Jump to content


ICU/ER mostley ER 25 years
New New Nurse
  • Joined:
  • Last Visited:
  • 30


  • 0


  • 383


  • 0


  • 0


Walti is a LPN, LVN, RN, EMT-I and specializes in ICU/ER mostley ER 25 years.

Walti's Latest Activity

  1. Sometimes you eat the bear and sometimes the bear eats you. I have had the misfortune over the years to encounter GOG networks, Same as the Good Ole Boy networks that some areas of the country were (are) famous for. Working as registry and the employer told not told send me again while 3 of the other hospitals I was doing shifts at were trying to hire me to full time status. Usual complaint abut hospitals not wanting me back was I was too slow sending patients to the floor from the ER. If they were in pain I wanted to treat it because I knew if they hit the floor in pain it was not going to be quickly treated due to intake assessment, pharmacy stocking meds for pt, etc. One job was clinic work at a detention facility and an inmate dislocated his shoulder. Orders from the director in town were to give Ibuprofen 800mg and transport by facility car to a contracted hospital. This was an hour and half away. The inmate passed 4 ERs to get to contracted facility. I protested the care and was on probation as a new hire. I was taken off of the schedule. I contacted state and I'm not sure of the completed outcome but do know the director was no longer employed there several months later.
  2. Wow, far out man, this was really good, like it blew my mind away. Hey does anyone want pizza? What can I say I was young in the 60s and 70s. I don't know that I've ever seen a case of hyperemesis D/T cannabis use. ON the other hand it might just be because we didn't check for that as a cause. I kind of think that most personal use of cannabis has fewer medical complications than other abusable substances. I do have concerns about the implications involving other medical issues. Of particular concern is patient education, I doubt that most patients will recall discharge instructions and allowing them to drive home after treatment is also a concern. I do get so tired of the argument about if it wasn't safe they wouldn't have legalized it. I truly believe that it is dumbing down society.
  3. I think about 25 years of my 45 year career were spent on nights and most of them 12 hours. Circadian rhythms show the low at 4 AM. It tends to be the reason that the 4AM chest pain is usually the real one. I did find that I could nap very easily afterwards but people would keep honking their horns over the way my car was weaving! I did work in a little hole in the wall hospital in a very small community that actually ran their shifts from 4 to 4. Come 4 AM and you're hitting the wall the next shift comes on and they've had a good nights sleep and are ready to go. It made great sense.
  4. Walti

    Serial Killers Who are Nurses!

    The article was too short! I once worked in a hospital that had a serial killer in it's recent past. From what I was told by those who knew him he did not want to kill any one, just take them to the brink and get them back so he could be the hero. Although he had a lot of deaths he also had a lot of saves. Recalling him sends chills down my spine!
  5. Walti

    What's Happening at the VA Hospitals?

    I concur on the rebuilds and opening new facilities. We did get a new clinic recently and it is nice. It did have a leaky roof which delayed the opening. I was reminded of the movie space cowboys where the Russian cosmonaut commented about what do you expect when your parts are built by the cheapest bidder. In the VA hospital I worked at we usually carried a water bottle and a urinal when we got on an elevator. You never knew how long you were going to be in it as they broke down so frequently. We had a very good husband and wife MD team until politics chased them away. Now we have a another guy on loan from a different clinic. Scuttlebutt is he isn't very happy either. I definitely concur about the need for more administrators that are veterans.
  6. Walti

    What's Happening at the VA Hospitals?

    I should have proof read this but it's late and I'm going to bed.
  7. Walti

    What's Happening at the VA Hospitals?

