dthfytr

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

ER, Trauma

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All Content by dthfytr

  1. Danger! Paralytic Drugs!

    Insulin is double checked everywhere I've worked. But paralytics aren't? Are we nuts? My nursing career began in the 1980's, I'm retired now, but in all those years, one career ending error I've heard of consistently is med errors involving paralytic...
  2. ADHD Nurses-what area do you specialize in?

    Whatever works best for you is best for you. That said, two very distinct personality types, and where you'll find them, ER nurse = ADHD because of the constant change in priorities, moment by moment. OCD nurses do extremely well in ICU. I'm ret...
  3. Funny Things Patients Say Contest | Nurses Week

    "Oh, those boys! We thought they were crazy!" A new RN in the late 1980's, I was caring for a pt who was 8 years old when the Wright Brothers first flew an airplane. I asked if she remembered them, above was her reply.
  4. Sedentary Nursing Jobs

    After working 12 hour shifts in ER's and Level 1 Trauma Centers for over 20 years, my back is shot. With all my experience and certifications I've gone from being assured a job anywhere to wanted nowhere. Major life and career changes! I'm having tro...
  5. "Professional differences" covers a lot of territory. If asked for details; "If I'm not allowed to give the care needed it puts my career in jeopardy." Or maybe "Non nursing personnel undermining my nursing care." If they push for further information...
  6. Can I get Fired?

    "Any reason" has it's problems. One hospital would fire you for cause if they had solid proof, for "Inadequate charting" if the just want to fire you. This second one if it really existed, is totally subjective and hard to fight because you don't hav...
  7. How to retain nurses?

    The beatings shall continue until morals improves! Seriously, if your management doesn't know how to retain nurses, the first change must be to change management from the top down!
  8. Trigger Warning!

    Nope, nope, nope. I have declared by virtue of the powers vested in me by Bart and Homer Simpson that the "Political Correctness" fad has run it's course and has become farcical. Spread the word near and far that, from this day forward, we are all re...
  9. Threatened by employer

    It comes up on every site. Buy and keep your own malpractice insurance. The following should be written in stone and posted at the front of every nursing class. 1. You don't need to make a mistake to be sued. 2. Your employer will protect itself, fir...
  10. Often we learn more from errors. We already knew how to do it right. We thought.
  11. Hmmm. 1 ER I worked was gigged by JCAHO because we didn't document enough med errors the previous year. Apparently they have a sliding scale for med errors based on annual census! How do we win?
  12. That would scare me away from school nursing. The principal, et al, have no basis to question your judgement on nursing. It's like a chef telling engineers how to build a bridge! As for job interviews, keep it simple."I called an ambulance for a chil...
  13. Studying early retirement NOT for financial reasons, RN's and heavy equipment operators topped the list. A rehab specialist told me they present to him with the same injuries! I'll provide a link to the study but defy anybody to get through the 60 mi...
  14. The university of Michigan did a study of which careers have the highest "early retirement not for financial reasons" rates. Number 1 was RN's, number 2 was heavy equipment operators. Notably, these 2 had the same injuries preventing work. (I'd heard...
  15. PAs Do Not Like Us

    I've been impressed by less than 50% of the PA's who've treated me. Only once has a NP disappointed me. When my parents were alive they raved about NP's. NP's have more autonomy, too. Of course the PA's are jealous!
  16. Gloves? Is this acceptable?

    Talk to a NICU nurse. Babies die if they don't get human touching. All people need the occasional human contact. Anybody that is afraid to touch a pt without gloves might benefit from therapy. In the mean time, beware of door knobs! IMHO.
  17. Having issues with being a "babyfaced" nurse.

    Ash, how are you doing? Been wondering. Paul.
  18. Having issues with being a "babyfaced" nurse.

    Learning opportunites come in strange shapes and forms. In your shoes (I wish) I would turn to humor. When someone throws you a challenge about your age, run with it. "Yeah, due to the nursing shortage they're now giving candy stripers nursing licens...
  19. This is Trump Care's new idea for an ambulance!
  20. What did you expect from someone who saves lives? It's not like I throw a ball through hoops or hit balls with a stick!
  21. Who/what am I? Wordy, sorry.

    I loved ER/Trauma nursing so much I honestly couldn't believe they paid me to do it. Started in healthcare in the late 1970's. Taught CPR and First Aid, orderly, EMT, EMT-I, LPN, RN, CEN, BS, Trauma Nurse Specialist, lots of certifications, Certifica...
  22. Oh yeah? Well, have you ever considered nose reduction surgery?
  23. Excuse me sir. I'm a nurse, not a cartoonist. Can you think of a funny caption for this?
  24. Can lungs be clear AND diminished?

    Answer to your question is yes. I worked with a doc who insisted that there must be wheezing for a person to be having an asthma attack. I got him to listen to a patient in triage who had no wheezing. He failed to notice that the patient was barely m...
  25. Who/what am I? Wordy, sorry.

    Diagnosis changed from polymyositis to rheumatoid arthritis. I'd been taking motrin, Tylenol and ultram every 8 hours to keep working that finally my body had had enough. To paraphrase a sign I saw; once a nurse always a nurse. It's like being in the...