papawjohn

papawjohn

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All Content by papawjohn

  1. MICU vs SICU

    papawjohn replied to NCRNMDM's topic in MICU, SICU

    Brett has a good answer. I would only add that you should be thinking that you are going to work in both MICU and SICU sometime and in a CCU also. There are lots of things to learn from all the...

  2. CVA

    papawjohn replied to username33's topic in CCU, Coronary, Cardiac

    Well, Username33, that's a simple question that actually covers a huge am't of ground -- how would you tell a seizure from a stroke? There are similarities of course. Changes in consciousness,...

  3. Delegation...question from a nursing student!!

    papawjohn replied to kdh_psn's topic in General Nursing

    I will admit that I am a TERRIBLE delegater! In ICU where the usual 'load' is 2 patients, I find I can focus down on just my two patients and develop a scheme for meeting all my expectations. When...

  4. contemporary issues in nsg

    papawjohn replied to mirabelle's topic in Activism, Healthcare

    I've noticed over the last few years that the field of Case Managers and the like has expanded amazingly. In my little ICU the last 5 RNs to move on all went to Computers and phone-conference type...

  5. Talking to MD

    papawjohn replied to username33's topic in Geriatric, LTC

    My sister tells this story on herself and I'll pass it along. She was a new RN working in a CCU and a patient was admitted with an irregular atrial rhythm and a peculiar heart sound. She called the...

  6. IV Push through cvc with triple lumen

    papawjohn replied to ksl777's topic in General Nursing

    Well KSL777, I'm trying to imagine the situation that has you posing this question at like 0100. (Of course -- where you're at, maybe it's 4pm! But the time-heading says 0139.) And I imagine...

  7. pls help...advice for 1yr RN getting into ICU/SICU

    papawjohn replied to stacia77's topic in MICU, SICU

    Well Stacia, I'll give you a bit of advice -- bear in mind that things that worked for me might or might not work for you. You say you work with Tele. Use your monitor skills and try to get all the...

  8. On the positive side . . .

    papawjohn replied to KimICURN's topic in General Nursing

    My personal favorite. Young pregnant gal contracts Guillian-Barre, ends up with paralysis to her ears -- worst case I ever saw. Vent and TPN and the whole 9 yards in our Neuro ICU. Part of...

  9. Nurses

    papawjohn replied to JosefVernon Hodgkins's topic in General Nursing

    Joe, my friend, I didn't bother to check on all your other posts but would I find something on the order of 'What a great experience I had at work today!' if I looked? I've occasionally put that...

  10. So What Do You Guys Think?

    papawjohn replied to NewTexasRN's topic in MICU, SICU

    Sounds like you're working in a Hospital with very slack management. But so are a lot of us and it's likely you'll be doing it a lot in your future. So as aggravated as you (justifiably) feel....get...

  11. New ICU nurse, need advice please???

    papawjohn replied to ICUnurse201's topic in MICU, SICU

    Hello, fellow ICU nurse!! I've been at this over 30yrs now and still find that giving (and to some extent, getting) report is sometimes the most stressful part of the 12hrs. Isn't that nuts!!...

  12. How did you know what you wanted to specialize in?

    papawjohn replied to coolblue2's topic in General Nursing

    Well, I'll chime in. I'm a lot older than you but let me be boring, as grand-pa's tend to be, and explain that I was a military Medic (think--EMT) in the early 60s. I became a 'para-jumper' (think...

  13. ABG treatments?

    papawjohn replied to PayitForwardHolistic's topic in General Nursing

    Ms Do-Over, you are correct and wise. People do NOT die from CO2 narcosis; they die from lack of Oxygen. And the Ambu-bag is your and their best friend-in-need.

  14. for those nearing retirement age

    papawjohn replied to Mulan's topic in General Nursing

    Well, as you can tell I've had to think about this quite alot lately. I already belong to Medicare. I pay a lot of attention to politics (comment regularly as JohnMcC if anyone reads the same blogs...

  15. My nursing judgement call.....thoughts?

    papawjohn replied to knittingfan283's topic in General Nursing

    If your workplace doesn't allow you to do EKGs yourself, or order them stat prior to calling the MD -- which I guess is true, you did exactly what your Facility planned for this sort of thing....

  16. and yet another

    papawjohn replied to NewlyGradBSN's topic in General Nursing

    You should pay attention to CanesDukeGirl (with the very nice avatar, by the way) and get tested ASAP. You indicated that you practice somewhere besides the US. Here, your delay would be a serious...

  17. ABG treatments?

    papawjohn replied to PayitForwardHolistic's topic in General Nursing

    My friend Do-Over. I agree completely that students are given a huge jumble of numbers and -- sadly -- not enough organization of those numbers to find real information. Numbers are NOT the same...

  18. and yet another

    papawjohn replied to NewlyGradBSN's topic in General Nursing

    Had a frightening needle-stick back in the mid-90s. Working @ level 1 trauma center in large eastern city. Pt brought to my ICU with head injuries (beaten with pipe). Pt was young African-American...

  19. ABG treatments?

    papawjohn replied to PayitForwardHolistic's topic in General Nursing

    Hello, PayItForward. I think that your question is kinda non-specific which makes it hard to help you out. Let me give you a couple of examples of people presenting in resp failure and how we'd help...

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

    papawjohn posted a topic in CCU, Coronary, Cardiac

    Hey Y'all I did CoronaryCare 20yrs ago. When they introduced drive-thru cath labs and one-day heart attacks, it quit being so much fun and I migrated to Trauma. Now I'm working in a small combined...

  21. fun with implanted defibrilator....

    papawjohn posted a topic in General Nursing

    Hey!!! Ran across this. Had to share!!! "He has a defibrilator...he is out partying with 2 hookers and his brother..." http://drhelen.blogspot.com/2006/06/fun-with-defibrilators.html Papaw

  22. fun with implanted defibrilator....

    papawjohn replied to papawjohn's topic in General Nursing

    Hey!!! OMGosh. As much as I love my computer, it drives me crazier than my cat does!!! Try this: http://drhelen.blogspot.com The 'defibrillator' threat is from June 30th. It's worth it if you have a...

  23. Abnormal lab results

    papawjohn replied to KR's topic in MICU, SICU

    Hey KR!! I applaud your determination to do what you thought was right. I bet you guessed that the Dr was gonna be p@#%ed off; so your decision was particularly admirable. Those are really weird...

  24. Critical Care questions

    papawjohn replied to angelique777's topic in CCU, Coronary, Cardiac

    Hey Angelique!! #1. You are correct, this is in a 'normal' person. But remember that the Pts you will see with PACatheters have had a long time to develop heart/lung disease and to compensate for...

  25. Help

    papawjohn replied to barkley876's topic in Alabama Nursing

    Hey Barkley!!! I bet there's people who can help you better than I can but I hate to see a post like yours get to the 2nd page of the '24hr' forum without a reply. So let me try my best. I had a BA...