Cowboyardee

Cowboyardee

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All Content by Cowboyardee

  1. diabetic npo iv fluids

    Cowboyardee replied to thetruth7's topic in General Nursing

    Just because a nurse said it doesn't mean she's right. Anyway, we'd need more info to make a reasonable decision, and this seems kinda

  2. "Nurse Bedside Shift Report" Survey

    Cowboyardee replied to kangoshichie's topic in General Nursing

    Bedside shift report is perfectly decent round peg that has been haphazardly jammed into all kinds of square, oblong, and star-shaped holes mostly by people who have no particular love for, experience...

  3. Question on liver disease pt, MAP, and lactate level

    Cowboyardee replied to zacarias's topic in General Nursing

  4. Question on liver disease pt, MAP, and lactate level

    Cowboyardee replied to zacarias's topic in General Nursing

    This gets pretty complicated, so apologies in advance - I may not be able to explain all the factors here completely. For one, yes peritonitis is often painful. But I don't know anything about your...

  5. Nursing Boards control of Nurses

    Cowboyardee replied to Cougar1113's topic in Nursing Professionalism

    My wife is a psychologist. And... nope. Not in the US at

  6. Nursing Boards control of Nurses

    Cowboyardee replied to Cougar1113's topic in Nursing Professionalism

    Taken from a CBC news story on the hearing, here is the original offending facebook statement: "My grandfather spent a week in palliative care before he died and after hearing about his and my...

  7. Nursing Boards control of Nurses

    Cowboyardee replied to Cougar1113's topic in Nursing Professionalism

    Not personally a big fan of using social media this way either, here. But that's beside the point. She didn't violate patient confidentiality. On the surface, there's no apparent claims that she...

  8. Husband v. Wannabe Travel Nurse

    Cowboyardee replied to apalms76's topic in Pre-Nursing Students

    If the point is to travel, you will be gone for months at a time. If the point is to make a higher hourly rate (though at times with fewer benefits or less job stability), then you can often work for...

  9. How do you feel about having other nurses as patients?

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

    One of the more frustrating situations I experienced as a nurse happened early in my career when I took care of a patient who worked for the DEA and brought their professional...

  10. How do you feel about having other nurses as patients?

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

    I said it might get me into trouble. In my experience (which is of course limited and fallible just like anyone else), it seems there might be plenty of room for a technologist to understand more...

  11. How do you feel about having other nurses as patients?

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

    I was wary of taking care of other nurses back when I was new and inexperienced in the field. It comes from a fairly reasonable fear of being caught making a mistake. Still, never actually had a...

  12. Having a hard time with the people in my nursing school...

    Cowboyardee replied to tbnurse1's topic in General Students

    Try making friends with that other half of your class who didn't attend the happy hour gathering. I'm sure some of them are more laid back. Nursing is more or less like anything else - some people are...

  13. Coffee marketed to nurses. Would you buy it?

    Cowboyardee replied to ResumeRN's topic in General Nursing

    At home I drink good coffee - home roasted, carefully made, etc. At work, I drink more or less whatever is available. So the most honest answer is that I'd probably drink coffee marketed to nurses if...

  14. Potassium supplementation

    Cowboyardee replied to Leesha's topic in Medical-Surgical

    I work critical care, but the same concepts apply. In patients with adequate renal function, we routinely replace potassium starting at 3.7 and magnesium starting at 2.0. That's slightly more...

  15. albumin and hypotension

    Cowboyardee replied to zzyzx's topic in Critical Care

    As mentioned by offlabel, treating hypotension along with hypoalbuminemia is different than just treating hypoalbuminemia. But in any case, try to familiarize yourself with the concept of 'all cause...

  16. Punished for NP decision

    Cowboyardee replied to davidmartindale's topic in LPN, LVN Corner

    It's not clear to me exactly what your job role is at this time. But if it is still your legal responsibility to refer important issues to a provider (as is the case for most nurses), then it is 100%...

  17. being floated

    Cowboyardee replied to whitewave's topic in General Nursing

    Legally speaking - whenever your employer feels like it. As to your your employer's policy... ask them. 6 months is pretty common, but not by any means

  18. Male Nurses, the reality of false allegations and the potential dooming effects

    Cowboyardee replied to downsouthlaff's topic in Men in Nursing

    Back when I was a CNA, I was pulled into the administrative office. There were a few suits there - people I had never seen in the small facility where I worked. It turned out that a patient who had...

  19. Clinical Judgement Call...Not sure if I did the right thing

    Cowboyardee replied to AvaRose's topic in General Nursing

    10/10 epigastric pain, diaphoresis, recent hx of MI...You definitely have to at least send them somewhere that can check an EKG. Your judgment was

  20. Should I have volunteered to stay overnight?

    Cowboyardee replied to purplegal's topic in General Nursing

    You know your situation better than I do. - if you absolutely NEED this place on your resume... - if you live and work in an area where it's hard for RNs to get new jobs and easy for facilities to...

  21. I need HELP given ultimatum, short term jobs on resume, mgr changed schedule

    Cowboyardee replied to Michellelove's topic in General Nursing

    I had assumed that the OP was talking about working five 8-hour shifts per week rather than three 12s. But if you're correct that the manager was demanding overtime as a condition of the OPs...

  22. I need HELP given ultimatum, short term jobs on resume, mgr changed schedule

    Cowboyardee replied to Michellelove's topic in General Nursing

    I don't think it's good policy to work for managers who renege on your hiring conditions right off the bat. They're telling you right there that your needs aren't an important consideration and that...

  23. Should I have volunteered to stay overnight?

    Cowboyardee replied to purplegal's topic in General Nursing

    They can say what they want. They don't have the staff to fire you. And if they don't want to have managers stay late to cover, they need to stop staffing with such a razor thin margin of error, hire...

  24. Can there be labored resparations (not agonal) with a pulse??

    Cowboyardee replied to 1CAnursepain's topic in General Nursing

    Once again, I'm not trying to brow beat you here. You had a patient who was very sick, identified as sick, and coded - these things happen and are not always preventable. As to whether there was...

  25. Help! I think nursing is not for me!!

    Cowboyardee replied to lmr14's topic in Canada

    What didn't you like about the LTC positions? Honestly, you've kind of been jumping around in different jobs without ever really building a strong base of the nursing skills you might need to be...