Cowboyardee

Cowboyardee

Member

  • Content

    472

  • Visitors

    10,022

  • Followers

    0

  • Likes

    863

All Content by Cowboyardee

  1. Angry..

    Cowboyardee replied to JellyDonut's topic in Critical Care

    If I were to assume your post is not simple trolling, the likely explanation for your problems is simple: the hospital you're applying to likes all those letters after your name, but your former...

  2. Baby Boomers, Gen X'ers, & GenY/Millennials: Can We Work Together?

    Cowboyardee replied to Bridgid Joseph's topic in General Nursing

    I'm not offended. I just think you're wrong. Look, these kinds of generalizations are fun to make. They have some kernel of truth to them (they're stereotypes for a reason). They're maybe even useful...

  3. New nurse on the floor

    Cowboyardee replied to Tinkers33's topic in General Nursing

    There are more things than I can list really. Here's a table listing medications that should be taken on an empty stomach vs meds that should be taken with food: Drug-Food interactions: what...

  4. Baby Boomers, Gen X'ers, & GenY/Millennials: Can We Work Together?

    Cowboyardee replied to Bridgid Joseph's topic in General Nursing

    I'll preface by saying that I mean no offense... I more or less disagree with the premise here. Not that we need to work together as a team, get past differences, and all that - that's obviously true....

  5. Yellow Sashes for Med Passes

    Cowboyardee replied to Testa Rosa, RN's topic in General Nursing

    Is your hospital taking cues from a medical satire site? Hospital Mandates Nurses Wear Yellow Safety Belts While Checking Out Pyxis Medications |

  6. What type of pacer from a 12-lead?

    Cowboyardee replied to Cohiba's topic in CCU, Coronary, Cardiac

    Unfortunately, it's trickier than that, but also a little hard to explain. When you see a pacer spike initiating a QRS complex, you know the patient is ventricular paced. When you see a pacer spike...

  7. Dexterity Issues/Issues with Learning Skills

    Cowboyardee replied to purplegal's topic in General Nursing

    I tend to think that if someone has the dexterity to type adequately, they have the dexterity to learn to complete most nursing tasks efficiently. Which is to say nothing of some of the nursing...

  8. ABG Results, Explain this to me....

    Cowboyardee replied to MillsAnthonyRNTL's topic in Critical Care

    I could hazard a guess, but my explanation would be pretty mundane. I don't know why your blood gas wouldn't include an sao2. As for the bicarb value missing, it's missing because bicarbonate is not...

  9. Clinic vs. Floor nursing

    Cowboyardee replied to MingaL's topic in General Nursing

    If those who are telling you how awful the floor is are your coworkers in the clinic, you might be running into a little self-selection bias in the opinions you're hearing. I'm sure all the things...

  10. "Smart" students make bad nurses?

    Cowboyardee replied to joseyjo's topic in General Nursing

    On the one hand, if you go looking for A students who had a hard time transitioning to the workplace, you'll find them. It's simple confirmation bias. No one really goes looking for B students who...

  11. "Smart" students make bad nurses?

    Cowboyardee replied to joseyjo's topic in General Nursing

    It's not even close to the only profession in which people question the benefit and net effects of greater formal education

  12. didn't call about anticoagulation

    Cowboyardee replied to sweetstrwbrry1's topic in Patient Safety Issues

    Here's the good news: I very much doubt you're going to get in any serious trouble over this. For one, the people who got worked up about it aren't responsible for disciplining you. The night nurses...

  13. Is a fall occurrence of "zero" possible?

    Cowboyardee replied to nursidosis's topic in General Nursing

    Humor me please, as I rail against one of the worst misconceptions in health care... Most likely, the correct number of falls on a unit (NICU, etc, aside) is not 0. The correct number of CAUTIs or...

  14. Type B in a Type A world

    Cowboyardee replied to ThePrincessBride's topic in General Nursing

    One of the biggest problems with being new in some specialty or the medical field in general is that you don't really know when to call bull****. Is your coworker belaboring a small point because he...

  15. Too Old to Enter Critical Care Nursing?

    Cowboyardee replied to Fiddlesticks27's topic in Critical Care

    I don't mean to generalize based on age - I've seen both very young nurses just out of nursing school and near-retirement age nurses at the end of their careers (as well as older nurses just out of...

  16. Recovering addict needing some advice or anyone that cares to listen please

    Cowboyardee replied to RCLPN's topic in Nurses Recovery

    I don't have any personal experience with abusing narcotics or being accused (thank God). But I have worked at a facility where a number of nurses were fired for suspected diversions in what I now...

  17. About to quit med-surg

    Cowboyardee replied to Newbie_1's topic in Medical-Surgical

    It was only an apology in the event that I was misreading your tone. In this thread, you've managed to call another poster, who was blunt but not exactly disrespectful, an ******* (there are only so...

  18. IMCU to ICU transition seeking advice

    Cowboyardee replied to emac877's topic in Critical Care

    Generally, I think ICU experience on your resume at this point could only help, assuming your leave your IMCU on good terms. As for the transition... tough to give much general advice. On one hand,...

  19. About to quit med-surg

    Cowboyardee replied to Newbie_1's topic in Medical-Surgical

    I suspect that if you were to poll acute care RNs and ask whether they'd support mandating lower ratios, most would readily agree. I would. I didn't necessarily say that 7:1 is all good. Just that it...

  20. PEEP and blood pressure/other hemodynamics

    Cowboyardee replied to sunnybabe's topic in Critical Care

    You got a lot of answers to the first question. I'll take a stab at the other two. 2- The more obvious answer is that since increased intrathoracic pressures can impede cardiac output, you could...

  21. About to quit med-surg

    Cowboyardee replied to Newbie_1's topic in Medical-Surgical

    AFAIK California is the only state to pass a set-in-stone mandatory ratio to be followed at all times for med-surg floors. And the mandate is 6:1. Better, but not as far from your experience as you...

  22. Do Bachelor's Degrees Save Lives? - The Facts about Earning a BSN

    Cowboyardee replied to Rasmussen University's topic in General Nursing

    I think you'll find very few ADNs and diploma RNs complaining that they're barred from nursing administration. Most of us either have little interest in administration or else suck it up like big...

  23. Have you ever worked with someone who had such a nasty attitude that it was almost hostile

    Cowboyardee replied to 1Jessie86's topic in Patient, Colleague Relations

    No offense, Future, but have you worked in nursing yet (and not just elsewhere in a hospital)? I don't think it works quite the way you do. If you go nuclear and try to get your coworkers fired...

  24. Have you ever worked with someone who had such a nasty attitude that it was almost hostile

    Cowboyardee replied to 1Jessie86's topic in Patient, Colleague Relations

    Some people suck. Everywhere, and in every field. Some nurses suck. The trick is all in how you deal with it. I'd love to say that nursing is some utopian profession where kindness, compassion, and...

  25. Do Bachelor's Degrees Save Lives? - The Facts about Earning a BSN

    Cowboyardee replied to Rasmussen University's topic in General Nursing

    I'm not actually opposed to increasing educational standards for RNs. In theory. But there are (at least) two major problems with 'evolving' our profession in this way as it stands right now. 1- The...