dthfytr

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

ER, Trauma

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All Content by dthfytr

  1. Anybody have experience with Polymyositis?

    Thanks for the reply. I've got a Rhematologist. She thinks it's hysterical that I'm a walking encyclopedia of Emergency/Trauma medicine, but get all nervous when she talks about "tumor necrosis factor...
  2. I'd get something in writing from your attorney proving that you have a court date, and I think better to tell them it's for divorce than leave it to their imaginations. The court records become...
  3. Does your facility do this?

    They must pay you for what they require you to do. Or as I like to put it "no money = no
  4. "Thumping" out the door....?

    Next time you see the medics, ask them how the standing orders and state laws work in your state. You'll probably be shocked, but the knowledge will be
  5. "Thumping" out the door....?

    Like nurses, EMS people work under Dr's orders. With EMS, their local medical director has signed off on a stack of standing orders that the medics MUST follow. Some states allow EMS to call it on...
  6. First week in ED

    Congratulations. When it comes to ER staff, they wont blow smoke up your asterisk. Sounds like you're a
  7. New Interns are coming

    Interesting! I never would have guessed that the newbies arrive mid summer in each
  8. New Interns are coming

    Where I worked, everybody used their seniority to ask for the first 2 weeks of July off. Our ER was a mess until the new residents could find their way around. Terribly cynical. In the perfect world I...
  9. Funny isn't it that as the PCP shortage worsens, it takes so long to get into your docs office, you're either cured or dead from the problem that you wanted the appointment for in the first
  10. I think you've missed the whole point of ER's. Chaos is the norm. It's the challenge of the chaos we love. You make all those things (MD turnover, inappropriate patients, etc) seem like something new,...
  11. CEN Exam Changes?

    I read something about it in the Journal of Emergency Nursing. Nothing very specific. Figures, just when I get all the test questions memorized they change them. Rats! Anyway, check the ENA and BCEN...
  12. Nonresponder to HepB Vaccine

    Discuss with your doctor. Depending on your timing you might have received either of 2 different Hep B vaccines. Maybe that makes a difference, maybe not. The Original was Heptavax, later they had...
  13. Veins grow to feed muscles. Since I've always worked with my hands, the veins on the back of my hands could easily holds 12 or 14 gauge iv's. Many people go straight for the antecubital, and I point...
  14. Surgeon's Error?

    I'd argue it either way. It would be hard to differentiate error from risk, especially with a laparoscopic procedure, IMHO. My surgical experience is limited, maybe an OR nurse will have a more...
  15. Immunizations & nursing school

    Us geezer-nurses born before 1958 were exempted from the immunizations because in those years we got immunity by getting the illness. They can draw blood for titers to confim immunity, and some places...
  16. Question about injections

    It varies according to medication. Some study said that most IM's given in the buttocks are actually given into fat. The original Hepatitis B vacines were given in the buttocks but few people...
  17. The case of the missing pens: A rant and an idea

    MORE EVIDENCE FOR MY THEORY! I firmly believe that there are small black holes floating around the earth. They gobble up pens, medical records, charts, airline luggage, and one sock from every load of...
  18. VFib Arrest after heaven discussion

    Profound. I'd go visit him in person. Seriously! This may be a once in a lifetime opportuity for you or maybe nothing. Profound wisdom sneaks up on us in strange ways. I once coded an ER doc I worked...
  19. contract

    Realize up front that the contract is not written in a way to help you (to put it mildly). Ask if you can take the contract home or to your own lawyer and I bet the job offer dries up. Find some...
  20. Secrets for preventing back problems?

    Avoid using those stretchable fabric wrap around back braces. A place I worked required them in writing of all employees as a measure to reduce back injuries. As a result of the braces, peoples back...
  21. Thank you nurses...again

    Thak you for noticing. Always seems like anger has a longer memory than happiness. Nice to feel
  22. Yeah, it's something to do until Hugh Hefner kicks. Then I want his job. Wouldn't mind Donald Trumps job as long as I can keep my charm and don't have to wear a beaver on my
  23. My narc count was over!

    Same thing has happened to me a few times. I find that if I tell the manager that the extra was mine I put there for safe keeping, the manager rolls his or her eyes and I never hear anything about it...
  24. The titles still seem strange to me. Which country are you
  25. Checking the organisational chart the answer your teacher wants maybe? Not sure how the whole class could present on the same subject, especially 2 such obscure