russianbear

russianbear

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All Content by russianbear

  1. Hi everyone. I need to do a literature review with a PICOT question. This type of stuff is really my Achilles heel. Is there anyone here that is good at such things? I can PM you with the details. I...
  2. Struggling with pharm

    I failed pharm and am repeating the course. I’m struggling again. Guys, I have no idea how to prepare differently. I feel comfortable with the material until I get the exam results. Even in clinical...
  3. Struggling with pharm

    Yes. Only real suggestion was to take more time on the
  4. Job interview

    I may be losing my current job (long story). I’m probationary at the VA. Had some complaints. Oh well. Anyhow, I’ve decided to find another job. I’ve not gotten much interest but I got an...
  5. Job interview

    Thank you very much. It’s in a SICU. Exciting
  6. Job interview

    While ago. I have another interview at that hospital which runs the jail. My problem is I’ve been at my current job for only 7 months and I know people look at that and are hesitant to hire me since...
  7. Job interview

    Not really. There were two people. One just stared at me with the stink eye the entire time. The other was very friendly and
  8. Job interview

    Interviewed. Got a rejection email about an hour
  9. Made a med error

    Doc ordered decadron IV on a child, which we mix in juice and they drink. In the hustle and bustle I administered it IM. I told they doc and he changed the order to IM and said it actually would work...
  10. Made a med error

    Thank you for your support. I appreciate
  11. Made a med error

    The med is ordered IV. We have to know tonmix it in juice and give it PO. There is never a communication order telling us to do that, we just do
  12. Made a med error

    Boss was totally cool about it. I still feel bad
  13. Acute care or primary care

    Due to money issues I have no choice but to do the primary care program. Even that is going to make money tight in my home. There are just no grants or scholarships
  14. Please help me choose a program. I was accepted to two different programs. One is ddult/gero primary care. The other is acute care adult/gero. The problem is, I want to continue working in the...
  15. Acute care or primary care

    bump
  16. Time management

    Doing a project for a course. Need to come up with time management ideas. Things that can be implemented to improve time
  17. Time management

    Sure. I'm doing it from the perspective of an NP. One thing I've come up with is using talk to typing software, like dragon, would speed up documentation, as they do a ton of it. Also, prioritization...
  18. I honestly never knew such programs existed. No wonder we get a bad
  19. When Your Patient is an Addict...How to Deal

    Explains why we have a problem in this
  20. Hyperosmotic

    So, the other day I was giving report from the ED to ICU. Lady was elderly. Blood glucose over 700, etc. I told the arrogant nurse she was in compensated metabolic acidosis. He said, "She's...
  21. When Your Patient is an Addict...How to Deal

    Clearly you've not been reading this
  22. Hyperosmotic

    I found my notes with lab values. Anion gap was slightly elevated. 2+ protein in urine. PH 7.40, CO2 28, bicarbonate 17.3. Physicians diagnosis was DKA. I think the ICU nurse was trying to show off,...
  23. When Your Patient is an Addict...How to Deal

    I have defended my position admirably. I'm shocked one of you finally acknowledged the existence of drug seekers. Now, will you be courageous enough to say that physicians should not order them...
  24. When Your Patient is an Addict...How to Deal

    I love the air of superiority in your posts. Like I said before, I'd love to work in your hospital where "seekers" do not
  25. When Your Patient is an Addict...How to Deal

    So if a person comes in with the sole purpose of satisfying a craving for opium, and we give them that, if it's not enabling, what is it? I think if you examine the concept of enabling, and...