Cowboyardee

Cowboyardee

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All Content by Cowboyardee

  1. Am I a coward for going on FMLA due to COVID?

    Cowboyardee replied to ML1376's topic in Disaster Preparation

    Ill offer a dissenting opinion, but its not really directed at the OP, who has risk factors that I dont share - I'm in no position to judge such a hard decision about someone else's life. Here goes...

  2. My post-op med surg floor has now turned into a COVID unit & I am afraid to catch the virus & spread it to my family ..

    Cowboyardee replied to Sherlsx3's topic in Disaster Preparation

    Courage isn't the absence of fear; it's doing the best you can even though you're afraid. I think a lot of us are about to find out we're braver than we thought and stronger than we realized. You're...

  3. Acute COVID, What We're Seeing

    Cowboyardee replied to MunoRN's topic in Disaster Preparation

    How are you doing in terms of having enough trained personnel to manage the influx of critical patients? I anticipate that even more than limited rooms, medications, ppe, and ventilators, it's the...

  4. Why is BSN required for CRNA?

    Cowboyardee replied to MM1989's topic in General Nursing

    Assuming I'm understanding you correctly and you're comparing the BSN curriculum to the ADN or diploma RN curricula, that's not really true. There's no additional pathophysiology at all, and...

  5. Potential new employer trying to rush me into accepting job offer.

    Cowboyardee replied to sjukskoterska2020's topic in General Nursing

    This. Take the job if it suits you. Or not. But don't let their pressure worry you that you're losing a once-in-lifetime opportunity if you don't act now. Keep looking and applying with confidence...

  6. CMA playing "Nurse Manager?" CMA boundaries? NPD?

    Cowboyardee replied to RenaissanceNurse's topic in General Nursing

    If the person interviewing you hadn't made such a big deal out of it, I would say that you are making too many assumptions about the CMA and also putting far too much weight on her education level and...

  7. I have a 1:1 meeting with my hospital's Vice President tomorrow

    Cowboyardee replied to RNdonut's topic in Nursing Professionalism

    Big question: did the VP set up a 1:1 with you to discuss staff morale and problems with your unit manager, or are you intending on just to stay after a scheduled meeting on shared govt issues and...

  8. Is my license at risk?

    Cowboyardee replied to Hollywood77's topic in Nursing Professionalism

    Question and, if necessary, refuse to follow any grossly incorrect and dangerous orders, documenting as needed. If you're in an acls situation and you are acls certified, typically you can follow acls...

  9. Can’t a nurse be fired?

    Cowboyardee replied to Barbara Fouch Lentz's topic in General Nursing

    In fairness, just because the care provided may have been reasonable/the norm doesn't necessarily mean that the nurses in question weren't fired for it anyway. Without more information, I have no...

  10. Preceptor has 1 and half year of work experience

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

    People more experienced than your preceptor have put NG tubes into the lung. That's one reason why we get an xray. Look around your new unit: does your preceptor seem like the only one in over her...

  11. Why is BSN required for CRNA?

    Cowboyardee replied to MM1989's topic in General Nursing

    I'm right there with you. However, I'm pretty sure the main reason those two classes are difficult is because they are usually terrible classes that add nothing much to our overall education. Could...

  12. New dialysis nurse - blood collection question

    Cowboyardee replied to mariok's topic in General Nursing

    Dialysis ports are called 'venous' and 'arterial' by dialysis techs and nurses, but in reality both lumens are actually venous. At least for TDCs and Quinton caths. I have no particular experience...

  13. Interview Question

    Cowboyardee replied to Ach1904's topic in General Nursing

    You presumably don't have much/any experience working as an RN, so your answer doesn't have to be clinical necessarily. For the most part, its a soft ball question, and the only wrong answers are ones...

  14. Big Decision Please HELP!!

    Cowboyardee replied to Jorge Rivero's topic in General Nursing

    Its typically easier to transfer into OR nursing after a few years in another specialty (meaning that if you maintain your contacts, you'll still most likely be able to get hired) than it is to...

  15. How long to run a code?

    Cowboyardee replied to smary8055's topic in Critical Care

    First off, I'd recommend checking texas state laws, on the off-chance that any laws on the books or your state practice acts specify how a patient must be pronounced in your state. Second, assuming...

  16. Level 1 Trauma ICU vs Community MICU

    Cowboyardee replied to WhatNextRN's topic in Critical Care

    Have you shadowed on the MICU near you? If not, I'd suggest requesting a few hours on that unit ASAP and making your decision with that information. The unit culture matters a lot. Also, leaving a job...

  17. Tele placenta

    Cowboyardee replied to Tristin Brownlee's topic in Cardiac

    I don't know the reason for certain, but I can give you a few speculatove answers from my own experience: 1) there may be more artifact and possibly lower amplitude using stickers on the limbs rather...

  18. Plant-based (vegan) mandate for NY hospitals

    Cowboyardee replied to Emergent's topic in General Nursing

    I believe that gelatin is a common ingredient in gel caps. Could be wrong. Animal testing is, of course, ubiquitous. Also, an astounding number of medical supplies rely on the harvesting of...

  19. Doctors offended by TV show about nurses

    Cowboyardee replied to FullGlass's topic in General Nursing

    The blog in question took offense to a voiceover that implied nurses do their job not for the country club, the fancy cars, the limelight, or their egos, unlike doctors. It seems the offending...

  20. Feeling defeated and alone. Advice on finding a mentor

    Cowboyardee replied to torpedohamster's topic in General Nursing

    Some workplaces run official mentoring programs, wherein newer nurses are paired up with nurses experienced in the field in order to touch base, talk over clinical matters, add a little supplemental...

  21. Code Blue: Just Trying Figure Out What Happened?

    Cowboyardee replied to Binz's topic in General Nursing

    I don't know that I would go so far as to say that an elevated lactic acid level is normal for patients in renal failure. Metabolic acidosis driven by decreased bicarb production or buildup of other...

  22. Pulse Checks and Epi

    Cowboyardee replied to brookalyn's topic in Critical Care

    Mostly we follow protocol. I have on occasion seen the code team hold off on a pulse check for an additional 30 seconds or so if the epi was just administered and the compressor is not looking...

  23. Why is BSN required for CRNA?

    Cowboyardee replied to MM1989's topic in General Nursing

    There's nothing wrong with APA formatting or being graded on your use of it. I doubt Armyrntomd is claiming otherwise. I suspect my RN to BSN experience has been similar to Armyrn's in that I've...

  24. PICC Lines And Air Bubble

    Cowboyardee replied to NewNurseDee's topic in General Nursing

    For a venous air embolism, you would need about 100 cc of air injected to the heart in about the course of 1 second. It basically couldn't happen through a picc line (though it can theoretically...

  25. Why is BSN required for CRNA?

    Cowboyardee replied to MM1989's topic in General Nursing

    I've said many times (and often enough on this forum) that classes in nursing theory, professional practice, and leadership are junk, with no particular standard for research or evidentiary support,...