dthfytr

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

ER, Trauma

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All Content by dthfytr

  1. definition of "treatment"

    dthfytr replied to sbostonRN's topic in Geriatric, LTC

    Observation (time) can also be a treatment. Patients are in a hurry to get out of the ER, but sometimes we like to see if the treatment we gave them fixes the

  2. How do you know when you are burnt out on a floor?

    dthfytr replied to beeble's topic in General Nursing

    So many times we imprison ourselves in a bad situation far beyond time to go because the element of "unknown" in change is frightening. Put another way, we often act like the devil you know is better...

  3. Exposed to bodily fluids, what would YOU do?

    dthfytr replied to naijanurse's topic in General Nursing

    You did exactly right. Good instinct on your part. Pre hospital providers all have tattooed on their butts "protect yourself first" because if you don't you'll end up being another patient needing...

  4. Are there any floors like mine, acute care, with no lifting equipment?

    dthfytr replied to beeble's topic in General Nursing

    How many beds on your unit? Usually facilities are open to buying and owning things faster than they are to provide extra staff (which they see as being rented by the hour). Protect yourself and your...

  5. Vice Chief of Staff and Secretary/Treasurer of a hospital

    dthfytr replied to StudentJubbs's topic in General Nursing

    Never ever saw those titles used in a hospital. Is your teacher playing with you? Unable to document those used anywhere, I'd say they're either bogus titles or something used to bloat the...

  6. New Job Advice---Please give advice....

    dthfytr replied to nur200620's topic in First Year After Licensure

    My suggestion is take a job that will make you happy. A great paying job you hate will burn you out. In nursing, generally you balance pay against convenience. Generally a Dr's office wont pay as well...

  7. New Grad here...how to talk to patients? please help!

    dthfytr replied to mnf4ever's topic in First Year After Licensure

    Congratulations on starting a new career. When you first got your drivers license did you compare yourself to the drivers at the Indy 500? Cut yourself some slack, it takes time to learn, or as they...

  8. Can a RN...

    dthfytr replied to SRT1115's topic in General Nursing

    Appreciate your frustration and desire to work, I'd suggest you don't do it. But since my suggestion wont pay your bills, make sure you get a written job description for the MA job, either from your...

  9. Quick Decision Making Example?

    dthfytr replied to adamsli88's topic in General Nursing

    Walked past an ER patients door, saw him pouring large quantity of Tylenol #3 from bottle into mouth (suicide attempt) told him to stop as I approached but he had them all in his mouth by the time I...

  10. Help with a poor nurse manager

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

    Any EMT, LPN, RN ever notice a person wasn't quite right and check their glucose, finding a critically low value? Ever do CPR and have the patient regain vital signs before arrival at the hospital, or...

  11. Help with a poor nurse manager

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

    Thanks for the note.

  12. Help with a poor nurse manager

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

    Vent away! May I also suggest you take on the attitude of a friend with this person. When he/she passes meds, say "if anybody isn't able to take them right away, bring them back and mark them so we...

  13. Proposition for a Nursing Revolt

    dthfytr replied to PintheD's topic in General Nursing

    The NNU is ahead of you trying to unite nurses nationwide. I'm not big on unions, but if ever a field needed one it's Nursing. Try this link for starters. They've already united nursing unions all...

  14. Turning down overtime....

    dthfytr replied to OgopogoLPN's topic in General Nursing

    Family comes first in my book. OT and the money it brings is seductive, can be habit forming. On your deathbed will you be wishing you'd worked more overtime or had more time with your

  15. Well, I'm In...Now What Am I Going To Do???

    dthfytr replied to greenfiremajick's topic in General Students

    Congratulations. If you ever feel dumb, remember you're there to learn, they are there to teach you. Nobody was born knowing all

  16. does anyone out there copy charts to save time?

    dthfytr replied to lordgregoryrn's topic in General Nursing

    As long as you really did all the patient checks I don't see the problem. You didn't falsify anything. Unless the note itself is inadequate (subjective as it may be) all you did was free yourself from...

  17. Charting during traumas

    dthfytr replied to nurseladyk's topic in Emergency

    I've used the same system from busy level 1 trauma centers to 3 bed rural hospitals. I grab a paper towel from the nearest sink and make notes of highlights, important details with times and any...

  18. I'm a dispairing student in need of advice.

    dthfytr replied to Steveo.O's topic in General Students

    Sorry you got a bad rap. You sound well qualified. My only thought was to find another school, but you ruled that

  19. ACLS ONLINE?

    dthfytr replied to caringkay RN's topic in General Nursing

    Make sure it's the AHA you take the class from, as above. I took ACLS and PALS renewals from an independant company and my employer wouldn't accept them. I was out over

  20. Mandatory extra shift two days in advance

    dthfytr replied to SammyW0406's topic in General Nursing

    Director = Idiot. Par for the course. Mystery policies = Just the usual. Most places I've worked have policies to cover pretty much everything, then they add a policy stating they can change any...

  21. An ER "First" for Me...

    dthfytr replied to Music in My Heart's topic in Emergency

    When Toradol first hit the market, the dose was 60 mg IV or IM. Later they decided that 60 mg could be a bit rough on the kidneys and changed it to 30 mg IV. For a single dose I'd have no problem...

  22. Is lack of attention to "The primary purpose" killing the medical field?

    dthfytr replied to eriksoln's topic in General Nursing

    Great posting, great example. I've been trying for years to make the same point! The best way I could put it was that when your money runs out, so does your doctor. I became disabled January of last...

  23. Personal info was shared -HIPPA violation?

    dthfytr replied to Quienes's topic in HIPAA Challenges

    I guess if anything that's not public information was gleaned from the chart and used for personal gain then it's a HIPPA violation. Besides that the whole thing sounds wrong on so many levels. The...

  24. What should I do about the patient from hell?

    dthfytr replied to mountain_biker_88's topic in Patient, Colleague Relations

    IMHO; I'd agree with her in everything she says! Being oppositional is a no win with her. By agreeing she can either shut up, or make up more and more exaggerated claims that will be so rediculous...

  25. Disappointed.

    dthfytr replied to ahintonRN's topic in General Nursing

    Sounds like a lazy charge nurse needs a swift kick in the asterisk. Go ahead and do it, tell her I said it was OK. Just blame it on