Cowboyardee

Cowboyardee

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All Content by Cowboyardee

  1. I can't do it all (mom rant)

    Cowboyardee replied to missmollie's topic in General Nursing

    A few overly facile words of advice (apologies, that's all I've got): - It's not clear if your husband is plain not stepping up or if he disagrees with your priorities and either cannot or doesn't...

  2. Case Study: Why Is She Having Hallucinations? The Mystery of The Dog in A Fedora

    Cowboyardee replied to SafetyNurse1968's topic in Critical Care

    My guess would have been onset of bipolar 1 or majpr depressive episode with psychotic features, but I think the OP already ruled that out as the primary cause of her cousin's problems. Less likely...

  3. Worried sick that I may have caught MRSA?

    Cowboyardee replied to 8Lovenursing8's topic in General Nursing

    You're making a few pretty questionable assumptions. Most staph aureus isnt MRSA. I was prescribed mupirocin last time I got stitches, and that was jist prophylactic. And if you work with in-patient...

  4. Inexperienced nurse in a more critical role

    Cowboyardee replied to marilynaalvarez's topic in General Nursing

    Bite the bullet and tell your boss you don't have the skill set your role requires. Maybe they'll find a way to orient you at length, or maybe they'll find another role for you. I know you have a...

  5. Research Results are in: To Suction or Not To Suction, End of Life & Hospice Patients

    Cowboyardee replied to NickICU-RN's topic in General Nursing

    The OP provided some good information on oral pharyngeal suctioning using a flexible catheter. It is an under-utilized technique, in my experience, and if done well is typically not traumatic. In...

  6. New nurse getting dumped on. Ready to switch.

    Cowboyardee replied to NewNurse1997's topic in General Nursing

    Point well taken. I don't mean to support poor staffing ratios, and 7:1 isn't great (even though its not particularly uncommon either). Likewise, I have seen firsthand coworkers acused wrongly of...

  7. mixing pain medications with a flush

    Cowboyardee replied to painmeds's topic in General Nursing

    And what would be the downside of squirting out a couple CCs of saline first before pulling up, say, a CC of mediation and never moving past the 10cc mark on the syringe? This is the most common...

  8. Accomadating patients racist request?

    Cowboyardee replied to remotefuse's topic in General Nursing

    In fairness, the point of accommodating the patient in this scenario is not about keeping them happy but to prevent a nurse from being racially harassed needlessly. Not sure if it's the right...

  9. New nurse getting dumped on. Ready to switch.

    Cowboyardee replied to NewNurse1997's topic in General Nursing

    No offense - But bluntly, this is not very good advice. For one, the whole license-at-risk thing seems to be a widespread delusion instilled during nursing school. Marginal staffing levels don't put...

  10. New nurse getting dumped on. Ready to switch.

    Cowboyardee replied to NewNurse1997's topic in General Nursing

    I don't love 7:1 staffing ratio for med-surg. But the OP said she works cardiac med-surg, not step-down. Running non-titrated drips doesn't make a unit step- down in acuity level. The OP is new and...

  11. What would you have done

    Cowboyardee replied to MJCRN4898's topic in General Nursing

    I once told a (belligerent and non-compliant) patient that I could not remove his c-spine collar without an order, but that no one could legally stop him from taking it off himself so long as he is in...

  12. RN to MD

    Cowboyardee replied to sillymu's topic in General Nursing

    I strongly doubt anyone does (or should) feel bad about "taking spots" away from other potential nurses on the basis of what they do years down the line. Anyway, nursing school doesn't cover many of...

  13. What in the world is this rhythm?!

    Cowboyardee replied to BSN_Studnt's topic in Critical Care

    Thats not a short pr interval. PR interval starts at the start of the p wave, not the end of it. And lown- ganong Levine is pretty rare (as far as I know) and not really diagnosed by the presence of a...

  14. Should I ask for a raise?

    Cowboyardee replied to OnTheSearch's topic in General Nursing

    I disagree with lots of this. - Discussing pay with coworkers is not at all unprofessional; management just doesnt want you to do it for their own reasons. - In my experience coworkers seldom lie...

  15. Infusion error and I feel terrible!!

    Cowboyardee replied to City-Girl's topic in General Nursing

    It's ok. You are very unlikely to be fired, and you certainly shouldn't worry about the board of nursing. Medication errors happen all the time. That said, I dont know what your hospital's policy, but...

  16. Co worker issue

    Cowboyardee replied to SnickerDoodle_RN's topic in Patient, Colleague Relations

    One problem is that a PCA, per her job description, doesn't have the expertise or authority to prioritize between different STAT measures. So, if the PCA is being told by another nurse/doctor/PA that...

  17. is this bullying?

    Cowboyardee replied to jennalou's topic in General Nursing

    It could be bullying behavior if it's not true; that is, if you just annoy that one particular instructor and she decided to make up a consensus on the spot to agree with her. That would be...

  18. Do you look up the push rate for IVP meds?

    Cowboyardee replied to Nsco2018's topic in General Nursing

    I don't know about this. Be careful telling newer nurses that administration technique is relatively unimportant. That isnt always true. For example, ototoxicity is an effect of pushing lasix too...

  19. Student Nurse Med Error

    Cowboyardee replied to heallis's topic in General Students

    "Her insulin was high (16.9) so I remember thinking "gotta get her that!" This part of the post worries me a

  20. new nurse advice. screwed up?

    Cowboyardee replied to introuble7's topic in First Year After Licensure

    Bradycardia while the patient is calm, comfortable, warm, normotensive, and resting is often not a problem. Bradycardia while a patient is hypotensive, distressed, short of breath, experiencing an...

  21. Advice for new grad?

    Cowboyardee replied to ray-man's topic in General Nursing

    Uh huh. I think that "special something" is most often a willingness to work at the bottom of the pay scale and sign oneself into indentured servitude (I.e. clauses necessitating paying for the cost...

  22. How did she/he get through nursing school?

    Cowboyardee replied to Emergent's topic in General Nursing

    What is Harrison's? The textbook, or do you mean something

  23. Confidence issues in ICU

    Cowboyardee replied to AdvocateRN's topic in Critical Care

    In my experience, a new grad 'rocking it' in the ICU usually means not messing anything up too badly and knowing when and how to ask for advice and assistance. I don't know you and don't know your...

  24. Would you tell a co-worker he needs hearing aides?

    Cowboyardee replied to AnnieOaklyRN's topic in General Nursing

    Chances are he already knows. If you're friendly enough with him to talk outside of work, there's probably not much risk in asking him about it sometime. Don't talk about it like it's a crisis or...

  25. Protecting Your License: Notes from a Nurse-Attorney

    Cowboyardee replied to SafetyNurse1968's topic in General Nursing

    I don't understand. Was it documented somewhere that the patient was pulseless and no compressions were initiated at the time? Or is your board of nursing so clueless that they don't even realize a...