scottaprn

scottaprn

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  1. Pt asks: Is my surgeon any good? Your response is...

    scottaprn replied to CrunchBerries's topic in Patient, Colleague Relations

    "There are some people that have just love him to death" Pun fully intended for the patients who choose him/her for care. And no one needs to know you were thinking about the local funeral home...

  2. Questioning this order???

    scottaprn replied to garnetgirl29's topic in Geriatric, LTC

    Perfectly reasonable order. The stimulation from the digit in the rectum helps fire the reflexes of the internal sphincter and improve the bowel

  3. When should I talk to my manager?

    scottaprn replied to gatoraims RN's topic in Nursing Career

    Exactly. No offense when I say this but a PRN nurse with only 6 months experience would not be a particularly valuable employee to most nurse managers I know. Especially if she does not know you...

  4. Malpractice insurance gray area

    scottaprn replied to peacelillie's topic in General Nursing

    You will be held to your highest license so if your NP license is active I would expect they would want NP

  5. Did I screw myself out of this job??

    scottaprn replied to nurselia's topic in General Nursing

    Wow never heard of that. If you feel comfortable doing so I would ask the person who completed the reference to call HR and explain the situation. I have seen times where I was told not to include a...

  6. This week, I learned.... (7/25)

    scottaprn replied to ixchel's topic in General Nursing

    I learned that not all pots and kettles understand their

  7. Spiral Femur Fx in toddler

    scottaprn replied to lahryn18's topic in Pediatric

    Absolutely, Even in a child who cannot walk there is no guarantee that the fracture is abuse. In fact statistically it is less likely to be abuse than it is to be abuse for all age groups. BMC...

  8. Spiral Femur Fx in toddler

    scottaprn replied to lahryn18's topic in Pediatric

    In a child older than 18 months with no previous history of fracture or other reason to suspect child abuse the rate that are actually child abuse falls dramatically. In children younger than 18...

  9. Com'on, you got one...What is your heart wrenching moment?

    scottaprn replied to CrunchBerries's topic in General Nursing

    2 stick with me The first was my first pediatric code. 4 year old drown in a swimming pool at a party. One of the "we only took our eyes off her for a second" scenario. After everything had been...

  10. This week, I learned.... (7/25)

    scottaprn replied to ixchel's topic in General Nursing

    Human life is so precious that we can't even comprehend what it is really worth. I will never forget talking to my PCP about a mutual friend who had relapsed and I started to say that "I just don't...

  11. This week, I learned.... (7/25)

    scottaprn replied to ixchel's topic in General Nursing

    I learned that reading about your recovery made me happy and gives me hope. Too many of my friends from high school and college have become addicts and I will never give up on them because of people...

  12. Spiral Femur Fx in toddler

    scottaprn replied to lahryn18's topic in Pediatric

    It depends on the forces of the injury and the bone strength. A femur is more likely given the fall from height. Femur fracture in pediatrics also have peaks at a young age from injuries like...

  13. Spiral Femur Fx in toddler

    scottaprn replied to lahryn18's topic in Pediatric

    A spiral fracture would be almost impossible based on the description of how the parents tried to "relocate" it. Transverse fracture would be much more likely. Children don't have a developed...

  14. Spiral Femur Fx in toddler

    scottaprn replied to lahryn18's topic in Pediatric

    Spiral fractures of the femur are a definite red flag for abuse in a child that is too young to walk. This makes sense because they can't create the torsion necessary to create that fracture pattern....

  15. New grads in specialties without the basics

    scottaprn replied to Emergent's topic in General Nursing

    At dinner tonight with a NP at a correctional facility. An experienced nurse gave 1.25 mg of digoxin to a patient instead on 0.125 mg. Should no experienced nurses be able to work in

  16. TPAPN positive thinking

    scottaprn replied to Nurselnk's topic in Nurses Recovery

    Hi. Welcome to the site. I have not been through TPAPN programs but I still come and read the forum here because the people on here have taught me so much. The poster's on this forum are awesome...

  17. Can Rn be evaluated Sami annual and annually by non Rn professional

    scottaprn replied to nikashon's topic in Nursing Professionalism

    You can be evaluated by anyone the company says you can be evaluated

  18. New grads in specialties without the basics

    scottaprn replied to Emergent's topic in General Nursing

    First, you don't seem to know what a straw man's argument is. I have taken nothing personally and your assertion I have is unfounded and illogical. You are the one who has become personally...

  19. New grads in specialties without the basics

    scottaprn replied to Emergent's topic in General Nursing

    It is a pretty low level argument. I used an anecdotal experience in a thread about someone else's anecdotal experience. It is the technique of using the same type of fallacy (in this case anecdotal)...

  20. New grads in specialties without the basics

    scottaprn replied to Emergent's topic in General Nursing

    I have had an ICU nurse with 20 years experience royally screw up at my prn job 3 times in the last week. (And I mean royally!!!!). Should I refuse to work with all ICU nurses with 20 years...

  21. New grads in specialties without the basics

    scottaprn replied to Emergent's topic in General Nursing

    I do agree that students need to take responsibility but I am finding the schools are often restrictive in what they allow. I graduated from an accelerated bsn program and I was not allowed to start...

  22. New grads in specialties without the basics

    scottaprn replied to Emergent's topic in General Nursing

    This comment needs a love button. Every time I precept a student I always tell them that their certification test (be it the NCLEX or a NP certification) that they are studying for is a test to...

  23. New grads in specialties without the basics

    scottaprn replied to Emergent's topic in General Nursing

    I was a direct hire into the ED as a new grad. I don't see how working on any floor before hand would have helped me. EVERY area of nursing is vastly different and it is time to stop thinking of...

  24. New grads in specialties without the basics

    scottaprn replied to Emergent's topic in General Nursing

    The best place to learn to be an ER nurse is in the ER. IMO the schools are failing students in preparing them for the real world. In that environment a great orientation along with patience of the...

  25. Nurses- medical provider needs your opinion!

    scottaprn replied to Buckeyeqt's topic in General Nursing

    As an NP I think I understand the calls mandated from the hospital that the nurse would rather not make. As mentioned by the previous poster it is nice if you include "sorry to bother you but the...