txdude35

txdude35

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All Content by txdude35

  1. INCREDIBLE CNA/NNOC victory in Houston.

    No, I didn't. One of them and I have a profound and mutual dislike of each other, and have had for some time now. I can put my personal feelings aside and work with her though, because business is business. I have _everything_ to learn about collec...
  2. INCREDIBLE CNA/NNOC victory in Houston.

    We'll see what happens. Everyone votes on these positions and unfortunately for them neither has much respect on the unit.
  3. Arterial Line Question

    Cool, thanks for the info.
  4. Arterial Line Question

    I hadn't seen that either, learn something new every day. A couple observations though. 1. the efficacy of reverse trendelenberg has been pretty much dismissed in all the literature I've seen and in my clinical practice so I really don't use it. 2...
  5. INCREDIBLE CNA/NNOC victory in Houston.

    Got blasted last night from a couple people who supported the union from the beginning. Said I was jumping on the bandwagon and in their opinion couldn't hold any position of responsibility since I wasn't in it from the beginning. Tried to tell the...
  6. INCREDIBLE CNA/NNOC victory in Houston.

    vlynnieg- it was a Filipino guy named Erik. Smug and arrogant as hell, didn't get too far with him without getting pretty uptight. Some of my colleagues reported the "home visit" as well. Too bad they didn't come knocking on my door.
  7. INCREDIBLE CNA/NNOC victory in Houston.

    Thanks, I appreciate it. One of the things that cracked me up when I was duking it out with the organizers was, when asked how the unit rep would be chosen the reply was "sounds like you'd be a pretty good one." If chosen I plan to try my best to ...
  8. INCREDIBLE CNA/NNOC victory in Houston.

    I voted "no," but as I said, they're here now and have to be dealt with. Many of my fellow staffers aren't going to join but I can't do that. The only way to have a voice, IMHO, is to be involved. I'm not going to let someone else make crucial dec...
  9. Arterial Line Question

    Great info here but not one mention of where the transducer needs to be. Curious. Can't tell you how many times I've been called in to a room by a new nurse in a panic over a pressure reading just to find the transducer hanging off the bed. The ans...
  10. INCREDIBLE CNA/NNOC victory in Houston.

    The union got voted into my facility a few weeks ago. Most people I spoke with hadn't done any homework at all- they ate up everything the union was shoveling without hesitation. Of course, the union reps made everything look fantastic and most peo...
  11. Top 10 Reasons Against Unions

    My hospital is about to vote on unionization. The story they tell is of course pretty rosy so I've been looking around for potential negative consequences to unionization and have naturally been reading your posts. I've got to tell you, your credibi...
  12. Unionization up for vote at my facility

    I work in an HCA facility that has union reps on site now in prep for a vote by staff to unionize or not. The question is for charge nurses in unionized facilities. It seems to me that the hospital wouldn't be able to deny most of the salary, PTO ...
  13. Unionization up for vote at my facility

    Thanks for the replies. At our facility charge nurses are considered management and therefore not part of the bargaining unit. We'll just have to see what happens.
  14. CCU Nurses: we need your help!

    How much time did I spend sitting in the last week? lol, ummm... not much at work, that's for sure.
  15. Is this common at your facility?

    I wouldn't honor those orders. If you do, you're placing your license and liability right on the line with hers. I also feel as if I would have an ethical obligation to call the state board and put a stop to it. Of course, both she and the surgeon ar...
  16. help with groin sheath pulls - any pointers?

    I like to use my fingers rather than my fist- easier to control exactly where the pressure is. Put the bed down so you can use your body weight rather than your arm/hand, and watch for mottling in the leg. Much easier to use a fem-stop _if_ you've ...
  17. 2 nurses in Midland TX has been fired and arrested after contacting the Texas Medical Board about a physician they felt was giving substandard care. The medical board informed the physician, who then filed a harassment complaint with the local sheri...
  18. Texas RNs arrested for patient advocacy!

    Ah, thanks. Haven't been around much and a quick search didn't turn it up for me.
  19. CVP and PAD

    There are 2 pressure gradients in the circulatory system, a high and a low. The right side of the heart is a low pressure system, the left a high one (right side pumps into the pulmonary system, the left systemically). The left side should ALWAYS b...
  20. "Slow" codes

    I've been an RN for a little over a year now, all that time in a combined CCU/M/S/N ICU. In that time there have been a couple of patients who have been "slow coded" and I was wondering what someone else's experience has been with them. My PA wife ...
  21. "Slow" codes

    I've been an RN for a little over a year now, all that time in a combined CCU/M/S/N ICU. In that time there have been a couple of patients who have been "slow coded" and I was wondering what someone else's experience has been with them. My PA wife ...
  22. Awful night... (vent)

    Hmmm... I think I work with you...
  23. "Slow" codes

    Roger that on the docs, montie. I still can't believe how many people with an advance directive we code because one person in the family doesn't agree with it and how many docs tell the family there's hope when the patient is rotting away in the bed...
  24. "Slow" codes

    Roger that on the docs, montie. I still can't believe how many people with an advance directive we code because one person in the family doesn't agree with it and how many docs tell the family there's hope when the patient is rotting away in the bed...
  25. Tachycardia and an occluded RCA

    Just make sure the bradycardia is asymptomatic. If they get _too_ beta-blocked you've bought yourself a whole new set of problems. Watch your urine output, changes in mental status, or a drop in bp. Never hurts to have a little atropine handy, jus...