    l worked for about a year as an LPN at a VA hospital back in the mid 1980s so this information is dated. At the time the RNs were the best paid nurses in the area (Virginia) The LPN pay scale was at the bottom. We had a problem retaining LPNs as they kept transferring from nursing services to housekeeping as the housekeepers were better paid. We were affiliated with a medical school which I was not particularly happy about. I felt that the veterans were not well treated by the interns and residents. I came very close to punching an intern after he made a joke abut why it was better to experiment on veterans instead of rats. His answer was because you don't get attached to veterans. As far as nursing care went it was fair to good and I did see some mistakes. One was an IV inserted in the wrong direction in the vein but it did work okay. anther was a penile amputation after the nurse forgot to bring the foreskin back down after cathing a man.. As a veteran I'm concerned about the care veterans get. I will say that the care I receive in our local clinic is good. I do wonder though about veterans suicides and if they are exacerbated by the war on opiates. Many of the veterans have been cut off after they had been using them as prescribed. Chronic pain is certainly depressing and for those no longer adequately treated it might be a tipping point. One of the things POTUS managed to push through after consultation with his friends was the Mission Act. Although most veterans groups opposed it, it has opened up more treatment options and those veterans who thought they were not eligible in the past maybe eligible for reduced fee care under it. My feelings are that it is a way to shift care from the Veterans Administration towards care and increased profits to the private sector. I'm due for a routine colonoscopy and prior to this change I would have received a packet for the VA hospital or a contracted facility. Went there the day of the procedure and been discharged afterwards. Now to have this done will have to be seen as an out patient prior to the procedure then return another time for the procedure. Imagine your doctor sending you for a routine pap smear and having to see an OB-GYN as a patient first. Added expense. I can not help but wonddr if the eventual goal would be to close the VA hospitals. some of them sit on some very pricey real-estate. there is very large hospital in San Francisco and other one in Palo Alto. In short, although the VA is not perfect IMHO it's pretty darn good. I really don't want to see it go away.
  8. Amen to that. Good support staff are worth there weight in gold ad should be paid much better. All too often it's minimum wage and there a lot of jobs that pay as well for easier work and less responsibility. Sad when you consider how much of the health care dollar is spent on hospital executive salaries and bonuses, health insurance executive salaries and bonuses, malpractice costs, etc. So much of the dollar to those who deliver no care.
  9. Walti

    Nursing Smells You Love?

    Mixing up banana bags. I really liked the smell of the injectable multivitamins. Nasal cannulas, I'd always tell the patient it was going to smell like a shower curtain. It also brings back a memory of putting a cannula on a patient and going to connect the other end to the O2 meter. I found another cannula on the other end. Oops!
  10. On the other hand do you want your dad going an additional 15 miles for treatment for his AMI? All ERs and ICUs need to be staffed 24/7/365. The consequences to the community are just too high. As a young medic stationed at Tripler Army Medical Center in Hawaii I witnessed a nursing strike by the local nurses. This was back in the mid 70s. The local newspaper wasn't treating them kindly. I recall being in a hardware store and standing in the checkout line while the lady ahead of me chatted with the clerk about those horrible nurses holding their patients hostage for higher wages. I tapped her on the shoulder and said "Excuse me but did you know the people who pick up your garbage are getting paid more than the nurses in the ICUs?" She was appalled. Those very lucrative wages being paid to the "scabs" are squeezing the management into getting the striking nurses what they are asking.
  11. Walti

    Lost A Great RN This Week

    Very sad. Fire is a horrible way to go. DW and I lost our home to a fire but were not injured.
  12. Walti

    Smoking as a bar to nursing - beyond silly

    Point taken and I am probably defensive of my own experiences. I have noted resentment or perhaps it was prejudice from some of my non-smoking co-workers back when I was still addicted. The worst of them would spend at least an hour a day at work surfing eBay or Amazon. On the company dollar. I certainly agree that tobacco use is costly to society as a whole. I think loss of productivity is probably at least somewhat associated with regulations that dis-allowed it in the workplace. I also agree that those regulations were appropriate. The health costs to everyone are tremendous. At the moment I'm wondering if their is life after chemo as my wife has just finished her 4th infusion after the RUL lobectomy. Her recovery from this round is taking much longer than anticipated. I truly wish that we could wipe tobacco of off the face of earth. It looks like a partial post of my reply on this post has accidentally been sent. I also really resent the cost to taxpayers as we hand out welfare to support the children of mothers and fathers who are spending thousands of dollars a year to support their addiction instead of their families. .On the obesity issue I do remember one co-worker who could not run to the codes. She simply weighed too much. Consequentially we assigned her to the critical care beds when she worked as there was no better nurse in the hospital to have at a code.
  13. Walti

