Cowboyardee

Cowboyardee

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All Content by Cowboyardee

  1. Conflict with Charge - 6 Month Review

    Cowboyardee replied to Roggae's topic in General Nursing

    Tough situation. I see that other posters are recommending you switch jobs; that is an option, but I understand your concerns about how it looks on your resume. Really, I suspect that particular...

  2. I hate my job... :(

    Cowboyardee replied to sophie<3's topic in General Nursing

    Oh. Well, when you say it all confidently and without any kind of backing like that, I guess it must be true. I agree it's not the absolute ideal situation. It might be a particular problem for the...

  3. Tele or m/s? Which is less demanding?

    Cowboyardee replied to Wheaties's topic in Cardiac

    That's kind of like asking is 'recreation' is easier than 'sports'; the two terms don't quite mean the same thing but there's a whole lot of overlap. At least everywhere I've worked, 'tele' just means...

  4. I hate my job... :(

    Cowboyardee replied to sophie<3's topic in General Nursing

    - 8 preceptors isn't really a problem. It's frustrating, perhaps, but you get to know your coworkers and see that there's more than one way to skin a cat. - Not getting any sick patients on...

  5. Linguistic Pet Peeves

    Cowboyardee replied to Jedrnurse's topic in General Nursing

    Someone's probably said it by now, but as far as nursing goes I really hate it when someone tells me "the patient is alert and oriented x 2, but somnolent and has difficulty staying awake." It's as if...

  6. Who Should Clean Up, Offgoing Shift or Oncoming Shift?

    Cowboyardee replied to Kooky Korky's topic in General Nursing

    There is no officially codified list designating which things are acceptable to gripe about. There is, however, a kind of unofficial etiquette that most ICU nurses who have been around a while pick up...

  7. Who Should Clean Up, Offgoing Shift or Oncoming Shift?

    Cowboyardee replied to Kooky Korky's topic in General Nursing

    It's an ICU. Many ICUs don't have nurse

  8. Baby RN's running ICU?!!

    Cowboyardee replied to kmarieCCRN's topic in Critical Care

    Two points: 1) The problem is not the fault of the new grads in an ICU for applying to the job. It's the fault of hospital management for not recognizing the value of experienced nurses, especially in...

  9. Who Should Clean Up, Offgoing Shift or Oncoming Shift?

    Cowboyardee replied to Kooky Korky's topic in General Nursing

    It's oncoming shift's responsibility. You get paid to do good work for 8 hours, not to make sure everything is perfect regardless of the day's circumstances. By those standards in an ICU, on some days...

  10. Husband became a RN

    Cowboyardee replied to NurseLady1210's topic in General Nursing

    I suspect you need, in no particular order: - Marriage counseling. Some of your issues with your husband seem like very legit complaints (him leaving you with all the financial responsibility, for...

  11. Serum bicarb - CO2?

    Cowboyardee replied to brit_RN_'s topic in Critical Care

    Because serum CO2 is essentially a measurement of bicarb. Bicarb is indeed HCO3, but it's not transported in the body in that form. It is readily changed back and forth in the body from bicarb (HCO3)...

  12. Sodium bicarbonate push

    Cowboyardee replied to lvcrn's topic in Critical Care

    You're certainly correct that a patient needs adequate ventilation in order to fully metabolize bicarb and raise their pH. But I believe there are some other mechanisms at work behind that common...

  13. Bradycardic STEMI

    Cowboyardee replied to miamiheatrn's topic in Emergency

    Thanks for the explanation. You seem to know this situation pretty well. If you don't mind me picking your brain a bit, I have a few more questions: You said that dopamine can worsen septal shifting...

  14. Bradycardic STEMI

    Cowboyardee replied to miamiheatrn's topic in Emergency

    Take a second look at the BP. Dobutamine is dilates blood vessels (which is good for coronary arteries in an MI) but presents a double edged sword when it comes to cardiogenic shock. The BP is already...

  15. Getting so busy and forgot to notify the charge nurse about a small med error

    Cowboyardee replied to georgya3's topic in General Nursing

    That depends heavily on the nature of the problem a nurse is having. Ultimately, repeatedly taking over the 'hard' parts of another nurse's job and bailing them out instead of showing them how to do...

  16. Getting so busy and forgot to notify the charge nurse about a small med error

    Cowboyardee replied to georgya3's topic in General Nursing

    Wait... what? Seriously, there are all sorts of things that seem messed up in this thread, but that has to be the worst by some margin. Don't ever let yourself get off orientation on a job without...

  17. question for Nursing

    Cowboyardee replied to tolojede1's topic in Nursing Student Assistance

    This sounds an awful lot like

  18. lactic acidosis in status asthma

    Cowboyardee replied to zzyzx's topic in Critical Care

    Likely this. I've seen people in shock just from increased intrathoracic pressure during a particularly severe episode (lots of breath stacking, very high auto peep). In many circumstances, I would...

  19. BSN and Associate Nurses Are Neck and Neck. Will This Change?

    Cowboyardee replied to allnurses's topic in General Students

    No problem. Just sayin, is all. In truth, I do not seek to practice independently, and do not really believe that nurses without advanced degrees should be able to (though I'd be willing to hear any...

  20. BSN and Associate Nurses Are Neck and Neck. Will This Change?

    Cowboyardee replied to allnurses's topic in General Students

    I gotta agree with rzyzzy here. Be careful what you wish for. There are legal protections in place for hourly workers that are not typically applied to 'professionals.' Would you strip your coworkers...

  21. BSN and Associate Nurses Are Neck and Neck. Will This Change?

    Cowboyardee replied to allnurses's topic in General Students

    I addressed some parts of your post above (bold, underlined, in the quote), but I'll cite an example here. In truth, I have neither the time nor the inclination to address every single study that has...

  22. BSN and Associate Nurses Are Neck and Neck. Will This Change?

    Cowboyardee replied to allnurses's topic in General Students

    Based on the anecdotal evidence of reports from people who have taken the RN to BSN route. And based on personal experience. Flimsy, you might say. Sure. But here's the thing - the data that supports...

  23. When to call a code

    Cowboyardee replied to JenHRN's topic in General Nursing

    I'm an ICU charge nurse, run STAT and code teams, etc... so I'd probably qualify as relatively experienced staff. And I say call the code. Let's put it this way. If your patient's heart was not...

  24. BSN and Associate Nurses Are Neck and Neck. Will This Change?

    Cowboyardee replied to allnurses's topic in General Students

    Have you taken part in an RN to BSN program? I understand that direct clinical work is not the only path to better clinical practice. The problem is that the non-clinical work in these programs has...

  25. Priority scenarios

    Cowboyardee replied to miamiheatrn's topic in General Nursing

    I'm assuming this is an in-person interview where you'll be answering these questions. If I'm wrong, please correct me. For these kinds of interviews, bear in mind that often the most important part...