dthfytr

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

ER, Trauma

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All Content by dthfytr

  1. How soon we forget.

    dthfytr replied to eriksoln's topic in Activism, Healthcare

    "Free care" is a myth. ER charges are inflated. Insurance companies get a discount. Uninsured are billed full price. If they can't pay, it's sold to a collection agency, and the hospital gets a tax...

  2. Narc count short!!

    dthfytr replied to dlissa74's topic in General Nursing

    The count went wrong after shift change when the count was correct, and the keys handed off? How can the blame you for what happened after you left? Don't sweat it. You may have to do a whiz quiz, but...

  3. How soon we forget.

    dthfytr replied to eriksoln's topic in Activism, Healthcare

    ... and those young and healthy people who can't afford to pay. So, What is the deal about this new healthcare proposal? Either way, everyone gets healthcare. People without health insurance use ER...

  4. To experienced nurses...

    dthfytr replied to LookForward's topic in General Nursing

    Go to medical school and I guarentee someone will be wishing they'd gone to nursing school. Dreams, wishes, ambitions are endless, and offer endless choices. Opinions too. I've never regretted...

  5. How soon we forget.

    dthfytr replied to eriksoln's topic in Activism, Healthcare

    Both the MA and Obama plans count on having everyone pay premiums, those who are chronically ill, and those in good health. By including the healthy, the cost per person to the insurer gets diluted...

  6. Conflict of Interest?

    dthfytr replied to resumecpr's topic in General Nursing

    Try to understand what the goal and limits of the relationship would be. Being a nurse doesn't mean you can't be human, and perhaps friendship would continue the whoistic therapy the family seems to...

  7. Calculating IV Flow Rate (PIGGYBACK)

    dthfytr replied to nycNurse2b's topic in Geriatric, LTC

    Realising life is differant than nursing school is important. Congratulations. The dial on the primary tubing tells you the total flow rate. The true rate for the primary and piggyback can be...

  8. Charting: UTIs

    dthfytr replied to nycNurse2b's topic in Geriatric, LTC

    In the ER I've frequently seen altered mentation or listlisness as the most pronounced symptom of a UTI, along with mild changes in vital signs. Foul urine in somebody with a catheter means an...

  9. Question re: ED and mental health

    dthfytr replied to Love911Nursing's topic in Emergency

    Remember your hierarchy of needs. Physical health before emotional. I've never seen an ER that gave real emergency psych care. They focus on the physical problems and refer the stable psych patients...

  10. help with iv starts

    dthfytr replied to PCU_RN9's topic in General Nursing

    "Rarely find viens" makes me wonder if you shouldn't have your eyes checked. Just a thought. Good

  11. Will I Stand Out?

    dthfytr replied to marhelper's topic in General Nursing

    IMHO, mostly depends on what job you're applying

  12. heartless DON or reality check?

    dthfytr replied to sarafina's topic in General Nursing

    Somebody should drop a house on the DON, IMHO. Must've gotten off the wrong side of her broom. I did house supervisor for a few years and I would have expected the employee to go home and I'd take her...

  13. What would you do?

    dthfytr replied to skittlebear's topic in General Nursing

    I honestly think you've already decided and just want to make sure there's not something you're missing. Do what makes you happiest, and don't feel like you're making a life long change here. I've...

  14. I feel guilty in canceling my extra shift...

    dthfytr replied to ARRR10's topic in General Nursing

    Nurses are people who want to help others. We feel bad when we can't. This leads us to never wanting to say no to extra shifts (God bless the inventor of caller ID) or any other request by our...

  15. Do you think nursing has aged you?

    dthfytr replied to carolmaccas66's topic in General Nursing

    Night shift is well known for the negative effects on quality and quantity of life. I still renew my licence hoping to get well enough to return to work. I probably wont ever be able to do CPR which...

  16. Last Semester In Nursing School, ER Preceptorship

    dthfytr replied to redraider1977's topic in Emergency

    Rapid assesment skills. Remember you'll be treating a patient without a diagnosis. Continuously reasess priorities in everything you're doing. ER's are chaotic by nature, and for your own safety,...

  17. Do you think nursing has aged you?

    dthfytr replied to carolmaccas66's topic in General Nursing

    Rehab Dr I use says nursing puts the same stressors on you as a construction worker. It's hard to say what would be different had I taken another path, but 30 years in healthcare and I was forced into...

  18. Ambulance Run

    dthfytr replied to Nurse0621's topic in General Nursing

    I'm guessing you're representing your hospital so the patient doesn' have to be discharged from your hospital, admitted to the other for tests, discharged from there and readmitted to your hospital...

  19. Ambulance Run

    dthfytr replied to Nurse0621's topic in General Nursing

    The EMS crew work on standing orders from their medical director. If you could give the Pt's DX or some particulars, I could answer better. Essentially you just need to follow the lead of the EMS...

  20. Code Blue Experiences

    dthfytr replied to Nurse0621's topic in General Nursing

    One of our ER docs coded, was resuscitated, and came back to work. Remembered me from the code, told me about a feeling of overwhelming peace, the bright light, and that he'd never be afraid of dying...

  21. Code Blue Experiences

    dthfytr replied to Nurse0621's topic in General Nursing

    One of the weirdest codes I saw was a guy on a tall stretcher, new but excellent nurse on his right side, me on his Left side, he goes into V-fib and started siezing or going decorticate. Monitor and...

  22. Code Blue Experiences

    dthfytr replied to Nurse0621's topic in General Nursing

    Remember, everybody dies eventually, so in a code you're working against the odds. 30 years in health care and I doubt I've ever seen 2 codes alike except that something always goes wrong. I judge the...

  23. ACLS Certification

    dthfytr replied to VampRN's topic in General Nursing

    I used aclsonline.us for both ACLS and PALS. Hospital tried to get information from them, got nowhere, refused to accept my certs. Lost $700 or

  24. Yet another CEN!!!

    dthfytr replied to star77's topic in Emergency

    Congratulations!

  25. I had an epiphany today

    dthfytr replied to nurse2033's topic in General Nursing

    Life is lived forward and understood