pfitz1079

pfitz1079

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All Content by pfitz1079

  1. Mannitol Protocol

    pfitz1079 replied to Harjodi's topic in Neuro Intensive Care, ICU

    10) All these rules are up for grabs if impending herniation is going to kill the patient before the potential complications of rapid manitol

  2. Got any funny acronyms at your ER???

    pfitz1079 replied to RNin92's topic in Emergency

    TFB- Too Fat to Breathe FTD- Failure To Die UAD- Up And Died DWPA- Death With Paramedic Assist Pete Fitzpatrick RN, CFRN, EMT-P Writing from the Ninth

  3. Overstimulation in comatose patients

    pfitz1079 replied to derelys9's topic in Neuro Intensive Care, ICU

    There may be a case where the nurse warns a family against "over stimulation", when what she means is: "let him rest." Insults to the brain are often devastating to the patient's family as well as...

  4. How do I wear this?

    pfitz1079 replied to not now's topic in General Nursing

    Have you consider

  5. Would you have called the doc? (LONG)

    pfitz1079 replied to SierraN's topic in Ob/Gyn

    Good call. I'm sure you know it doesn't take much for a 24 weeker to be coming out. Better the doc lose some sleep and be there if needed. Screw what your new coworkers think. You did what was...

  6. First Nursing Job Interview Do's and Don'ts

    pfitz1079 replied to Serenyd's topic in General Nursing

    Obviously the rules for women are different. Men should have at least one business suit, and it should be worn for any job interview. I'd say get a smart business suit. No, nursing is not a "suit"...

  7. WHY are nurses so catty??

    pfitz1079 replied to SnowymtnRN's topic in Patient, Colleague Relations

    Exacty. This probelm was about job performance, and she took it as a personal

  8. WHY are nurses so catty??

    pfitz1079 replied to SnowymtnRN's topic in Patient, Colleague Relations

    So here's the deal. -95% of nurses are women. -Men and women are different -Men and women relate in different ways -Any profession so completely dominated by on sex, will develop a culture that...

  9. CPR Question

    pfitz1079 replied to Chad_KY_SRNA's topic in General Nursing

    They also give bed baths. The 15:2 comes out of new research that presents compelling data that cerebral perfusion with adequate compressions takes some time to fall off even in the absence of...

  10. WHY are nurses so catty??

    pfitz1079 replied to SnowymtnRN's topic in Patient, Colleague Relations

    Female nurses are catty because they are women, and frankly, many women are catty. Male nurses expect anyone who takes a job to be physically able to perform. It's not personal. In fact, the NM is...

  11. Gastric Bypass!!!!!

    pfitz1079 replied to HONEYBEAR's topic in General Nursing

    Typical criteria: BMI: >40 (>35 with comorbidities) Documented unsuccessful weight loss attempts Psych screening Medical clearance of any underlying problem causing problems with weight loss....

  12. transfer of active labor patient?

    pfitz1079 replied to obnursesteff's topic in Ob/Gyn

    "I don't know if I agree with preterm transfer at 5cms, instead of keeping her and dealing with preemie. I think I would much rather deliver someone in the hospital than in the back of an ambulance,...

  13. transfer of active labor patient?

    pfitz1079 replied to obnursesteff's topic in Ob/Gyn

    Here's what I think. If a patient cannot be adequately managed where she is, and the risks of transport (MVC, delivery complications) are outweighed by the benefits (high-risk center, available...

  14. More certification after I graduate?

    pfitz1079 replied to GrnHonu99's topic in General Nursing

    There really is no way to require a new nurse in the ICU to hold CCRN certification. A requirement of the certification is something like 1750 hours of patient care in a critical care envrionment...

  15. Is a BSN needed in nursing today?

    pfitz1079 replied to SierraN's topic in General Nursing

    How about this? Should nursing value a nurse with a BSN more than say a nurse with an ADN and a BS in another field? If the rationale for a BSN is it makes the nurse a more well-rounded thinker,...

  16. What Exciting Thing is Your Management Doing For 'Nurses Week'???

    pfitz1079 replied to Mystery5's topic in General Nursing

    From the Dept. of Nursing we got a trip to an (first-place) Orioles game, complete with a bullpen party (free beer!). We also got shirts and bags. The hospital also put up a new exhibit of nicely...

  17. Really need advice For Anatamony and Physiology

    pfitz1079 replied to earthlovers123's topic in General Nursing

    I'm not sure, but it may be the case that if you take and "F" in the course, you'll have to retake it there, and they won't accept your transfer credit. Check it out with your school. If you're...

  18. What do you do if a patient strikes?

    pfitz1079 replied to Emery's topic in Patient Safety Issues

    Good thread, Emery. I'd never get fired from a place for trying to defend myself - I'd quit before they had the chance. The way I see it, I have one obligation when I come to work every day: come...

  19. Did Anyone Take Their Daughter or Son to Work Today?

    pfitz1079 replied to Marie_LPN, RN's topic in General Nursing

    Our units, generally speaking, are not unsafe for us. We've been trained to recognized hazards and take precautions that keep us safe. Most school-age children, however, have not. Therefore,...

  20. Did Anyone Take Their Daughter or Son to Work Today?

    pfitz1079 replied to Marie_LPN, RN's topic in General Nursing

    I didn't, and wouldn't ever. It's simply unsafe to bring a child of any age into the clinical environment. I was on the elevator last night with a tech from the lab. She was holding her toddler...

  21. Neuro ICU - Do you talk to brain-dead patients?

    pfitz1079 replied to talaxandra's topic in Neuro Intensive Care, ICU

    No, but I've talked to a few brain dead residents. :) Pete Fitzpatrick RN, CCRN, CFRN, EMT-P,

  22. How do You deal with Man-Hating Female Nurses?

    pfitz1079 replied to PrisonrNurs's topic in Men in Nursing

    Basically, I find being a better nurse than them works pretty well. If that doesn't work, you could try to talk it out with them. Maybe their issue isn't with you being a man, maybe they just don't...

  23. pin ?

    pfitz1079 replied to ken-pin's topic in Men in Nursing

    I bought the cheapest one they had. We had to buy a pin if we were going to the ceremony, and I thought I should go. I like pins, but mostly it sits in a jar with rest of my cert pins. (EMT-P, CCRN,...

  24. OB Clinicals

    pfitz1079 replied to carolynd's topic in Men in Nursing

    My OB rotation was a generally unpleasant experience. The patient's all were comfortable with me. My instructor was one of the best I had in school. I was at ease with the skills involved. [i spent...