Cowboyardee

Cowboyardee

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All Content by Cowboyardee

  1. RVN: Registered Veterinary Nurse, what do you think?

    Cowboyardee replied to AllisonLeighLVT's topic in General Nursing

    Any support for the term "Registered Veterinary Medic"? It carries a number of implications, most of which apply: - Wide scope of practice - Not 'mere' nurses - Haven't done much collective...

  2. Don't clean up patient after a code

    Cowboyardee replied to Emergent's topic in General Nursing

    When family is available, we try to have them present during CPR. It seems to facilitate them letting their loved one go, helps them feel they did what they could, and gives them a much more realistic...

  3. What I've Decided About my Education

    Cowboyardee replied to EGspirit's topic in General Nursing

    By all means, feel free to argue that nurses should get a BSN to keep themselves marketable. Get one to move on to a more advanced degree, play the game, or move into management. Get one for the extra...

  4. Addressing Bullying in the ED

    Cowboyardee replied to allnurses's topic in Emergency

    No offense, but why is this article going on about lateral violence and then using statistics showing an appallingly high level of non-lateral violence perpetrated by visitors and patients? It always...

  5. Bad experience as a patient

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

    She said her nurse was 10 feet away staring at her silently. The silent staring bit likely WAS her nurse assessing her. The monitor is typically right there - you observe the vitals, the respiratory...

  6. Overwhelmed New Grad

    Cowboyardee replied to RNjackie23's topic in General Nursing

    Anxiety is a normal part of an ICU orientation. Feeling overwhelmed is normal. Being very busy is normal. Unfortunately, so is having some orientees (new grads especially) who just don't make it. I'm...

  7. No Restraint Policy

    Cowboyardee replied to khrisrk's topic in General Nursing

    Posting assigned questions is not specifically against the terms of service (as far as I know). But most of us are pretty wary of providing answers to students that they can then cut and paste or...

  8. New Grads in Critical Care area's

    Cowboyardee replied to kindz22's topic in General Nursing

    Just to get it out of the way, there can be a lot of variety in the acuity level of one ICU's patients compared to another ICU. Same deal with staffing levels, autonomy, etc. Anyway, I'd say that an a...

  9. BSN is a joke

    Cowboyardee replied to nurseguy22's topic in General Nursing

    For whatever it's worth, diploma-educated nurses have always outperformed BSN-prepared nurses on the only metric by which they can be compared: the NCLEX. In markets where diploma programs still...

  10. Ventilator oral care

    Cowboyardee replied to smf0903's topic in General Nursing

    Halyard makes oral care kits. AFAIK, reviews have been a bit

  11. left job after 1 week

    Cowboyardee replied to socoamaretto's topic in General Nursing

    A few points: - 4 months isn't yet an especially worrisome gap in employment, in my opinion. - Think of your resume as an ad for you as an employee. Its job is to make you look good. You don't have to...

  12. NG insertion fail..anyone else?

    Cowboyardee replied to zacarias's topic in General Nursing

    A few rules of thumb: It is something like 15-20 cm for most adult patients for the NG tube to pass through the nasal passages and into the pharynx. If you meet much resistance before this point,...

  13. Confusing and irritating situation

    Cowboyardee replied to Happynurse2222's topic in Patient Safety Issues

    I highlighted your problem. If your supervisor is also responsible for hiring more help and getting them on the unit, then she's a big part of your problem. If not, there's not a whole lot of sense in...

  14. Vtach on tele

    Cowboyardee replied to RugerNurse's topic in Critical Care

    Distinguishing Vtach from artifact is relatively easy, and you should be able to do it with a little troubleshooting and a trained eye. Distinguishing vtach from an abnormally widened svt can be much...

  15. scope of practice, the EKG/ECG?

    Cowboyardee replied to wtpsych's topic in General Nursing

    I work in an icu and other icu nurses often look to me for advice on rhythm and ekg interpretation - it's one of my niches. And there's still all kinds of stuff on a 12 lead that i need a...

  16. Ethical Issues

    Cowboyardee replied to ShanHK's topic in Critical Care

    There have been many threads on this topic. The replies on these threads may give you an idea of how more experienced nurses feel about the issue. Here is a recent one:...

  17. Anterior vs. Inferior MI

    Cowboyardee replied to miamiheatrn's topic in General Specialties

    Some good advice above. I'll add that an inferior MI may or may not involve the right ventricle. Or in other words, you can't say the right ventricle is involved (or not) merely because the patient...

  18. Should ICU get more pay than floor nursing?!?

    Cowboyardee replied to francoml's topic in MICU, SICU

    I don't recall you making any comments in this thread. Or replying to them. Is your other screenname tictok411? Can't imagine why you'd have two... Anyway, care to address any of what I actually wrote...

  19. Should ICU get more pay than floor nursing?!?

    Cowboyardee replied to francoml's topic in MICU, SICU

    Jeez, why is anyone 'liking' this? You really think bedside nurses employ no medical judgement of their own? This nonsense devalues everyone, not just ICU nurses. Of course all hospitals are...

  20. New Grad as a Clinical Liaison

    Cowboyardee replied to Alison2209's topic in First Year After Licensure

    So would you be working under the direction and direct supervision of someone with more experience? Otherwise, its an opportunity to make under-informed decisions that hurt patients while having no...

  21. New Grad as a Clinical Liaison

    Cowboyardee replied to Alison2209's topic in First Year After Licensure

    Ill be blunt here: hiring a new grad for this kind of position - any new grad, regardless of their grades, communication skills, prior life experiences, etc - isn't a little inappropriate. It's very...

  22. What to do? New nurse feels like she's drowning. Please help.

    Cowboyardee replied to texasnurs's topic in General Nursing

    Being a new nurse is hard for just about everyone. Right now, you're at one of the most difficult parts of your career. You're off orientation just long enough that your coworkers are expecting more...

  23. Not sure I can handle BSN School.

    Cowboyardee replied to guest723's topic in General Students

    1) It is hard for everyone. There are a few thousand threads here on allnurses.com testifying to this. 2) Studies tend to find that how you think you compare to your peers has little to do with how...

  24. To late to start?

    Cowboyardee replied to Mburciaga's topic in Men in Nursing

    Not too old at all. I've seen many successful new entries to the field much older than you. The only caveat: many areas of nursing are pretty physical - lots of walking and standing, lifting and...

  25. That's not a bad nurse

    Cowboyardee replied to stephen1219's topic in General Nursing

    Word.