Cowboyardee

Cowboyardee

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All Content by Cowboyardee

  1. Director who doesn't direct

    Cowboyardee replied to Bohica8286's topic in Patient, Colleague Relations

    For one, I just want to point out that disciplinary action is seldom made a matter of public record, so you should be a little hesitant to assume no action was taken just because you didn't hear about...

  2. Man erroneously circumcised after paperwork mixup

    Cowboyardee replied to klone's topic in General Nursing

    Could you link me to a source for this claim? (I don't mean to sound like I'm challenging you. I'm actually genuinely curious. Please feel free to PM me if you don't want to derail this thread and/or...

  3. I did this so in trouble

    Cowboyardee replied to Flossy73's topic in General Nursing

    In general, you're much safer debating and explaining your own job responsibilities and boundaries than telling a hospital manager (or any medical professional you're not directly responsible for...

  4. Telemetry Unit

    Cowboyardee replied to healthxo33's topic in Critical Care

    Either position sounds like a good opportunity. And either position would be a fine way to start building a base for your career. I would lean towards taking whichever position gave you a better vibe...

  5. Generation Z

    Cowboyardee replied to missmollie's topic in General Nursing

    They tend to be less worried about their backs and still think hemorrhoids are a laughing

  6. Man erroneously circumcised after paperwork mixup

    Cowboyardee replied to klone's topic in General Nursing

    Sounds like that doctor got a little snippy with the wrong patient. *sorry, I couldn't help

  7. POLL - Oxygen titration in your unit

    Cowboyardee replied to MaxAttack's topic in Critical Care

    Depends on the patient. There are many factors. But if you're asking about a standard order, we don't have one. The physician writes an order to "titrate oxygen to maintain a saturation of at least...

  8. Looking for advice: I don't like my salary

    Cowboyardee replied to EternalFeather's topic in General Nursing

    Would finding out that the new grads being paid only 50 cents less than you are also on draconian contracts that prevent them from leaving without paying a financial lump sum make you feel better or...

  9. Drawing labs from CVCs

    Cowboyardee replied to Kastiara's topic in General Nursing

    Really, its a judgement call. Will stopping the drips be too dangerous to justify? Sometimes yes, sometimes no. Depends on the patient and what's running. Will having the drips stay running screw up...

  10. Case Study: Magic Mushrooms as Medicine? Mind-Body Connection Pt. 3

    Cowboyardee replied to SafetyNurse1968's topic in Critical Care

    I suspect that guiding patients toward research on hallucinogens and currently-illegal psychotropic drugs may be both a little premature and possibly out of our scope, as Here.I.Stand mentioned. For...

  11. How to best handle this situation with my instructor?

    Cowboyardee replied to snowlion_m's topic in Nursing Professionalism

    I suspect that explaining yourself without reconsidering your attitudes, assumptions, and response to the day could potentially do more harm than good. If you genuinely believe that your instructor...

  12. Please tell me what to do

    Cowboyardee replied to Moon908401's topic in Patient Safety Issues

    Damned if I know. Ask her about it. Or hire a private eye. Or move. Or find something else to focus your anxieties on, like that shifty-eyed squirrel that always seems to be staring at you when you...

  13. How to best handle this situation with my instructor?

    Cowboyardee replied to snowlion_m's topic in Nursing Professionalism

    You probably came off as standoffish and confused about the directions because you were standoffish and confused about the directions. On the upside, it doesn't really sound like your instructor came...

  14. Pr interval

    Cowboyardee replied to love lilacs's topic in CCU, Coronary, Cardiac

    What does "and so forth..." mean? With no other information available, the most likely scenario is a first degree AV block, with a very slight PR interval variation as a kind of normal variant. But...

  15. Cdiff question

    Cowboyardee replied to ss234's topic in General Nursing

    The number of loose bowel movements is not particularly the decisive factor. C diff infection will most often be accompanied by a fever and/or leukocytosis in a patient who doesn't have other...

  16. Adrenergic agonists cause vasoconstriction or dilation???

    Cowboyardee replied to ijustwanttopass's topic in General Nursing

    Different adrenergic receptors, different sites of action. Clonidine affects alpha 2 adrenergic receptors especially in the brain stem. Epinephrine affects all major adrenergic receptors (alpha 1 and...

  17. Can they just switch me from days to nights?

    Cowboyardee replied to GamerRN's topic in General Nursing

    There's no law saying she can't change your schedule (although if the notice is short enough, sometimes state laws may apply). If you signed any contract, read it closely. If the switch is a...

  18. Interesting case of the spilled pills

    Cowboyardee replied to KCMnurse's topic in General Nursing

    Agreed with Jed. The BON was in the right. 'Just following orders' isn't an adequate defense when those orders are obviously unethical. It would have been a more interesting and ambiguous case if the...

  19. Freaking out over a patient fall!!

    Cowboyardee replied to Zenndaya's topic in Patient Safety Issues

    Indeed. You forgot to add "spineless." The take-home lesson here is: don't help anyone. At least not without bringing in a team of half a dozen staff members who have signed affidavits in advance...

  20. M/S Nurse to pick up ED patients

    Cowboyardee replied to Vicki_RN's topic in Medical-Surgical

    I've been in hospitals that do this occasionally. It can work as a rare solution to a crisis in the ED where the staff are stretched too thin to move patients along effectively. However, I would...

  21. New grad on cardiac floor just cannot relax after today

    Cowboyardee replied to justthatnewgirl's topic in Cardiac

    It is unlikely that the ICU transfer had anything to do with you. Not impossible but unlikely. That said, get in the habit of asking doctors for their pre-procedure orders, not fellow floor nurses....

  22. New grad in CVICU

    Cowboyardee replied to kyhoward1989's topic in Critical Care

    You've got a good attitude, which should help. Being interested and engaged usually makes for a successful orientation. Many times, first-time orientees to an ICU are so overwhelmed with information...

  23. Freaking out over a patient fall!!

    Cowboyardee replied to Zenndaya's topic in Patient Safety Issues

    Take a few minutes and write down (really, write em down) a few things you can think of that may have contributed to this fall. From the beginning of the situation to the end, both your own errors and...

  24. Bad Interview - Should I withdraw?

    Cowboyardee replied to DowntheRiver's topic in General Nursing

    A few thoughts. The bad: - $2 extra per hour probably isn't enough to put up with a particularly bad work environment (unless you reeeaaallly need the money). - It worries me that your future...

  25. Do you enjoy taking care of people you know?

    Cowboyardee replied to ricki76's topic in Critical Care

    Generally, we try to avoid having nurses take care of people they know on our unit. It's not a written-in-stone policy, but we typically follow it. If someone's friend or relative is sick, they won't...