Cowboyardee

Cowboyardee

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All Content by Cowboyardee

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

    Cowboyardee replied to Emergent's topic in General Nursing

    In principle, offering a vegan option sounds pretty reasonable. It's healthy (generally), it respects patient's preferences, non-vegans might also benefit from the same options, it shouldn't be super...

  2. Between a Rock and a Hard Place

    Cowboyardee replied to StillSearchingRN's topic in General Nursing

    With no offense at all intended, what would you expect your manager to say? Either your workplace could survive without the work you do, in which case there's no particular necessity for you to...

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

    Cowboyardee replied to Binz's topic in General Nursing

    Yeah, I missed the later posts where the OP recalled the physician looking at the xray and saying it was definitely pneumonia. For whatever it's worth, some CXRs clearly point to one diagnosis or...

  4. Between a Rock and a Hard Place

    Cowboyardee replied to StillSearchingRN's topic in General Nursing

    This might make you feel better: Ask around your coworkers - ones that you trust, and who have been around for a while - and ask others in other departments if possible: has anyone actually seen a...

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

    Cowboyardee replied to Binz's topic in General Nursing

    Levo is the first line pressor for septic shock. But it seems that the game plan for cardiogenic shock is changing with new data. It seems that dopamine is no longer favored due to high mortality...

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

    Cowboyardee replied to Binz's topic in General Nursing

    Laying her back down was a good call. One major thing to keep in mind for next time though: if a patient in shock or suspected shock suddenly complains of nausea and becomes sweaty, those can be signs...

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

    Cowboyardee replied to Binz's topic in General Nursing

    Good discussion. Here are a few thoughts to add: Without more info, labs, etc these things can be impossible to sort out. I'd love to look at an ABG, cxr, bmp, full echo report (not just the EF), etc....

  8. Did I already screw up my nursing career?

    Cowboyardee replied to Nursing2019BSN's topic in General Nursing

    A resume isnt the same thing as a listing of your work history. It is the face you want to present to prospective jobs. Feel free to leave things off if it makes you more presentable. On the other...

  9. Nursing Student balance Preventing NCLEX-RN attempt

    Cowboyardee replied to Nursinglife090's topic in General Nursing

    If you're a good student and you study enough, you will be able to pass the nclex whether you take it now or in a few months. Keep studying, and you'll be fine. If you have a shred of credit and you...

  10. I am struggling as a new grad! need advice!

    Cowboyardee replied to DH1234's topic in General Nursing

    When you're brand new, you're usually slow, confused, and error-prone. But you imagine that as you learn more you'll get faster and make fewer errors. 10 months later, many new nurses find themselves...

  11. Starting Med/Surg in 2 weeks. What to study up on beforehand!?

    Cowboyardee replied to LexannLay's topic in General Nursing

    Option 1: rest, eat well, sleep well, see friends and family, get into a good frame of mind to start in a couple weeks, just as others have suggested. Option 2: pick out some subject that interests...

  12. ER to ICU-anyone do it?

    Cowboyardee replied to happyinillinois's topic in Critical Care

    I didn't personally go from ER to ICU, but I've precepted a bunch of nurses making that switch (which isn't particularly uncommon). It's a fairly different kind of thinking than what you may be used...

  13. New Grad Dilemma

    Cowboyardee replied to Nurse1999's topic in General Nursing

    This. Im quoting this post because merely liking it wasn't quite enough. Learn the lay of the land. Learn a little bit about medicine. Heck, learn everything you can to be as good as you possibly can...

  14. Torn between jobs

    Cowboyardee replied to Lovethenurse2b25's topic in General Nursing

    If you're willing to relocate, you can afford to be a little more picky about which jobs you take. Cast a wide net in your job applications. And agreed that high turnover and constant short staffing...

  15. Torn between jobs

    Cowboyardee replied to Lovethenurse2b25's topic in General Nursing

    What would you like to do long term? Is relocating an option for you either in the short term or the long term? How badly do you (and your kid?) need benefits? I generally lean towards the "build...

  16. Case Study(CSI): Stomach flu? Anxiety? What's Going on Here?

    Cowboyardee replied to SafetyNurse1968's topic in Critical Care

    There are some conditions that can at times cause significant st elevation thats neither an mi nor benign early repolarization. I do agree that whether or not an mi is actually the most likely...

  17. Gossiping Nurses

    Cowboyardee replied to Beau Wolf's topic in General Nursing

    I'll attempt to rephrase: your coworkers will at some point discuss your job performance, good or bad, amongst themselves. This is neither avoidable or necessarily a bad thing, as it's human nature...

  18. Gossiping Nurses

    Cowboyardee replied to Beau Wolf's topic in General Nursing

    I keep an eye out, catch mistakes, offer help, and coach struggling nurses through difficult situations rather than ignoring them to their own devices and letting them and their patients

  19. Gossiping Nurses

    Cowboyardee replied to Beau Wolf's topic in General Nursing

    If I have to look over a new coworker's shoulder to make sure they're not killing anyone, I prefer to have advance warning. Of course, there are ways of talking about other people's job performance...

  20. Considering ICU.... among several other options

    Cowboyardee replied to Name9335's topic in General Nursing

    My guess would be that you are reasonably competent at your retail job. Your coworkers might take a while to get to know you, but as long as you're pleasant and do the job well, they don't worry about...

  21. Considering ICU.... among several other options

    Cowboyardee replied to Name9335's topic in General Nursing

    Don't get me wrong, btw - I'm not trying to make you feel bad. It's just that we all come out of nursing school as pretty weak and unskilled nurses, but you specifically seem to have some defense...

  22. Considering ICU.... among several other options

    Cowboyardee replied to Name9335's topic in General Nursing

    One thread running through several of your issues is either dismissing concerns/abnormal findings/symptoms/etc sight unseen (whether that's merely a verbal dismissal or actually failing to...

  23. Case Study(CSI): Stomach flu? Anxiety? What's Going on Here?

    Cowboyardee replied to SafetyNurse1968's topic in Critical Care

    Agree with a previous request for an echo. Where I work, a patient with pain/symptoms that are plausibly cardiac in nature and substantial st elevations on 12 lead ecg would likely be whisked away to...

  24. IMC or ICU Preceptorship? HELP!

    Cowboyardee replied to RNBSN2020's topic in General Nursing

    You'll probably learn more in the icu, especially if you haven't had an icu rotation. It wpuld likely be the better learning experience. The biggest upside of an IMC preceptorship is that...

  25. New grad here, just finished first week of icu orientation, and having doubts about myself...

    Cowboyardee replied to BabyRN246's topic in Critical Care

    Its not clear from your post - do you have a preceptor? It would be pretty worisome not to have at least that much. Anyway, if you have a preceptor, bring your concerns to her and develop a plan to...