Walti

Walti LPN, LVN, RN, EMT-I

ICU/ER mostley ER 25 years

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All Content by Walti

  1. What's Happening at the VA Hospitals?

    To clarify my neutrophil count was 1% lower then the hospitals decided norm. My PCP didn't feel a need to repeat it
  2. what to do if you disagree with PA's treatment

    The PA trumps the Nurse? No and Hell no! As a nurse you are the patients advocate and if you don't advocate you are failing in your responsibility. When my PA ordered a 1 mg dose of epi for a severe...
  3. What's Happening at the VA Hospitals?

    OMG, not-for-profit? typically means we don't give big raises we hide the money as bonuses. Many CEOs make more than the top doctors at the facilities. There was a push by Concerned Veterans of...
  4. Nursing Smells You Love?

    YES!!!
  5. Serial Killers Who are Nurses!

    Microsoft Edge has an article by USA Today in this mornings news feed about nurses who kill their patients. I think it may have been generated by the recent VA deaths but went well beyond them. It is...
  6. Serial Killers Who are Nurses!

    Thank you for all of your saves and condolences to you for your losses. The sad but good thing about codes is that with each one you gain experience and that means the likelihood of good outcomes in...
  7. 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...
  8. 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...
  9. 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...
  10. What's Happening at the VA Hospitals?

    I should have proof read this but it's late and I'm going to
  11. 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...
  12. 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...
  13. 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...
  14. 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...
  15. 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
  16. 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...
  17. 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....
  18. 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...
  19. 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...
  20. 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...
  21. I can't really say much about the situation but I do have to wonder about the ancillary staff. I worked very briefly as a LVN for a SNF in Southern California. Charge nurse trying to pass meds on 80...
  22. When Should I Retire? My Struggle

    I burned out. I'm not ashamed of it, the term was actually first used to describe the mental condition for what happens to nurses. It was borrowed from NASA when they used it to describe the...
  23. When Nurses Dream...and Have Nightmares!

    Ex army medic with PTSD and with bad dreams of combat. Became an EMT, then LPN/LVN and finally RN. Most of the combat dreams have faded and now have been replaced with bad code dreams. 25 years as an...
  24. How Do Nurses Advocate for Their Patients?

    Advocacy was impressed on me many years ago. Another impressive experience I had was a 96 year retired public health nurse I had as my patient. I started our initial conversation by saying," I...