dthfytr

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

ER, Trauma

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All Content by dthfytr

  1. administering meds during emergencies without a standing PRN order

    dthfytr replied to patrickrlim's topic in General Nursing

    My daughter is an Army combat medic (just a little proud!) who has a saying: "A boat in the harbor is safe, but that's not what boats are

  2. administering meds during emergencies without a standing PRN order

    dthfytr replied to patrickrlim's topic in General Nursing

    I'll sell shrimp out of a roadside van if I have to. Everytime I put myself on the line I think of that. Life if too precious and fleeting, and I couldn't live with myself knowing I let someone die...

  3. administering meds during emergencies without a standing PRN order

    dthfytr replied to patrickrlim's topic in General Nursing

    The important point is that the patient was able to take the OJ by mouth. Sounds like D50W wasn't needed. Good job. There are no meds a nurse can give without direct or standing orders. You put your...

  4. Bullying

    dthfytr replied to Nittybelle's topic in Patient, Colleague Relations

    Look up "mobbing" in Wikipedia. I appreciate your constructive attitude in the face of human nature at less than it's best. Good luck with the

  5. Theme music

    dthfytr replied to LegzRN's topic in General Nursing

    How cn we leave Sesame Street out, if you work

  6. TNCC...whose been through it, what did you learn?

    dthfytr replied to Noimanurse's topic in Emergency

    I think it should be mandatory for all ER nurses to take at least once. In my bursing program we had 30 minutes of first aid and most of it was wrong. Roll up on a motorcycle accident, do you take...

  7. Ever see "FULL LET" for code status?

    dthfytr replied to shygoofyone's topic in General Nursing

    If the term is unclear, the document doesn't mean anything. I would have guessed "Life Extending Treatment." That's why abbreviations have no place on a legal document unless they're explained...

  8. Sympathy strike...would you do it??

    dthfytr replied to notachargenurse's topic in Collective Bargaining, Union

    My Pilgrim/Nazi reference was to encourage individual thought. Overall I'm pro-union, but have been talked to by union reps for doing a job too well, making it difficult for other dues paying union...

  9. Sympathy strike...would you do it??

    dthfytr replied to notachargenurse's topic in Collective Bargaining, Union

    Those scheduled for work should work, the others can picket with the other union. The problem with organisations is they put their own survival ahead of that of thier members. Keep in mind that The...

  10. Administering pain meds to a sleeping pt

    dthfytr replied to opossum's topic in General Nursing

    Once had the opposite problem. Patient only had IM Demerol ordered and was terribly afraid of needles. This pt had run himself over with his skimobile (never would tell me how he did that) and had...

  11. alternatives to caffeine for night shift?

    dthfytr replied to trauma_lama's topic in Health, Stress Management

    During nursing school I dispatched ambulances on weekends, 7P to 7A. I noticed my rhythm was to always start drooping between 0300 to sunrise. Other dispatchers reported the exact same pattern. I...

  12. alternatives to caffeine for night shift?

    dthfytr replied to trauma_lama's topic in Health, Stress Management

    Lots of good suggestions. Not sure about the apple thing, but I've tried it on doctors and it simple doesn't repel them like it's supposed

  13. frequent fires

    dthfytr replied to nola1202's topic in General Nursing

    There are some places that are just bad to work for. Sometimes it's a corporation, sometimes it's an individual hospital. As you alluded, there can be many reasons for it. One hospital in Southern New...

  14. Pyxis - The Ultimate Fomite

    dthfytr replied to Turtle in scrubs's topic in General Nursing

    The ATM for drugs is a good concept poorly executed. Has anybody asked employee health to culture the finger scanners to check vectors. I bet they'll never tell you the culture results! I also hate...

  15. Here's something you don't see every day

    dthfytr replied to emtb2rn's topic in Emergency

    That'll teach him to look that close at a

  16. Abnormal pupil shape/response

    dthfytr replied to MelissaLPN's topic in Geriatric, LTC

    Lots of excellent information here, so I'm gonna just muddy the water. Assesing trauma pt in ambulance, one pupil would constrict then rapidly dilate again. Documented it. Passing neurosurgeon said to...

  17. Please checkout "Mobbing" in Wikipedia

    dthfytr replied to rnbob's topic in Patient, Colleague Relations

    Now I know a good name for it. Great post. Too bad some people don't have the strongest self esteem making them easy victims. I'd like to read a whole lot more about the

  18. Immigrant Nurses

    dthfytr replied to englishhyacinth's topic in General Nursing

    I think I caused a misunderstanding. I mentioned the language thing in defense of immigrants. I dislike the idea of an official language. It's variety that makes us strong as a people and a

  19. Immigrant Nurses

    dthfytr replied to englishhyacinth's topic in General Nursing

    Wow. I haven't seen any of the posts you mention, and you have every right to be upset. Some of the best, hardest working, most honest and conscientious nurses I've ever seen were immigrants....

  20. ER wait time clocks????

    dthfytr replied to bonestAx's topic in Emergency

    One hospital just started this in El Paso. My thoughts; so now we have the ER competing with primary MD's for appointments. I haven't heard any feedback about it yet, but can't wait to give it a try,...

  21. ER wait time clocks????

    dthfytr replied to bonestAx's topic in Emergency

    Seems like marketing taking precedent over good medical care. Someone with chest pain driving himself to the hospital and sees a sign saying he's going to wait 10 or 20 minutes. Uhm, DUH! On a related...

  22. Why Multitasking Wont Work

    dthfytr posted a topic in General Nursing

    Over the years different catch words or catch phrases have come and gone in nursing. I was particularly stymied when in ER nursing we no longer "prioritised" we "multi-task." The word multitask first...

  23. Why Multitasking Wont Work

    dthfytr replied to dthfytr's topic in General Nursing

    Never heard the term "bundling" but it works. I would have called it time management skills. Thank you for the well thought out post, and others I neglected to thank. This has been the most enjoyable...

  24. Why Multitasking Wont Work

    dthfytr replied to dthfytr's topic in General Nursing

    But does the phone conversation, the baby, and what she's typing on the computer all get the same attention and quality as if she was doing any 1 task at a time? Clearly she can't be fully focused on...

  25. TX looking for nurse w/DWIs

    dthfytr replied to xtxrn's topic in General Nursing

    Don't forget, this is Texas! All crimes are punished with lethal injection by default (by some guy named Baba wearing hunting camoflage and muddy boots, smoking a cigar, and a bottle of Jack Daniels...