Cowboyardee

Cowboyardee

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All Content by Cowboyardee

  1. Religious accommodation means no Saturdays....ever?

    Cowboyardee replied to momto6msn's topic in General Nursing

    1 - It is reasonable and common to start feeling envious and undervalued when you see a peer being treated "better" than you by management 2 - You really have no idea if there are less obvious...

  2. Need some advice about error :(

    Cowboyardee replied to ineedadvice's topic in General Nursing

    Apologies in advance for a bit of snark/perspective. The worst thing ever might be killing a whole lot of patients intentionally and maliciously. Of course, history's most prolific known serial...

  3. Hyperosmotic

    Cowboyardee replied to russianbear's topic in Critical Care

    Sounds like

  4. Hyperosmotic

    Cowboyardee replied to russianbear's topic in Critical Care

    HHS typically presents with either no acidosis or very mild acidosis. Also with no real elevation of serum ketones and a normal or low anion gap (assuming no concurrent illness that might affect these...

  5. ALL equations for Mean Arterial Pressure??

    Cowboyardee replied to jhill134's topic in General Nursing

    Actually, i believe wuzzie was talking about a MAP. resulting from a cuff pressure. BP cuffs from the monitor dont 'listen' for systolic and diastolic sounds like a person does, but is instead an...

  6. Med error?

    Cowboyardee replied to regerterb's topic in General Nursing

    I understand you. I disagree. It doesn't particularly matter if the physician knows how to mix the drug or not. He's still the next one to ask. My initial point was that the RN is responsible for...

  7. Med error?

    Cowboyardee replied to regerterb's topic in General Nursing

    It's entirely possible the physician wouldn't know the concentration he wants offhand. But he's still the one to ask if you don't have a pharmacist you can call. If a charge nurse doesn't know the...

  8. 3 medication-related errors in 6 months. Is this a sign I should quit?

    Cowboyardee replied to hnnrgh's topic in General Nursing

    To be honest, it seems like your facility may have fewer checks and fail-safes than most with respect to medication errors. None of your errors were particularly serious (in terms of causing harm to a...

  9. Med error?

    Cowboyardee replied to regerterb's topic in General Nursing

    I'm not even entirely sure what happened from your description. That said, it sounds like an easy mistake to make. Still, if you're not sure how to mix a medication, ask your pharmacy or, failing...

  10. First major error.

    Cowboyardee replied to NightWatch's topic in Medical-Surgical

    If it's not too late... 1) Take a union rep. They won't hurt. Might help. And they've probably seen this situation or many like it before. You haven't. 2) Try to go in with a mature understanding of...

  11. Suspended for a Medication Error

    Cowboyardee replied to Nurse Beth's topic in General Nursing

    For whatever it's worth, I still see a lot of verbal orders where I work. How much doctors rely on verbal orders seems to be facility-specific. Of course, reliance on verbal orders are one more avenue...

  12. Nurse opinions on "Birth Rape"

    Cowboyardee replied to EKUGRAD's topic in Ob/Gyn

    And you're comfortable labeling a practitioner in this scenario a rapist? I have no problem with anyone saying that this kind of violation 'feels like rape.' You'll also notice that I didn't object...

  13. Nurse opinions on "Birth Rape"

    Cowboyardee replied to EKUGRAD's topic in Ob/Gyn

    You guys do understand that far and away the biggest objection to calling this kind of thing 'rape' is that doing so entails an obstetrician or L&D nurse who acts quickly and forcefully in an...

  14. Nurse opinions on "Birth Rape"

    Cowboyardee replied to EKUGRAD's topic in Ob/Gyn

    Please find any example of the kind of medical violation in discussion here ever being prosecuted as rape. Anywhere. I'll wait. Seems weird to appeal to authority for your definition when the same...

  15. Nurse opinions on "Birth Rape"

    Cowboyardee replied to EKUGRAD's topic in Ob/Gyn

    There is already a term for when medical professionals override a patient's autonomy and wishes in treating them without adequate justification. That term is 'battery,' not

  16. Why are nurse managers jerks?

    Cowboyardee replied to Cola89's topic in Nurse Management

    If you haven't worked many places yet, it is very possible that you just happen to be in a disfunctional environment. There are some employers where upper management takes a hostile attitude toward...

  17. Nurses pulling rank on assignments

    Cowboyardee replied to remotefuse's topic in General Nursing

    "Pulling rank" sounds like a senior nurse can request an assignment and expect to get it. On the one hamd, i dont think I'd like to work in that kind of environment. On the other hand, if it happened...

  18. Participating in Protests?

    Cowboyardee replied to wanna_be's topic in General Nursing

    Here is an older thread with more responses that touches on the subject https://allnurses.com/general-nursing-discussion/jobs-in-nursing-1074777.html I'll repeat a point I made there: though it is...

  19. Should Obama care be repealed?

    Cowboyardee replied to luv2's topic in General Nursing

    Ill try not to give a politicized answer, as there's already far too much partisan bias in healthcare debates. Lets grant you that the US spends a higher percentage of its GDP on defense and military...

  20. Should Obama care be repealed?

    Cowboyardee replied to luv2's topic in General Nursing

    Your explanation of American healthcare might explain some theoretical floor on what healthcare could cost in absence of more providers. However, it has no ability to explain why Americans pay more...

  21. Should Obama care be repealed?

    Cowboyardee replied to luv2's topic in General Nursing

    First and foremost because it's politically non-viable. Might change in the future, but the most recent elections moved the balance of power in the opposite direction from any kind of universal...

  22. Should Obama care be repealed?

    Cowboyardee replied to luv2's topic in General Nursing

    What does 'work' mean in this context? What major problem does it solve?The problems with the American insurance system have been pretty well understood for a good while now: - Insurers, middlemen,...

  23. confessions of a RRT

    Cowboyardee replied to yahoomagoo's topic in General Nursing

    Thats a strange and unfortunate working relationship you have there. As an ICU nurse, I love my RTs. A few of them are my golfing

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

    Cowboyardee replied to francoml's topic in MICU, SICU

    Here's something of a philosophical answer. Hope you'll forgive my meanderings. Right off the bat, I don't really have an opinion as to whether ICU nurses should make more than med-surg nurses....

  25. ER rushing patients to the floor

    Cowboyardee replied to freckles23's topic in General Nursing

    Here's the thing. Sending that patient quickly to the floor where an RRT is called is actually a better outcome than having the patient continue to decompensate in the ED while they wait for a bed....