obviously it all started before you ever saw him. The family may look back at you as a...
  9. canoehead

    Nitrous Oxide

    About ten years ago I was working L&D and they thought about adding nitrous to their orificenal, but chose not to. The issue was that it is exhaled unchanged, and there was no way to eliminate it...
  10. canoehead

    Male student nurse interviewing for Postpartum..

    I know I am being sexist, but my gut reaction would be fear, if I had a male nurse in postpartum. I would suck it up and give him a chance, but still, that initial reaction remains. BUT I feel...
  11. canoehead

    Scribes for nurses. Yeah I like that!

    Theres a profit in it for the hospital of they free up the docs to see more patients. If nurses got scribes, we'd get a heavier patient load, with no time to think and reflect while charting. Myself,...
  12. canoehead

    Blood Collection Variables are a Risk to Patients

    I have drawn blood for five different hospitals as a nurse, but only got training in my last one. My rate of erroneous results hasn't changed. Inverting a tube exactly five times instead of two,...
  13. canoehead

    +A perfect storm of errors in ER.

    I've found that error on my patients too. I was in the trauma room and someone sent my patient to Xray. They were transported back and not reconnected to wall oxygen. With all the beeps and alarms in...
  14. canoehead

    16 Ice creams

    Looking at you assignment that night, it would be reasonable to tell her you can't address her issues because other patients are acutely ill. Leave a note for the manager to take some time to talk to...
  15. canoehead

    Do you hold drunks against their will?

    We keep them until sober unless they have a sober adult willing to stay with them at home. Then if they can walk and talk, they can go. If there's no sober adult and they are walking, they get a...
  16. canoehead

    Made a child with cancer cry.

    When kids realize that suddenly their parents arent disciplining them, they know something really scary is happening. Keep holding them to age appropriate standards. Remind the parents that this is an...
  17. canoehead

    Ancillary Staff with Tunnel Vision

    You have the training and the authority, so you make the decisions. I feel your pain. If we have one bed and three patients that swear they must lie down, I draw labs and whoever is sickest gets the...
  18. canoehead

    Nurse Guilt

    I understand. I care, but I can't care about patients like family or I'd go crazy. I care about doing a great job as a nurse. But when patients think that being a good nurse means empotionally...
  19. canoehead

    Favorite Nurse Quote?

    "Quiet and mean, those are my people." Nurse
  20. canoehead

    Nurses don't know the lab

    ezpzpizzi I don't have a problem with what you said, and think you've been quite civil. Sorry about the mob. I've had some lab folk I wanted to throttle, and many that I could have hugged. We're going...
  21. canoehead

    Nurses' handoff to EMTs

    You gave report, they accepted report (I assume). That's it, if the SW wants something else done she should have spoken up, or approached you
  22. canoehead

    Afib: A question of nursing judgment

    Chest pain = ambulance all the rest is gravy. If someone was wondering if a cab or bus would do instead of an ambulance, well maybe it would be fine, but you are rolling the dice. As a nurse you...
  23. canoehead

    Diabetic Alert Dog at work in Hospital

    It was a good question, OP. You'll get more of an idea of how a dog would fit in as you go through your clinicals. I'd say at least half of nursing jobs would not be able to accommodate a dog. I'd...
  24. canoehead

    Brian Short News

    I've been a member since the early 90's. Still remember the thrill an envelope full of allnurses pens could bring. I'd become a moderator again if you'd pay me in pens! I don't think there is an...
  25. canoehead

    Rejecting a job counter-offer

    If you don't want their counteroffer, just say no thanks, you dont need to give a reason. If the value the applicants, they shouldn't be lowballing