dthfytr

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

ER, Trauma

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All Content by dthfytr

  1. Need 'banana bag' help...Acute ETOH Withdrawal

    Alcohol decreases appetite, so alcoholics tend towards malnutrition. Problem here is if they're Thiamine deficient they can get "Wernicke's encephalopathy." It's not common, but costs hospitals and...
  2. ER Admission Holds

    The fix is simple, but first YOU need to recognize it's a financial and political move by the hospital. ER staffing is fixed. Rarely do ER nurses float. Rather than hire more staff for the multiple...
  3. What's your favorite nursing/nurses' prayer?

    "Dear Lord, don't let me f#@k up" The late Alan Shepard, Astronaut, second human in space, first American in space, 5th person to walk on the
  4. moving into different state

    I suggest you look at cities rather than states. In general, you'll find that all the glamorous cities or vacation cities don't need staff. I'm in El Paso TX. Lots of jobs here, but then it's not a...
  5. Disappointed.

    Any co-workers you can talk to and be assured of confidentiality? It sounds like a lousy situation, I hope you have some support somewhere. A co-worker would be ideal, might be able to give you some...
  6. CDC advice on Zombies

    World ends in 2 days, huh? Dang I wish I hadn't paid off my student loans
  7. CDC advice on Zombies

    Just watching the evening news, and it seems like zombie attack is the ONLY disaster Not happening somewhere in the world. I think I'm gonna try and get a lock on the Western US distributorship of the...
  8. CDC advice on Zombies

    Most useful post I've seen in a long time. We've pretty much got every other kind of disaster already in progress, guess Zombies are next! For those of you who believe in high speed behaviour...
  9. Have you ever been insulted for what you do?

    Forgive me for forgetting, I've seen LPN's function at higher levels than RN's enough times to know that each nurse needs to be judged on their own merits, not title. Big oversight, sorry
  10. Have you ever been insulted for what you do?

    Take it as a sign of immaturity. We all develop expertise in the area we work the most. No nursing position is less important than another. If any one nursing specialty (OB, OR, ER, Psych, Etc) became...
  11. For your next post ask what drugs the nurses take the most. Caffeine is a given for number
  12. Plenty of jobs, just not in the paces most people want them. I get recruitment offers several times per week. Have you looked for work in El Paso
  13. 'Just a med/surg nurse'

    Direct from the heart. I've used dthfytr for email and even vanity license plates for at least 15 years. Glad you enjoy it, glad to share it, glad if it helps put nursing in a good perspective for...
  14. Time Management in ER

    Like they said, prioritization keeps changing in the ER which is why people with ADD would make good ER nurses. Thankfully nobody has said "multi-tasking." True multi-tasking has been studied and...
  15. 'Just a med/surg nurse'

    Holy crap! Did I say all that? I'm gonna write it all down and read it the next time I start to say I'm "just a
  16. 'Just a med/surg nurse'

    The word "just" needs to be removed from all nurses vocabularies. My idea of a good time is a trauma code patient(s) with multiple gunshot wounds to the chest and abdomen. Wanna see me cry, wet my...
  17. Why am I now the enemy?

    Floors are always staffed according to last shifts census guarenteeing they'll be short staffed once admits come. Most admits come through the ER. Don't take it personal, you're not the enemy....
  18. Skin assessment in the ED

    ER life revolves around the chief complaint and getting the patient out ASAP to make room for those in the waiting area, or inbound by EMS. There are times we could probably do the whole admit...
  19. I've never seen an EMS drug box that included Haldol. Sometimes Versed or Etomidate, but essentially it's ACLS drugs, and sometimes morphine is given for pain. Combative pts in the back of an...
  20. Dr Oz and Aspirin

    I won't repeat the advice already given, it's correct. There are a few people truly allergic to aspirin, a lot avoid it due to gastrointestinal side effects. IMHO Dr Oz is a hunk for the women to...
  21. EMT to LPN

    In the past there were states that allowed you to challenge nursing license exams. Other states would not give reciprocity to those who got licensed by challenging the exam. Having been an NREMT-I...
  22. A good leader never expects anything of others he wouldn't expect of himself. I too thought I'd have issues with being male and a nurse. Instead I had a lot of fun with it. Anybody looking at me would...
  23. How ridiculous. While there are a small percentage of male nurses who are gay, most of us are just homicidal
  24. How long can IV push meds stay in a syringe?

    I think you'd be better off asking a pharmacist. Some meds come from the manufacturer in glass, some in plastic. Like Tridill, some meds interact with common plastic. I doubt there's a single, simple...
  25. ACNP Capstone

    Wish I understood the concept of ACNP Capstone. Would love to help. As for mental blocks, I often tell people I'm busy playing with my mental blocks. One doctor startled me with the instant comeback...