Cowboyardee

Cowboyardee

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All Content by Cowboyardee

  1. Millennial Nurses Have Issues

    Cowboyardee replied to Nurse Yoni's topic in General Nursing

    Millenials are individuals like everyone else. Generalizations about millions of people based on a 15 year birth window will invariably wind up being so inaccurate as to be completely pointless. Sure,...

  2. I’m in a toxic relationship with the ER

    Cowboyardee replied to Wbm33's topic in Health, Stress Management

    Normally, I'd offer up life advice about coping and setting expectations or whatever - some of the advice you've already gotten is quite good. But in this case, I'll just add that you sound like some...

  3. Not good enough to be an RN

    Cowboyardee replied to ilooc72's topic in Health, Stress Management

    Ruby got it right in the first place: you haven't given yourself enough time to become competent in any particular area before jumping ship and finding a different area to be new and inexperienced at....

  4. Why do RNs choose to work in nursing homes?

    Cowboyardee replied to usethehaldol's topic in General Nursing

    Tight job market in many places, for one thing. LTC is one of the fields most willing to hire. Besides that, everyone has their reasons. Flexible hours (for some), friends or family working at the...

  5. Am I too stupid to be a nurse?

    Cowboyardee replied to iconicqueen's topic in General Nursing

    I think anxiety is more likely your problem than intelligence. A panicky mental state is not at all conducive to clear thinking, focus, and organization. For whatever it's worth, the mental demands...

  6. Stethoscope recommendations?

    Cowboyardee replied to Morelaur288's topic in Critical Care

    Thanks, and very true. I just wanted to add that youtube is a great resource for this kind of thing because you can get decent recorded examples of different adventitious sounds along with discussion...

  7. I feel like I’m not taken seriously?

    Cowboyardee replied to mph53953's topic in Critical Care

    Right now you are inexperienced in critical care. April 2019 wasnt long ago, and it takes, realistically 1-3 years just to be competent in an ICU. That's a bigger issue than being young looking....

  8. Stethoscope recommendations?

    Cowboyardee replied to Morelaur288's topic in Critical Care

    Got the littman cardiology (4 I think) as a present, and I like it a lot. Even the cheaper littmans arent bad either. I haven't seen too many double-tubes stethoscope that are awful regardless of...

  9. New Nurse, Med Error = Lost Job

    Cowboyardee replied to NewRN9423's topic in General Nursing

    I think your attitude of trying to learn from this and improve your practice is commendable. So please bear that in mind and try not to be offended by what I'm about to suggest. Replacing a new hire...

  10. New Grad learning how to deal with manipulative parents/families

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

    A degree of not particularly combative world-weariness often helps with these kinds of situations. Once you determine that a patient or visitor is being manipulative, it helps if your demeanor...

  11. Proactive not Reactive

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

    I can think of two basic solutions. They are not mutually exclusive. One is to make sure that you have experienced nurses present in rounds with a list of concerns and anticipated complications so...

  12. Impersonating a nurse

    Cowboyardee replied to Elleveein's topic in Nursing Professionalism

    Wow. Thanks for the long- term update. Kind of amazing how little accountability there is above the level of individual licensed practitioners. I wonder if anyone could shed some light on more...

  13. New grad nurse - how long did it take you to feel like you knew your job?

    Cowboyardee replied to The0Walrus's topic in General Nursing

    Back when I started in med surg, I don't entirely remember. I know I was super slow for at least 6 months. I probably was confident and vaguely competent within a year and a half and actually good at...

  14. Preceptor is SO BAD!

    Cowboyardee replied to Guest606's topic in General Nursing

    Part of the problem for this kind of topic is that it really lends itself to projection. People who've had genuinely useless or malicious preceptors can easily imagine the OP as themselves and cast...

  15. Preceptor is SO BAD!

    Cowboyardee replied to Guest606's topic in General Nursing

    Her preceptor has been there for 7 years. If her unit manager doesn't already have a pretty good idea of how she practices and her M.O. as a preceptor (and she isn't brand new to the unit herself),...

  16. Webcams in Nursing Homes?

    Cowboyardee replied to traumaRUs's topic in Nursing News

    This has the potential to aggravate the elephant in the room problem for LTC in this country - we all want high quality, well-staffed LTC facilities but we are collectively unwilling to pay for them....

  17. RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    Cowboyardee replied to tnbutterfly - Mary's topic in Nursing News

    There's no indication at all that she hid her error. The primary nurse found the error presumably because RV hadn't yet realized that she made one. She did not dispose of the vial or concoct stories...

  18. Preceptor is SO BAD!

    Cowboyardee replied to Guest606's topic in General Nursing

    It is very possible that the whole unit is a wreck, based on some of the practices described and the preceptor's reputation. However, for a new grad on the unit 3 days so far, that's a much harder...

  19. To Vaccinate Or Not To Vaccinate, That Is The Question

    Cowboyardee replied to Joe V's topic in Disaster Preparation

    I think you took my post to be argumentative or sarcastic when it was meant to be earnest. A lot of this thread has been so argumentative and meandering that it's difficult to separate the wheat from...

  20. To Vaccinate Or Not To Vaccinate, That Is The Question

    Cowboyardee replied to Joe V's topic in Disaster Preparation

    What specific studies would you consider to be the strongest and least disputible evidence of the 'fact' of this causal relationship? That's not a rhetorical question - I'd like to know. Apologies if...

  21. Preceptor is SO BAD!

    Cowboyardee replied to Guest606's topic in General Nursing

    The quote above is a pretty good indication that it might be a bad idea to go to war with her on her own unit. Look, she's surely precepted before, and it's pretty unlikely that all of her orientees...

  22. Do male nurses face gender bias in nursing education?

    Cowboyardee replied to SafetyNurse1968's topic in General Nursing

    I've encountered the occasional whiff of bias (or even outright bias), but these are exception to the rule and haven't seriously affected my life or career. And anyway, biases cut both ways. What...

  23. RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    Cowboyardee replied to tnbutterfly - Mary's topic in Nursing News

    I work as charge nurse, do quality improvement, investigate mishaps and various hospital acquired illnesses, etc. So yes. That's what they pay me for. But also, I routinely look at prior charting for...

  24. RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    Cowboyardee replied to tnbutterfly - Mary's topic in Nursing News

    Nurse who never carries a stethoscope, no disposables to be found; posterior lung sounds charted on patient who either could not he effectively rolled or at least obviously hasnt been rolled recently;...

  25. RaDonda Vaught Update - State Health Officials Reverse Decision and File Medical Disciplinary Charges

    Cowboyardee replied to tnbutterfly - Mary's topic in Nursing News

    No need to feel bad about the hominem - I've embarassed myself before, ill surely embarrass myself again, and that was my doing, not yours. I'm fine with leaving it at that for the time being. As I...