papawjohn

papawjohn

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All Content by papawjohn

  1. Shift times

    Hey Y'all Pardon me if I risk hi-jacking the thread but I am curious. If y'all have these nurses coming and going at all the different times of the day--how do you make Pt assignments, give reports,...
  2. Tele to PCU

    Hey Ms Texasgirl When I've worked on Tele/PCU/step-down units, we usually took 'stable' vents (long term trached Pts) and drips that didn't need titrating. I can remember there was a treatment for...
  3. Allowed to die

    Hey NZealandHospice This doesn't seem to out of line to me.... We in the US have Pts brought from LTC (I 'spose equivalent to your 'rest home') to the 'acute care' hospital so that they can be more...
  4. swan pacing

    Hey OKRN I assume your pt has a "pacing swan" so you have a 'transvenous pacer'. And you have a record of previous PAP readings. OK? If your pt has been pacing for a long period of time--and you...
  5. ECG Question

    Hey Jubei This is an interesting topic. Could ya cite the books? thanx Papaw
  6. Lovenox IV

    Hey Celia An interesting trip through google-ville yielded an article in Journal of Clinical Pharmacology and Therapeutics (doesn't that sound like something to take to the beach house?!) about...
  7. Has anyone ever been assaulted by a patient?

    Hey Bobcat Most recent experience of this sort was the worst. Young and very husky/muscular fella surprised me with a bull-rush that woulda qualified him for the NFL. My head hit the wall so hard...
  8. Hey Daze I don't think you'll find too much disagreement among us here. The individual differences might have more to do with different views than strictly gender differences. Like, for some of my...
  9. Troponin levels

    Hey Y'all Got to looking in to this (troponin I & troponin T--who knew?) Ran across a Jama article where they routinely checked troponin on 209 NON-CARDIAC pts in ICUs. 32 of these had...
  10. Discrimination Against Men in Nursing

    Heyl TnMan I'm a Tennessee fella myself (now transplanted to salt-water). Men and women work 'charge' equally. Usually this is an experience nurse who works with the 'house supervisor' or...
  11. Aleve good for fever?

    Hey!! Wow---I don't really know about that but I'd say-take it easy on mixing them up. Common sense (for what it's worth) would be that there is a certain amount of 'effect' (actually it's inhibiting...
  12. Hey Y'all Since the topic's turned to NrsgSchool, let me throw in a few thoughts. First, I defined my NrsgSchool experience (ADN, '78-'81) as 90% indoctrination and 10% education. By that I mean...
  13. Aleve good for fever?

    Hey Southrnlpn Naprosyn/aleve is "used for treatment of mild to moderate pain, inflamation and fever." http://www.medicinenet.com/naproxen/article.html You're smart not to over-do tylenol. Very hard...
  14. Hey Y'all I run a lot of insulin gtt's. I don't see the need for q30m accuchecks. We do them q1h. You might start by seeing whether your protocol isn't faulty. Ours usually have changes in the...
  15. MS ICU-high turnover

    Hey Tryin You've read the tea leaves. (Does anybody read tea leaves anymore? I use these antique metaphors that even make ME think I'm old--but h@ll--I AM old.) Anyhow-- You know how when you see...
  16. entering MICU/SICU

    Hey W-B-G This is pretty thoroughly hashed over 'round these parts from time to time. Try the 'search' and you'll get lots of reading on the subject--it's the perfect solution to all the spare time...
  17. Hey JennieIrene My first wife (after we were divorced) died of cancer only a little bit older than your Mom was. Our two daughters and Hospice (ohhh!!! Thank you all Hospice nurses!!!!) helped her...
  18. Help with two A&P I questions

    Hey Juish Try this: http://www.lakemichigancollege.edu/dept/Arts_Sciences/bio/pics/skel_pelv.jpg Papaw John Huh--that dawg don't hunt (as we rednecks say) (meaning: the link isn't working). I got a...
  19. ECG Question

    Hey Y'all I didn't think s-t SEGMENTs were altered by K+ ups & downs. Anyhow, quickly googled and was led to this: Hyper K: level around 6-QRS complex widens and may merge with T-wave resulting...
  20. help with case study

    Hey PV Your Pt's problems only started when she was unable to get water and nutrition. As suggested, the tissue damage from lying on the floor will have caused many of her body's cells to deteriorate...
  21. Lab Values Worksheet

    Hey Lwildman On a sheet of paper, draw a horizonal line. On the top half of the line, draw two short vertical lines (make three spaces) and on the bottom half draw three short vertical lines (four...
  22. I don't understand this profession..

    Hey Y'all The first 15 or 16 yrs after I graduated (and for one yr before graduation when I worked as an 'orderly'---remember when guys were all 'orderlies') I worked at a large university-related...
  23. Add Meds or not?

    Hey LoveRN I have a strong cardiac family history, too. (Of my grandmother's three male g-sons, I'm the only one still alive. My cousins on her side ALL died 'sudden cardiac death'.) I make sure...
  24. Rita's coming-my hospital won't close!!

    Hey RN34Tx I've been all over this line of reasoning since I live on the Gulf too. (TampaBay) My advice: RUN like H***. I was talking about this at work last nite. "I'd be in Georgia", I said....
  25. Hey Y'all Over the years I've taken this weekend class a couple of times. Now I find I want to brush the dust off my CCRN and I can't find one of these classes to sign up for. The AACN website...