papawjohn

papawjohn

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All Content by papawjohn

  1. Study: Nearly 16 million insured adults lack adequate health coverage

    papawjohn replied to NRSKarenRN's topic in Activism, Healthcare

    Hey Again Hoop I hear you. It's a valid point and I respect the ideas behind whachasay. However--not to be unnecessarily argumentative, there's really damned few of us who have earned it all the...

  2. Study: Nearly 16 million insured adults lack adequate health coverage

    papawjohn replied to NRSKarenRN's topic in Activism, Healthcare

    Hey Hoop Don't ya love these kinda forums!!! I've been on several--hikers, cyclists, current-affairs forums at Atlantic Magazine. It's a fun thing to get folks all riled up and feathers flying....

  3. Pacer Placement

    papawjohn replied to NeuroNP's topic in Cardiac

    Hey Brian Interesting question. My Pt last nite illustrates the peculiar uncertainty. 80yr old lady has bleeding ulcer, gets partial gastrectomy & vagotomy. Has SickSinusSyndrome in ICU post op...

  4. Do you work overtime?

    papawjohn replied to edcampbe's topic in General Nursing

    Hey Ed When I got into Nursing about 25 yrs ago I'd had a LOOOOONG period of being really really broke. Had wife & baby. I remember SO WELL the first paycheck I got as an RN. IT HAD A COMMA IN...

  5. What is your biggest nursing pet peeve?

    papawjohn replied to ferfer's topic in General Nursing

    Hey Y'all Pretty simple for me to toss in a few suggestions: 1. JACHO 2. HIPAA 3. Hospital Administrations. ("There actually is no such thing as Hospital Administration. Everything happens by...

  6. "Accurate" Charting of Profanity

    papawjohn replied to RNCENCCRNNREMTP's topic in Emergency

    Hey Y'all The chart you're making is going to be a record of the entire process of dealing with the Pt's condition and behavior. Hypothetically, assume the Pt is an OD, has had NARCAN and now wishes...

  7. Why is this so? Misunderstand the concept for IV Bag Infusion

    papawjohn replied to AussieKylie's topic in Nursing Student Assistance

    Hey Y'all One thing I learned when I worked in a PICU where the EXACT CONCENTRATION of IV drips was extra extra important--is that the manufacturers of IV bags routinely overfill them. I dunno why...

  8. Career in Nursing

    papawjohn replied to Career Change's topic in Nursing Career

    Hey CareerChange First of all, why did becoming a Nurse occur to you and what motivates you to push as far as finding a school, finding out the pre-reqs etc. You've done a lot and it must have some...

  9. Do you run a primary with secondary??

    papawjohn replied to LizRN626's topic in General Nursing

    Hey Again Liz Now I see what your question was. Hope I didn't seem to patronizing above. (It comes with being old sometimes.) I agree that unless you had a specific reason for doing otherwise, the...

  10. No More Demerol IV Push???

    papawjohn replied to VickyRN's topic in Emergency

    Hey Y'all I generally agree with ever-thing above but thought I'd toss in my 2cents worth in. I don't see Demerol given much now-a-days either and I'm glad. I noticed long ago that Pts got...

  11. Do you run a primary with secondary??

    papawjohn replied to LizRN626's topic in General Nursing

    Hey Liz It seems to me you could be decribing two different things. First is an IV 'piggyback' med--antibx usually--using a 'secondary set'. Hang it above the primary bag because gravity pulls it...

  12. Is it just colorado?

    papawjohn replied to USAF0625's topic in General Nursing

    Hey Y'all I have the good fortune to have two sisters who are both smarter than I am. They were nurses first and both have advanced degrees. One is a PhD in Biology. One is a case manager. The...

  13. ICU nurses- your thoughts on organ donation?

    papawjohn replied to tankity's topic in MICU, SICU

    Hey Y'all An ol' redneck gets to show off his furrin language. Schadenfreund (I am prob'ly going to be really embarassed here 'cause someone will correct my spelling 8>) means 'taking pleasure in...

  14. Trouble at 19

    papawjohn replied to AdamA's topic in Men in Nursing

    Hey Adam Don't worry too much about it, bud. I had to plead guilty to assault and battery about 12 yrs ago. Did a day in jail (DON'T GO TO JAIL!!!). Six months of probation. Never heard from Board...

  15. New HIPPA Law in USA

    papawjohn posted a topic in General Nursing

    Hey Y'all Just wondered if there was anyone out there with a strong reaction to the new HIPPA laws we have to deal with here in GOD'S COUNTRY. For the furriners out there, we have a new federal law...

  16. End of Life

    papawjohn replied to WakingLife's topic in MICU, SICU

    Hey Wakinglife If you are paying attention to the silence, you might notice that most ICU Nurses don't much like 'CMO'. It's mostly about puffing and fluffing and dealing with families and their...

  17. New HIPPA Law in USA

    papawjohn replied to papawjohn's topic in General Nursing

    Hey Y'all I am often ironic. (My MRS says I sound more like ArchyBunker everyday.) But--to set the record straight--all my red neck ways are pure bluster and self-parody. Of course the entire planet...

  18. ICU nurses- your thoughts on organ donation?

    papawjohn replied to tankity's topic in MICU, SICU

    Hey Y'all Worked a good bit in NeuroTrauma. Spent some time in PICU. Also Surgical and TraumaSurgical. Have dealt with Transplanters fairly often. In 25yrs, probably 30 or 40 pts ended up as...

  19. Wedge readings in PS, CPAP, PC, and APRV ventilation

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

    Hey Y'all I live on TampaBay. Have a sailboat. Bear with me a minute and I'll tell you how this helps me 'splain to my Newbie Nurses how to look at a pressure wave form on the monitor. The point of...

  20. (AGAIN)new grad to ICU

    papawjohn replied to TypicalFish's topic in MICU, SICU

    Hey Y'all Darn, sounds like you're really well grounded. A few pointers maybe. Put you hands on your Pt. Learn what they can teach you. An experienced Nurse can tell within a few tenths what...

  21. Neuro ICU - Do you talk to brain-dead patients?

    papawjohn replied to talaxandra's topic in Neuro Intensive Care, ICU

    Hey Y'all New here. Old nurse, though. Lots of NeuroTrauma background. Think it's sorta surprising that there's so much (17pages!!) of chat regarding coma, vegetative state, etc when the subject...