Cowboyardee

Cowboyardee

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All Content by Cowboyardee

  1. NEW nurse, too soon to leave my first job?

    Cowboyardee replied to NewNurse.2016's topic in General Nursing

    It's not the end of the world or the end of your career. It does, however, look bad on a resume and tends to screw over the unit that hired and trained you somewhat. You wouldn't be the first nurse to...

  2. "Eat their young"

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

    Stop talking nonsense about nurses eating their young. You made a newbie mistake; a coworker identified this and directed it to the person responsible for educating you; said educator did her job. I...

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

    Cowboyardee replied to 1CAnursepain's topic in General Nursing

    I don't mean any offense by this, but I'm a little confused by your post. I would expect an RN to know whether a patient could have a pulse and labored breathing at the same time, and (just being...

  4. Pain medicine to drug addict?

    Cowboyardee replied to MrBlueSky's topic in Patient Medications

    You're right. +1 this. And just to be clear - even if the patient were a current drug addict, that is no justification for denying them pain medication in a situation where you would expect them to...

  5. EQ Versus IQ

    Cowboyardee replied to madwife2002's topic in General Nursing

    I've seen a few nursing-focused articles on emotional intelligence, and I'm often surprised at how these articles adopt such a sunny and simplistic view of the subject, as though high emotional...

  6. New charge nurse - needing advice!

    Cowboyardee replied to bluebirdflyx's topic in General Nursing

    Simple. You're charge nurse - so when a call light goes off, pick a nurse or CNA who doesn't often answer lights and say, "Hey, _______, get that light please." Don't say it angrily. But no pleading...

  7. Foley Cath Insertion

    Cowboyardee replied to sammiesmom's topic in Critical Care

    I can think of many situations where a vented patient is hemodynamically stable (e.g. the patient who's been trached and on a vent for years and may seldom even have his vital signs checked)....

  8. Handled this situation wrong??

    Cowboyardee replied to givxnchy's topic in General Nursing

    You seem to be conflating a few things. You should suction if the patient had audible secretions and is unable to clear them on his own, especially if the patient also has signs of dyspnea. When you...

  9. advice from nurses- patient unfair to tech

    Cowboyardee replied to loovecorinth134's topic in General Nursing

    My lord, that has to be one of the most ****ed up things I've ever heard of someone doing in the name of 'customer service.' I would have been livid and probably not very professional if I had been in...

  10. Jobs in nursing in social justice

    Cowboyardee replied to michaelaellie's topic in General Nursing

    One thing about the disenfranchised, downtrodden, and underprivileged: they often need medical attention. I hope you don't take offense when I point out that it's a waste for a nurse to get arrested...

  11. Do you pre-inflate the balloon on a foley cath?

    Cowboyardee replied to VegGal's topic in General Nursing

    I was taught to pre-inflate back when i learned. I am aware that this is no longer standard practice. I see nurses do it both ways. I very much doubt it makes any significant difference either way and...

  12. Being Pulled into the Office for calling CAT

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

    Unit managers who don't support their nurses' decisions to call rapid response teams (CATs, STAT teams, etc) are spineless and a danger to both their staff and the patients in their unit. Start...

  13. NP's answering to Nursing Management?

    Cowboyardee replied to ohiosam2's topic in Nurse Practitioners, NP

    I don't understand. In the above post you're talking about standards of care and your concern for whether NPs should be allowed to practice independently given the disparity between NP and MD...

  14. Fired, no proof or investigation. Please help

    Cowboyardee replied to Fnj9977's topic in General Nursing

    Sorry this happened to you. I'm gathering we can assume you were fired primarily on the influence of the hospital chaplain, and that the bullying complaint is more likely than not just a pretense? If...

  15. Central line compatibility

    Cowboyardee replied to mfarmer88's topic in Critical Care

    In that case, I'd guess Hawaiicarl is probably right - the director of the ICU is off her rocker (why was she even involved in the first place?) and the other nurses didn't want to publicly point out...

  16. Central line compatibility

    Cowboyardee replied to mfarmer88's topic in Critical Care

    Sounds vaguely Kafkaesque. Answer 1a: Yes, central lines are designed so that non-compatible medications can be run through different lumens at the same time. Each lumen has its own discreet path...

  17. New nurse and feeling so discouraged

    Cowboyardee replied to KHT's topic in General Nursing

    I agree pretty much with what bsnbedone wrote. Also, you ask if there will ever come a point where you get everything done. Well, not really. You get faster and more efficient as you gain experience,...

  18. Nursing Admissions: A Frustrated Student's Manifesto

    Cowboyardee replied to medicapoetica's topic in General Nursing

    Sorry you've been having trouble. I have to say though, of all the aspects of the nursing career that seem unfair, arbitrary, callous, or otherwised thoroughly f***ed, the school admissions process...

  19. 1 year into nursing, still feel like things don't "click"

    Cowboyardee replied to TarheelGirlx3's topic in Patient Safety Issues

    Nah, not really. I would expect a seasoned ICU nurse to know exactly what the problem was, though it's understandable that a newer one might not and there's no reason or excuse for going out of her...

  20. ScvO2 vs functional hgb saturation?

    Cowboyardee replied to christophermiles's topic in Critical Care

    I'm not sure I'm understanding you, but I'll try to take a stab. Where I've worked, we don't explicitly use the term 'functional hgb saturation' to distinguish from a fractional saturation. But my...

  21. New RN and I feel alone and lost

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

    It's not clear if you're looking for advice or just

  22. want to become a nurse

    Cowboyardee replied to ctongue's topic in Men in Nursing

    FWIW, RNs working for a paycheck seem to do at least as good of a job as those who pride themselves on responding to their calling. The latter tend to get burnt out; the former may not be as...

  23. Needle stick injury HIV positive

    Cowboyardee replied to cdernurse's topic in General Nursing

    The odds of hiv transmission after a stick from a needle contaminated with the virus is usually listed at somewhere between 2 and 3 out of 1000 sticks. Hep c has similar odds. Hep b has substantially...

  24. Why do Critical Care nurses look down their noses at Med-Surg nurses?

    Cowboyardee replied to marisatheresa's topic in Critical Care

    What on earth does that even

  25. Serum bicarb - CO2?

    Cowboyardee replied to brit_RN_'s topic in Critical Care

    I believe the question is whether a serum bicarbonate (listed as CO2 on a BMP) is the same thing as an arterial bicarbonate value (listed as HCO3 on an ABG). I understand that the two are not,...