papawjohn

papawjohn

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All Content by papawjohn

  1. Right Ventricular Infarct--thing I thought I knew...

    papawjohn replied to papawjohn's topic in CCU, Coronary, Cardiac

    Hey Siri Thanx for the kind words. Inevitably, our Pts die--we can only borrow time for them. Hopefully, its a long time-- Still, my goal is to go 'undefeated' by the grim reaper. Papaw

  2. Ethical situations related to nursing care!

    papawjohn replied to milenko's topic in General Nursing

    Hey Chadash Hope I didn't offend. True Christianity is right at the very very very tip top of things I respect and admire. What I despise is the cheap imitation that passes for true discipleship and...

  3. Febrile Vs. Afebrile

    papawjohn replied to Cardioprincess81's topic in Nursing Student Assistance

    Hey Cardioprincess Oral temp max is 100.4 if taken orally. Axillary is considered 1 degree cooler than the mouth, so max is 99.4. Rectal is considered 1 degree warmer than oral, so max is 101.4. The...

  4. public's view of nurses

    papawjohn replied to bulldawggirl's topic in General Nursing

    Hey BullDawgGirl The non-patient public is really clueless about how things really work and what kinds of things we do. There is a fairly large population of people who've been, or frequently are...

  5. Ethical situations related to nursing care!

    papawjohn replied to milenko's topic in General Nursing

    Hey Milenko Isn't that a rotten attitude those folks have!!! No doubt it's universal--but I've sorta had the thought that it is an 'American' attitude. With our Right-WingNuts and Christianistas in...

  6. Right Ventricular Infarct--thing I thought I knew...

    papawjohn replied to papawjohn's topic in CCU, Coronary, Cardiac

    Hey Y'all Thanx for the replies. Some answers to questions that have accumulated. She came in with normal BUN/Creatinine. After 3 days of our 'care' her BUN was up to 30 and climbing, urine was...

  7. CVVH and the 1:1 assignment

    papawjohn replied to SnowymtnRN's topic in MICU, SICU

    Hey SnowyMtn (Love your handle!!!) I agree with hrtprncss--as so often--that CVVHD is a 'chart sign' of a Pt really really unstable. And the work of 'accounting'--the complex I & O of this...

  8. Hardest Equipment to work with in Nursing

    papawjohn replied to hrtprncss's topic in MICU, SICU

    Hey Erik The ol' SwanGanz throws lots of people off because of all the numbers, waves and calculations. The trees get in the way so it's hard to see the forest. The concept of heart failure is...

  9. tell your kids never do this!

    papawjohn replied to Betty_SPN_KS's topic in General Nursing

    Hey Betty Gosh, when something happens to your young-uns, doesn't it spear you right in the heart?! All the best wishes to your son. Papaw

  10. Suctioning equipment

    papawjohn replied to PIURN's topic in CCU, Coronary, Cardiac

    Hey PIURN I proudly qualify as an 'old ICU Nurse'. When I'm assigned to an empty room I ALWAYS make sure that I can do a couple of things instantly without leaving the room. The most important is...

  11. LVN Pay in your Area???

    papawjohn replied to Anjewels's topic in LPN, LVN Corner

    Hey Y'all My wife's a baby-nurse (not L&D--just out of NrsgSchool). Started in LTC here in TampaBay area at $19/hr--but that's not with benefits. We're continuing to use my insurance etc. Papaw...

  12. Coronary Artery Bypass Graft priority nursing care?

    papawjohn replied to Animaniacs's topic in General Nursing

    Hrtprncss, now you're following ME

  13. HELP!! Ostomy problems

    papawjohn replied to Daysleeper's topic in Wound, Ostomy, Continence

    hey DaySleeper I'm about as far from your line of nursing as it's possible to be, I guess--strictlly ICU. But I was thinking about your poor gentleman's problem.... Here in the ICU, I'd try a...

  14. Coronary Artery Bypass Graft priority nursing care?

    papawjohn replied to Animaniacs's topic in General Nursing

    Hey Animaniacs The Post-Open-Heart trade is it's own little specialty in ICU nursing. Those folks are amazing!! When I've been pulled or worked OT in their Units I've been just amazed at their...

  15. Real life in the ER vs. what we're taught in nursing school

    papawjohn replied to vampireslayer's topic in Emergency

    Hey Y'all I admit right off the bat to being a cranky old fossil. Brought up with the strange idea that 'if you can't do something RIGHT, don't do it at all'--cause you make it harder for the person...

  16. Canadian Rules and morality beliefs

    papawjohn replied to loquacity's topic in General Nursing

    Hey Loquacity Interesting that our chosen work rubs up against ethical issues so often and so close, eh? I just posted an ethical dilemma of my own here--about hurricane preparedness. (Would you go...

  17. Hardest Equipment to work with in Nursing

    papawjohn replied to hrtprncss's topic in MICU, SICU

    That's another candidate isn't it? They're 'Clinitron' bed and they're filled with tiny tiny little ceramic beads which are warmed and 'blown' by air pressure so that the surface the Pt lays on is...

  18. Hardest Equipment to work with in Nursing

    papawjohn replied to hrtprncss's topic in MICU, SICU

    Hey Again Promise, it's a COINCIDENCE. The absolute WORST piece of equipt was the old old 'Big Boy Bed' that would not raise the Pt to working height. I'm a long drink of water (about 6'3") and...

  19. NG tube question-please help!

    papawjohn replied to sweetieann's topic in General Nursing

    Hey Y'all Critterluvr gave great answers!!! (And the Instructor not only was wrong to call this a med error, she missed a wonderful opportunity to TEACH!! I'll 'write her up' for an 'Instruction...

  20. Neuro question

    papawjohn replied to elthia's topic in General Nursing

    Hey Y'all Ms Hrtprncss (I cheated and looked this time ) gets my vote. The 'neuro position' is HOB up 45degrees and head straight (not tilted over onto a shoulder or twisted around to the side)....

  21. 52 yr old male right-sided CHF

    papawjohn replied to LVN2006's topic in Nursing Student Assistance

    Hey Again Ms HrtPrncs (I'm trusting my memory for your handle) you're totally absolutely correct regarding your Pulmonary Edema Pt, Semi-Fowlers, etc. But in PURE R H Failure (which is of course a...

  22. drunks

    papawjohn replied to Dave11's topic in Emergency

    Hey Y'all I know the ER folks get a particular experience with ETOHism. There is a specially wonderful experience waiting for some Nurse, however, when they have some medical/surgical problem that...

  23. 52 yr old male right-sided CHF

    papawjohn replied to LVN2006's topic in Nursing Student Assistance

    Hey Y'all Y'all can relax about turning your R Heart CHF Pt when giving care; you can also lower the bed to the flat position. The business of Rt vs Lt heart failure don't have NUTHIN' to do with the...

  24. Premedication for blood transfusion

    papawjohn replied to moshimoshi's topic in General Nursing

    Hey Y'all Just wanted to chime in. I've imagined that there are two kinds of antibody-antigen reactions possible when we give blood. The first is of course if the Pt's own immune response is...

  25. Question

    papawjohn replied to sharann's topic in CCU, Coronary, Cardiac

    Hey Sharann, I think you saw a "Heimlich valve". They're much smaller and have (DUH!) a valve to prevent air from flowing into the chest (so no complex 3-bottle collection and suction system is...