    Smoking as a bar to nursing - beyond silly

    Horseshoe, it has been well documented that 47% of statistics are made up on the spot. Loss of productivity? How if it's confined to mandated break time. Call outs? I presume you mean calling in sick. Most of the nurses I worked with did not smoke (at least in recent years) Most of them also did not have the same work ethic as I did. When you called off in the ER you might cause the department to work short or with a non ER nurse floated to the department. Way to many of my co-workers would call in if they had something they really wanted to do. If they asked in advance for the time off and couldn't get it, it looked bad if they called in.
  14. Walti

    Smoking as a bar to nursing - beyond silly

    Smoke breaks are not a right. Breaks however are a right. Smoking is a horrible habit and I truly wish as a young medic in Vietnam often wondering if I was going to be alive the next day that I didn't start. I did. The military used to give us cigarettes with our "C" rations. You might have heard about them. Anyway we got a package of 3 cigarettes and a book of matches with each meal. Many of us got hooked and for those who have quit you know just how horribly addictive they are and how hard they are to give up. I've been told giving up heroin is easier. As I said, I'm really glad Chantix was invented, it made quitting easy for me. Not before I was diagnosed with COPD. I truly wish tobacco had never been found to be pleasurable to smoke. My life will be shorter because of it. 20 minutes for a smoke break? Not back when I was smoking. We just stepped outside, lit up smoked for maybe 3 minutes and stepped back inside and popped a breath mint. Hopefully it was windy and our clothes didn't smell to bad. Smoke free campuses are a fairly recent phenomenon. Go back even further and you found ashtrays at the bedside, smoking was allowed in the nurses station and cigarette vending machines were in the cafeteria. In the 60s and the 70s and i know I'm dating myself, the majority of nurses along with the rest of the population were smokers. Now I can use my disease as an example for youngsters just starting but I find what is even more effective is the cost. I tell them that no one who starts smoking will know how much they will be smoking in 5 or 10 years. Maybe it's only 2 cigarettes a day now but in a year it could be 10 and 2 years a pack of 20. Then get out the calculator and hand it to them. 365 days time $10.00 a pack is only $3650.00 a year and now think about 20 years which is $73,000.00 up in smoke. Then ask them if they would like to have kids and most of them actually do. Tell them of all of the things they won't be able to buy their kids because they will need the money for themselves, possibly even to the point of not being able to feed them as well as they'd like. Then I will tell them that when I started cigarettes were 50 cents a pack forty odd years ago. What will they cost in 10 more years? Do you think you will be able to afford it? Okay, my rant is over and don't get me started on vaping..
  15. Walti

    Smoking as a bar to nursing - beyond silly

    I'm just so glad I was finally able to quit. Chantix worked wonders for me. I do recall many years of 12 hours shifts in the ER where I was supposed to get 15 minute breaks and was lucky to get outside for 5 minutes twice a shift. Would have been nice to get paid for those missed breaks but that would reflect badly on ones "time management skills" and hence a raise.
  16. Walti

    Nurses Charged in Deaths of 12 Nursing Home Residents

    Just remembered having to contact a facility from the ER I was working in. I was transferred to the charge nurse. When I said who I was I got back a Hi Waltie, it's Terry! Can you believe it. I'm the charge nurse! Terry was a work friend who had worked with me as a tech in the ER with CNA training. She had been going for her RN and has just passed her boards the week prior. Oh well, she was a very good ER tech. Not related the to the above but have had more than a few seizing elders come in to the ER and when we checked the Phenytoin level, it was zero. Yet checking the MAR sent with the patient it was consistently charted by multiple nurses as having been administered. After I retired I was contacted by the board to see if I would be interested n going to work as a "patient" in SNFs to check on the quality of the care being delivered to the patients. I declined. So maybe a caveat to the staff of some of those facilities. That cranky old codger might just be working for the BRN. Be nice to him.