canoehead BSN, RN

ER

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All Content by canoehead

  1. canoehead

    New Grad offered ER Position!

    You are going to be amazing!!
  2. I've had two jobs where I doubted my ability to be a nurse, and it was a job environment issue. When I moved to my next job, all my flaws (not ALL, but most) melted away, and I felt like a better...
  3. canoehead

    Too strong of a personality?

    I've also gotten the "strong personality" label, and in fact have been fired for those traits. I didn't comply when asked to practice unsafely, and I came up with some out of the box but safe...
  4. The first year ( and sometimes more) is brutal. Just one person can make you doubt your own worth, even if you are doing perfectly fine. Yelling down a hallway is rude behavior except in a life...
  5. Asthmatics are wearing masks all the time in our ER, even when they are sick enough to need oxygen. They seem to prefer the masking to getting
  6. canoehead

    ED observation unit

    I think an observation unit would be great if you want to go to the ER someday. You'll get a feel for the fast turnover, develop ECG skills, and I think assessment skills will still be key as people...
  7. canoehead

    Small ER no RT after 9pm

    I worked at a hospital in Maine with exactly those conditions. Sometimes I'd have a secretary to help, but if she called out, it was me and the janitor. He'd direct visitors, answer the phone and keep...
  8. For me, a DPOA means nothing if the patient is competent and requests to do the visit alone. She has the right to do that, or even revoke the DPOA verbally. BUT if you also have a court paper that...
  9. canoehead

    Frazzled New Nurse Stuck on Rotating Shifts

    I would request straight nights. Remember that you are the low man on the totem pole and theres another group of new grads coming shortly. Stick it out and things will get
  10. canoehead

    Oxygen and the rebreather mask question

    I would start with nasal cannula at 2lpm and titrate up. The nonrebreather would come after maxing out the prongs, and yes, the bag must be
  11. canoehead

    Transgender nurses?

    I am just observing, no experience with being trans, but it seems like people go through a second puberty when they start hormone therapy. Some of my patients have had mood swings that troubled them...
  12. canoehead

    Complaints of Complaining

    If you have a concern about patient care, how is that going to be addressed? They must have a process
  13. canoehead

    Nurses and narcotics

    I would write down the situation as you have in your post. Express your concerns to your supervisor, though there's no proof you don't want to be caught up in the mess when things go missing from a...
  14. canoehead

    Ethics question, risky nurse, reckless behavior

    Email the manager with your concerns, be very objective and specific, with dates. Tell him/her how you responded ("I went down the hall and did and immediate visual check on everyone")so they have the...
  15. Doing all those jobs would make you a shoo in for night supervisor, if that job comes up. You'll know all the players and
  16. canoehead

    PICC line removal

    If they are expecting the platelet count to recover within a week or so, I'd leave it there (unless it was infected). You could get the bleeding stopped and have it restart later. Look for petechiae...
  17. canoehead

    How to handle patient’s threats

    RE pain meds "It's not my decision, but I passed on what you said to the doctor." Repeat. Repeat. Keep coming up with simple comfort measures so they know you are on their side, but "I told the...
  18. canoehead

    Guns at the Bedside

    Nope. If there's a gun in the room it needs to be locked up before I will enter. If you're sick enough, you'll let security take it, otherwise I will wait until you pass out and take it then. This is...
  19. You called someone silly, and Juniper went right off the deep end. I missed the religious whack job reference, but that's pretty darn mild considering the thread topic. Let's move on folks, or this...
  20. canoehead

    New protocol - No report from ER to floor...

    I work in the ER and I think you should get an hours notice.
  21. canoehead

    Almost 2 years in and still making mistakes

    I've got thirty years in and the lab just called to say I ordered an STD panel wrong. You won't become perfect, and the person you reported to...she isn't perfect either. I get so tired of the...
  22. canoehead

    Not for code RED or CODE blue

    If the patient catches on fire, you don't extinguish the flame. They have to stop drop and roll under their own
  23. canoehead

    anyone have a board complaint

    I have, twice. I replied to the complaint explaining why I did what my employer objected to, and the board replied stating "We consider the matter closed." It was terrifying but actually reassuring...
  24. canoehead

    Upset Colleague? (UK)

    Maybe it would be helpful to take her aside and ask about the emails. one point you can bring up is that ccing the boss everytime is really pressuring. If she wants to cover her butt she will still...
  25. canoehead

    Is Assessing Gag Reflex Still a Thing?

    I would not have checked gag reflex in that situation, and I would not have given anything po...she was too out of it. I've had patients wake up from sedation and I wait for them to get good head...