canoehead BSN, RN

ER

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All Content by canoehead

  1. canoehead

    Turning a morbidly obese patient

    Use a regular sheet as a huge draw sheet, and turn as a team. Put the head of the bed down when you move him up in bed so you aren't fighting against gravity. Trendelenburg him if possible. When you...
  2. canoehead

    New to ED from med surge. Fouling the ball a bit

    I think you are fine. You aren't supposed to go fast when you're orienting!! slow down and absorb as much information as you can. This is the time to read the policies before acting, and ask...
  3. It takes two years to see a dermatologist here, and the nurse advice line is right at the end of the phone....that's
  4. canoehead

    How to deal with Nosy Co-Workers?

    Respond with "why do you ask?" and it gives you and the other person a chance to reflect. Are they intentionally being offensive, or are they innocently ignorant? "I really don't want to talk about...
  5. canoehead

    Wanted: A smoking nurse!

    Usually the vents are
  6. canoehead

    When was your a-ha moment?

    I'm in the ER. My first shift in an ER I left after four hours in tears and vowed I would never, EVER, EVER go back to that pit. Look at me now. It was terrifying, but it was also the most...
  7. canoehead

    I'm so ashamed of myself

    It was a relief not to navigate around crowds of visitors in the hall, and 4-5 at the bedside, but I think patients NEED one person to watch what's going on and remind us of the patient history, or...
  8. canoehead

    New RN, how to pick a specialty?

    I started in pediatrics, and did OB, MS, ICU, ER, and night supervisor. I ended up in the ER for the last 12 years because I found a great unit and there's more variety. I have to say that the base of...
  9. canoehead

    Vanity Plates?

    I don't wear or display anything that identifies me as a nurse in public. If I want to get involved I can do it verbally, and my skills/knowledge will prove I'm in the nurse mafia. In my experience,...
  10. canoehead

    How to get ICU New Grad

    If you have a certain hospital in mind, send an introduction letter to the manager, and ask if there are certifications or classes that she looks for in a candidate. In my region there is a critical...
  11. canoehead

    Difficulty with respiratory issues as a new grad?

    I started my nursing career on a pediatric respiratory unit, and among the staff that worked there we were pretty consistent as far as what sounds were heard and when a child needed a breathing...
  12. canoehead

    How far can hospital go?

    I suggest the OP look up the terms for constructive dismissal in her
  13. canoehead

    Absolutely Fried

    If they question you when you call in say "that is private, I'm not discussing this, I'm informing you I won't be in." Offer to get a doctors note if necessary (but check your policies, you may not...
  14. My employer added smoothing shifts, meetings and education days after the schedule came out so it was that plus the three 12s a week. I never recovered from one set before I was back into another. I...
  15. canoehead

    Is the grass greener in ICU?

    IMO you have ICU patients on a med surg unit. You may as well make the switch to ICU where you'll have more resources
  16. canoehead

    Facial coverings effective?

    If you cough or sneeze, droplets will be contained within half a foot instead of six feet. It prevents spread, it won't eliminate spread. Even if its a cloth or crocheted mask it will help, just less...
  17. canoehead

    New Older Grad Nurse Not Fitting In?

    There's something missing here, you are told you are a great nurse, but people have requested not to work with you. Why? They must have told you why. You have to be clear eyed and brutally honest with...
  18. canoehead

    Negligent Charge or Endure?

    You need to be very proactive and ask for help. Delegate tasks to her if you need assistance. Possibly the gruffness goes both ways, though it might not have started with you, you need to try to make...
  19. I would, if it was within my
  20. canoehead

    ADN vs BSN Nurses' Competency

    I found more clinical time was the best program choice for me, but there are certainly people that need more writing skills/research practice and pick up the clinical stuff like protégés. I did both...
  21. canoehead

    Question about prescriptions

    CRAIGSLIST Hire a "friend" to drive you home. Actually, I'd call an Uber and see if they have someone willing to be your friend for the time it takes to get
  22. Keeping two people around for the entire bath might feel wasteful, especially if they need someone out on the floor to cover bells. You could do the bath from the front, then during one of the regular...
  23. canoehead

    Personal sexual assault hx-emotional conflict?

    You can suspect it, but don't assume that you know. Unless the patient discloses, revealing that says more about your trauma than about them. Be concious about reporting objective data rather than...
  24. canoehead

    Nasal cannulas behind the head

    We were told especially not on babies and toddlers because of the hanging/choking risk. But not on adults
  25. canoehead

    Age vs Years Nursing

    I'm 50 and have thirty years. Thirty three years if you count from the time I started