dthfytr

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

ER, Trauma

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All Content by dthfytr

  1. Stupidest comlaint of the night award...

    dthfytr replied to JDougRN's topic in Emergency

    Reminds me, still haven't got an answer from the BON whether "retroactive abortion" can be written as a nursing

  2. Syringe sq vs auto-injector (epi pen, etc)

    dthfytr posted a topic in General Nursing

    Recently having first hand experience with administering meds SQ by both syringe and an epi pen like device. I'm really surprised by the difference in discomfort between the two devices. The syringes...

  3. Syringe sq vs auto-injector (epi pen, etc)

    dthfytr replied to dthfytr's topic in General Nursing

    The pen has 0.8ml Humira. I follow the instructions (fighting the male urge to just go blindly forward). Since the shots are a thousand bucks or so each, I guess Abbott labs feels better with the...

  4. Syringe sq vs auto-injector (epi pen, etc)

    dthfytr replied to dthfytr's topic in General Nursing

    Thanks for the feedback. The pens hurt a whole lot more than the syringes and their design makes it hard to see what size nedle they use. The pen is a "tumor necrosis factor blocker." We're using them...

  5. Customers always right- Really??

    dthfytr replied to Leelee2's topic in Patient, Colleague Relations

    I hope (and will bet) that in time you will feel being fired was the biggest favor they could do for you. The "TCIAR" attitude orignated in for profit businesses, and some healthcare facilities have...

  6. Older nurses vs younger nurses

    dthfytr replied to Girlygirl69's topic in Patient, Colleague Relations

    Now I'll be afraid to share the knowledge gained from all my errors and years for fear of being branded condescending or a know it

  7. Older nurses vs younger nurses

    dthfytr replied to Girlygirl69's topic in Patient, Colleague Relations

    When I realised I'd become part of the geezerboomer generation I started measuring my age on the Celsius scale, making me roughly

  8. NSO Insurance

    dthfytr replied to mediatix8's topic in General Nursing

    Bummer! I was ready to recomend them, but if that's what you get for your money, I'd look elsewhere. I know their plans vary by state. Used them for over 20 years. Glad I didn't need

  9. Nitrous Oxide in the ED...

    dthfytr replied to miss81's topic in General Nursing

    Honestly, I think it's a combination of altitude and lawyers scaring the docs

  10. Nitrous Oxide in the ED...

    dthfytr replied to miss81's topic in General Nursing

    Used it for awhile with good results, but the docs decided it was too great a risk becuase we're 4000 ft above sea level. Never did get a good explantaionof that, but no hospitals or EMS here use

  11. Malpractice insurance for new grad?

    dthfytr replied to 567 SeaOtter's topic in General Nursing

    Your employer will protect themselves first at all costs and happily throw you to the wolves if it's at all convenient. Always carry your own insurance. The annual cost is less than what you'd pay to...

  12. Before heart surgery, do RNs need to report to the charge nurse?

    dthfytr replied to Miley22's topic in General Nursing

    Man o man, what kind of hospital gives a nurse a patient load while he or she is waiting for heart

  13. While you're at it...can you clean my poop too?

    dthfytr replied to Miller86's topic in General Nursing

    Maybe the term has gone by the wayside with the improvements in cardiac care, but we used to call patients like that "cardiac

  14. Lactated Ringers vs .9NS

    dthfytr replied to Cindy 17's topic in General Nursing

    When giving meds, IV fluids, etc, etc, always remember the patient IS 70% 0.9%

  15. Tips for keeping your RN license safe in an ED setting

    dthfytr replied to NeoPediRN's topic in Emergency

    In addition, never expect your employer to treat you fair. When you get called into the office, your manager has already decided what outcome he or she wants. Ask for time to review the evidence of...

  16. Lactated Ringers vs .9NS

    dthfytr replied to Cindy 17's topic in General Nursing

    Forgive me if the preceding seems condescending. It works much better when I have chalk and blackboard at hand and am teaching Paramedics in

  17. Lactated Ringers vs .9NS

    dthfytr replied to Cindy 17's topic in General Nursing

    Excellent info, I'd like to add something. Actually you allready know this and don't realise it. Think about a major trauma/burn patient. What's he or she need to do? Heal. What happens in healing?...

  18. What are you best work tips?

    dthfytr replied to punkydoodlesRN's topic in General Nursing

    Document, document, document! If called on the carpet, never use memory. As soon as you say I remember you're set up for "how come you remember that but not this." I remember nothing! My documentation...

  19. why dont i care like i should?

    dthfytr replied to rdsxfnrn's topic in General Nursing

    Nurses confront the difficulties people encounter during the journey from cradle to grave. To me, it sounds like you understand the inevitability of the whole process that that although you care,...

  20. My husband was violated today and I need advice!! (hipaa violated that is)

    dthfytr replied to FLAtoNYC's topic in General Nursing

    Semantics aside, the medical information releases are only good for one year. Sounds like a definite violation to me. I could see some Dr's office being fined, but it might be hard to prove damages to...

  21. Cost Containment Proj- Help!

    dthfytr replied to vitals17's topic in General Nursing

    Instead of 2 imaginary ER docs in the ER during the busy time (usually noon to midnight) have a doc, a Nurse practicioner and maybe add a nursing assintant to decrease turn around time. Or, better...

  22. PACU to ED

    dthfytr replied to nrsman1's topic in Emergency

    Was gonna chime in but tinyEMTgirl said it all for me. Welcome

  23. Anybody have experience with Polymyositis?

    dthfytr posted a topic in General Nursing

    Anybody have experience with Polymyositis or dermatmyositis? AN specifically prohibits requesting of medical information, and I can get all that on the web. Lots of the web information is...

  24. Anybody have experience with Polymyositis?

    dthfytr replied to dthfytr's topic in General Nursing

    It really helps knowing at least one person knows how I feel. Thanks. If you hear of a gringo nurse robbing a bank in El Paso to get healthcare, you heard it here

  25. Anybody have experience with Polymyositis?

    dthfytr replied to dthfytr's topic in General Nursing

    I'm on SS Disability, not eligible for Medicare for another year, but too "rich" for medicaid. My last employer just raised my COBRA insurance premiums from $350/month to $1100/month. I can't possible...