Cowboyardee

Cowboyardee

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All Content by Cowboyardee

  1. A weird interview exercise; and how interviews have changed: for the Worse!

    Cowboyardee replied to BlinkyPinky's topic in General Nursing

    I tend to agree. By the way, can anyone who has the ear of an HR person tell me what exactly they're looking for with the personality tests when applied to staff RNs? I'm guessing it basically boils...

  2. When the Patient Refuses Hospice

    Cowboyardee replied to jeastridge's topic in General Nursing

    Thank you for providing the followup story. Not that you mistook my meaning, but more so just to be clear, I don't mean to portray the ethical issues surrounding a patient or their family refusing...

  3. I don't think I can take it anymore.

    Cowboyardee replied to sashaq's topic in General Nursing

    Bolded for emphasis. If you see a problem coming or can't figure out how something is going to work as planned, you have to ask for help. Don't let it ride. Don't assume someone else will see the...

  4. When the Patient Refuses Hospice

    Cowboyardee replied to jeastridge's topic in General Nursing

    The elephant in the room with respect to terminal patients (and just as often if not more so, their families) who refuse hospice is not the issue of a patient refusing what appears to be the mpst...

  5. Specialty for introvert?

    Cowboyardee replied to avalanche678's topic in General Specialties

    Forgive me in advance for not exactly answering the question you asked... Being an introvert and lacking social skills or the assertiveness to stick up for yourself are not the same thing. Being an...

  6. Intubation turning into a code blue

    Cowboyardee replied to ICUisLife's topic in Critical Care

    Was chest rise noted during bagging? Did the patient feel difficult to bag? Did the mask appear to fit right? Was the person bagging the patient experienced at using an ambu bag? A lot of times in...

  7. Not Everyone is meant/wants to be a leader!

    Cowboyardee replied to CardiacRNLA's topic in General Nursing

    In general, charge nurse and precepting are not really leadership positions. They're jobs the unit needs their experienced staff to do, and often part of the hiring description for staff nurses. Job...

  8. Do I have critical care experience?

    Cowboyardee replied to pepino23's topic in Critical Care

    For the purposes of checking a box on a job application, you should probably mark 'yes' in your situation. It's an ambiguous question and you should generally answer job app questions honestly but...

  9. Charge Nurses Who Micromanage

    Cowboyardee replied to YumCookies's topic in General Nursing

    On one hand: it's not about you. It's about the patient. Frankly, if a medical crisis is at hand, managing it correctly is more important than your feelings/validation/etc. As long as they're behaving...

  10. Can nurses live a luxurious life?

    Cowboyardee replied to Aa1Bb2Cc3's topic in General Nursing

    An RN with some experience in the US typically falls in the top 1% of global income distributions. Course, you won't live luxuriously by American standards of "luxury" (even by that standard, you...

  11. Can a new grad have spidey senses??

    Cowboyardee replied to Barbie8808's topic in General Nursing

    Agree with others about the commute. You have to reeeeaaalllly want the job to justify that kind of commute if relocation isnt an option. That said, most of the time you get a job offer under...

  12. ICU Tech Job

    Cowboyardee replied to jmtravers3's topic in General Nursing

    If you do well as a tech, you'll often get a job offer, a hook up to another position, or at least some very strong reference s out of it. The most important parts of doing a good job as an icu tech...

  13. Transition from ER RN to Tele RN

    Cowboyardee replied to EDRNBSN2011's topic in General Nursing

    Its not necessarily easier. If its unusual, its probably unusual mainly in that ED jobs are somewhat more sought after than Tele jobs, so not too many people make the jump in that direction. That...

  14. Pulling back too hard on PIV and getting air.

    Cowboyardee replied to roddycn's topic in General Nursing

    You dont get air unless the iv has come out of the patient's arm. You get a vacuum. Either way its bad from. A peripheral iv that's not giving blood return with a gentle pull will never start giving...

  15. Going into nursing with a bad memory?

    Cowboyardee replied to MeAnurse?'s topic in Pre-Nursing Students

    The advice to get checked out by a doctor is good. Do that. That said, if your doctor checks you out and gives you a clean bill of health, your issue may well be that you've never had to rely very...

  16. HELP!!!Icu nurse question. CVP/PA waveform

    Cowboyardee replied to ArtisticRN's topic in General Nursing

    Not sure exactly what youre asking. But generally, assuming your patient is intubated, you may see the normal waveform tidalling gently up during a patient's inspiratory phase and tidalling down...

  17. Freezing During Critical Situations

    Cowboyardee replied to jsrn88's topic in Critical Care

    Nurses who feel inexperienced or anxious in emergencies often avoid them when their coworkers are experiencing an emergency. This is very unfortunate. I strongly recommend going out of your way to...

  18. Experienced Viewpoint Please?

    Cowboyardee replied to bitter_betsy's topic in General Students

    Don't even consider going to a school with a 25% graduation rate unless you are getting a MUCH better deal there than elsewhere AND you are an excellent test taker. It's a trap. As for other stuff,...

  19. How to deal with this conflict?

    Cowboyardee replied to drkshadez's topic in General Nursing

    Of course those things are important. But... Your patients' lives and health will at times depend on your technical skills and diligence. Being good at the job means being good at the whole job....

  20. CCRN as a requirement?

    Cowboyardee replied to Steph41's topic in Critical Care

    It's unpaid overtime for a position that they already have. I have nothing against the CCRN. But don't be cavalier with other people's time and money. Also, there are a whole lot of ways to improve...

  21. AF RVR + levophed

    Cowboyardee replied to zzyzx's topic in CCU, Coronary, Cardiac

    I'm just going to rattle a few notions off. These are not really textbook suggestions for the patients's management in this situation, but more like what my experiences have been. A few thoughts: - A...

  22. Accused of Privilege

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

    Your personal relationships are none of her business, and if she mentions them again, id suggest assertively telling her so, possibly along with a conversation with your manager. On the other hand,...

  23. I Think I my CPR Instructor Didn't Know What She Was Talking About

    Cowboyardee replied to darobow's topic in General Nursing

    The most commonly cited reasons for limiting cpr compression rate to 100-120 beats per minute are that faster rates not only wear out personnel but also dont provide enough time between beats to allow...

  24. New grad dialysis with hopes of ICU

    Cowboyardee replied to TimS89's topic in Critical Care

    You're better off at a dialysis clinic than you'd be unemployed. Will it help you learn what you need to for hospital and critical care nursing? A little. If you really, really want to end up in...

  25. Efficient shift report

    Cowboyardee replied to HannahMarine30's topic in Critical Care

    I don't know how the doctors at your facility do notes, but at most facilities the most current note by the intensivist or attending physician give an overview of the hospitalization, a list of the...