canoehead BSN, RN

ER

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All Content by canoehead

  1. canoehead

    I'm a total dumb dumb....

    I'm glad its a false alarm, but you could always say you decided to quit just for them, and show them your
  2. canoehead

    IV antibiotic administration

    Our policy is to get all ordered IV antibiotics in within an hour. We start more IV sites, or start antibiotics before blood cultures are drawn if
  3. canoehead

    How much quiet do you need?

    I need at least 24h of nothing after a stretch of shifts. If I have something going on before then, I can fake it, but I'll have to tack on more recovery time once I've fufilled my obligations. If I...
  4. canoehead

    How to deal with rude & demanding patients/residents?

    It's not their right to abuse the staff. If you get namecalling or swearing I'd say thats your cue to tell him someone will round hourly, and hopefully he'll be in a better mood then. Hourly...
  5. canoehead

    At War With Ourselves

    I got vaccinated, I'll take the booster when it comes. Given the reliabilty of the government and CDC through COVID I think anyone could be excused for wanting to make their own decisions. The vaccine...
  6. canoehead

    VIP Patient Demanding His Drugs

    If someone is impaired when they leave our ER we call the police. We don't give medical details, just describe the behavior as they were walking out that made us think they were not safe to
  7. canoehead

    LOVENOX before procedure

    It's the docs call whether safety for surgery has been maximized. Nursing can do a lot, but we cant read the
  8. canoehead

    Do you ever wonder...

    I've been nursing more than thirty years and still feel like I don't know enough. I peaked in my "feel like I'm smart" knowledge at about six years in. I was a living example of the Dunning...
  9. canoehead

    Book Recommendations

    I could not get a lick of sense out of Sheehys manual. It was written up like a series of care plans Polly Gerber Zimmerman wrote Triage Nursing Secrets, and thats a book I could read again and...
  10. canoehead

    New Nurse Making Mistakes

    FYI I've been a nurse over thirty years and I make some kind of screw up every single shift. Apologize, fix whatever you did, and be gracious when others screw up too. It's life, we're not
  11. emtpbill, Thats a systems problem, not so much the RN's issue. If someone comes in the trauma room waiting 60 seconds for the whole team to arrive and giving report to everyone at once is more...
  12. canoehead

    Suicide screening

    We have seven screenings to do already. Nursing is not a census bureau. The ER is all about zooming in on that one emergent complaint and moving on, not a full life
  13. canoehead

    Anyone taken a pay cut for sanity?

    I reduced my hours to 75% because I wasnt recovering to baseline between shifts. My family called me lazy, but my coworkers noticed a big improvement, and so did I. I think we're entitled to a life...
  14. canoehead

    Employers' Background Investigation (i.e. social media)

    Generally I'm Popeye, "I yam what I yam." and with an eye to not spreading confidential information. Once its in the newspaper though, its fair game. I can have an opinion about a newspaper article...
  15. canoehead

    RN With Contamination OCD - Please Help!

    don't you need 15 minutes under UV to kill germs? And how do you know how much light to use? Give me the
  16. canoehead

    RN as CNA

    The problem is that if I work as a CNA I'm held to the standards of my own license. So if I notice and issue with a patient, report to my RN and she doesnt want to act, I'm left in a quandry. If...
  17. canoehead

    Shout out to savvy nurses everywhere

    Put the visitor chair(s) on one side of the bed, and your equipment on the other side as much as possible. It will give you a clear work space, and one less headache. Bring water to the patient...
  18. canoehead

    ER Nursing in a Smaller Hospital?

    I've worked in a small 7 bed ER and it was much more challenging than my current 25 bed. In a small ER you are it...security, housekeeping, lab, social work. If the secretary called in, it was just me...
  19. canoehead

    How do you handle difficult team members?

    I would have this conversation. Heads up to her, you are required to assess each patient once a shift so you will be in there for that, and if their light is on and you are free. You'll notify...
  20. canoehead

    Valid Reasons To Not Get Vaccinated

    As long as the FDA doesnt have enough information to approve the vaccine beyond emergency use, none of us have any business saying we KNOW its safe. I got my vaccine, but respect the...
  21. canoehead

    Nurses are Fleeing the Hospital

    If you look at the Covid and vaccination threads, nurses are attacking each other for the slightest difference in opinion. I'm willing to bet that carries through to the work sites. We had bizarre...
  22. canoehead

    My Covid Story: From the Other Side of the Bed

    Can you tell us if this illness was treated as a Workers Compensation case? Did you get any consideration from the hospital as far as bills or time
  23. canoehead

    Improved Trauma/Code Response

    I’m looking for ways to improve our organization and efficiency in a trauma room situation. We get mix up in roles, people running for supplies, general chaos, and such a crowded room that people...
  24. The speaker is clearly about ten years old mentally. If a literal ten year old said the same thing, would you respond, or just walk on? I personally wouldn’t think it was worth the energy, such a...
  25. I really think the charge should be fired, not you. keep a written record of comments, you could have a case for a hostile work