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dthfytr ADN, LPN, RN, EMT-B, EMT-I

ER, Trauma
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dthfytr has 30 years experience as a ADN, LPN, RN, EMT-B, EMT-I and specializes in ER, Trauma.

Received a certificate of appreciation from the New Mexico Primary care bureau. Received "The Presidents Volunteer Action Award" from President George Bush Senior. I took the name "DTHFYTR" as a medic when at so many scenes there would be "Crime Fighters" and "Fire Fighters."

dthfytr's Latest Activity

  1. dthfytr

    How to retain nurses?

    The beatings shall continue until morals improves! Seriously, if your management doesn't know how to retain nurses, the first change must be to change management from the top down!
  2. dthfytr

    Trigger Warning!

    Nope, nope, nope. I have declared by virtue of the powers vested in me by Bart and Homer Simpson that the "Political Correctness" fad has run it's course and has become farcical. Spread the word near and far that, from this day forward, we are all responsible for our own emotions!
  3. dthfytr

    Threatened by employer

    It comes up on every site. Buy and keep your own malpractice insurance. The following should be written in stone and posted at the front of every nursing class. 1. You don't need to make a mistake to be sued. 2. Your employer will protect itself, first and foremost. The annual cost of malpractice insurance is about the cost of talking to a lawyer for 1 hour. If you can find a lawyer that will listen to you! When the lawyers circle your employer, you can count on some nurse spending a lot of time looking up at the bottom of a bus.
  4. dthfytr

    Is It Possible to Never Make an Error? The Perfect Nurse Fallacy

    Often we learn more from errors. We already knew how to do it right. We thought.
  5. dthfytr

    PAs Do Not Like Us

    I've been impressed by less than 50% of the PA's who've treated me. Only once has a NP disappointed me. When my parents were alive they raved about NP's. NP's have more autonomy, too. Of course the PA's are jealous!
  6. dthfytr

    Gloves? Is this acceptable?

    Talk to a NICU nurse. Babies die if they don't get human touching. All people need the occasional human contact. Anybody that is afraid to touch a pt without gloves might benefit from therapy. In the mean time, beware of door knobs! IMHO.
  7. dthfytr

    Having issues with being a "babyfaced" nurse.

    Ash, how are you doing? Been wondering. Paul.
  8. Know what works for YOU. How did you study in high school. There are many types of learners. Some will need to write every word the instructor says, some get by just highlighting in the text. Some people just need to sit and listen. This last one sounds good, but these people will lack study skills when they count. Study groups can be helpful if they don't turn into socializing. If you got this far, relax a little. Somebody thought you had the brains and determination to be a nurse.
  9. dthfytr

    Having issues with being a "babyfaced" nurse.

    Learning opportunites come in strange shapes and forms. In your shoes (I wish) I would turn to humor. When someone throws you a challenge about your age, run with it. "Yeah, due to the nursing shortage they're now giving candy stripers nursing licenses! A little poke here. # tubes of blood and you're out of here. I'm over 6 feet tall, male. I went into the lobby looking for a patient. As I passed one of the street people waiting he loudly said "everyone knows all the male nurses here are gay." I replied just as loud "that's true! And yet, here you are." This will get easier for you with experience. If you're losing sleep or having nightmares it may be time for a job change. No job is worth that. You didn't get this far without being strong. You can let people put weight on your shoulders, or you can find another way to handle it. After all you are a fully competent nurse, and that doesn't change because some people are rude. Find ways to manage it. In nursing like in life, there's always a new challenge. Challenges seem really huge till you come up with a solution, then they seem so small. Wishing you a long happy career. Paul.
  10. Oh yeah? Well, have you ever considered nose reduction surgery?
  11. Excuse me sir. I'm a nurse, not a cartoonist. Can you think of a funny caption for this?
  12. dthfytr

    Can lungs be clear AND diminished?

    Answer to your question is yes. I worked with a doc who insisted that there must be wheezing for a person to be having an asthma attack. I got him to listen to a patient in triage who had no wheezing. He failed to notice that the patient was barely moving air at all. After the first neb treatment, the patient was able to move enough air to wheeze. The doc conceded he was wrong. Anyway, the moral of the story is whatever you hear is what you chart. I'd charted breath sounds absent initially on the above patient.
  13. dthfytr

    Who/what am I? Wordy, sorry.

    Diagnosis changed from polymyositis to rheumatoid arthritis. I'd been taking motrin, Tylenol and ultram every 8 hours to keep working that finally my body had had enough. To paraphrase a sign I saw; once a nurse always a nurse. It's like being in the mafia. You can never quit because you know too much!
  14. dthfytr

    Older nurses

    The University of Michigan did a study to identify the occupations with the highest rate of non financial retirement. Registered Nurses was number one, Heavy Machine Operators was second, and transportation (truck drivers) was third. The study is 60 pages long and very dry reading, but can be found on the university's web site. A rehab doctor told me that he sees many nurses and construction workers, and they have similar injuries and needs! Where have all the old nurses gone? They're disabled from the strenuous work they did. By my mid 50's my back was shot from arthritis. I loved ER nursing and always thought I'd work till the day I went to punch out and a coffin was waiting for me.
  15. dthfytr

    Who/what am I? Wordy, sorry.

    Thanks for the reply. The irony just dawned on me that now I need my fellow nurses to help me with my identity crisis.
  16. dthfytr

    Who/what am I? Wordy, sorry.

    I loved ER/Trauma nursing so much I honestly couldn't believe they paid me to do it. Started in healthcare in the late 1970's. Taught CPR and First Aid, orderly, EMT, EMT-I, LPN, RN, CEN, BS, Trauma Nurse Specialist, lots of certifications, Certificates of appreciation from State of NM, American Red Cross, Presidents Volunteer Action Award. If I didn't have it, it hadn't been invented, YET! Always expected to work till the day I died. As I went to punch out, they'd have my coffin waiting at the time clock. Back pain. What nurse Doesn't have it? But in 2009 I could no longer stand erect. Doctor after doctor. I respect the docs who admitted "I don't know." Most had really dumb answers. No income and my insurance fighting me till I had to live and seek help paying with credit cards. My Army combat medic daughter carrying me to appointments. A year to the day, an answer "Polymyositis." Worst of all, never to return to work. The point (finally)! 6 years out of work, I can care for myself (barely) with Humira and Methotrexate injections. BUT WHAT AM I? I'm still struggling to define my identity. I can barely lift 30 pounds now. Too many side effects and weakness to work or volunteer. So much experience and knowledge, but can't use it. Nursing school didn't prepare me for the day I became disabled. My license is inactive, I guess I'll always be "A Nurse" but it's wrong to add "registered" without painfully adding "former."

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