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loricatus specializes in ED, ICU, PACU.

loricatus's Latest Activity

  1. loricatus

    Hospice, TPN, Ovarian Cancer

    Agreed. Just trying to show that patients should be given full information from a variety of perspectives so they can give informed consent to whatever they choose to do.
  2. loricatus

    Hospice, TPN, Ovarian Cancer

    You have to keep in mind that cancer cells require more nutrients than normal cells & when nutrition is supplied the cancer cells feed first. Less nutrition can amount to slower growth of the cancer cells, in some cases. Cancer cells literally steal the food away from the body's normal cells.
  3. loricatus

    FYI - GROUP ONE Members List in DFW

    Add Nursefinders to your list.
  4. There is an AAS in Dallas-think it is in Irving to be precise. Avoid Favorite because they are known to say there is work and cancel right before the shift.
  5. loricatus

    Appropriate for Hospice?

    The criteria for hospice is that two physicians must cerify that if the condition runs its normal course they estimate a six month or less prognosis for the patient. In addition, there are disease specific guideline, called LCDs, that can be used to qualify the patients terminal status. Here is a link to get an idea of what I am talking about http://www.cms.gov/mcd/viewlcd.asp?lcd_id=13653&lcd_version=29&show=all
  6. loricatus

    Becoming a CEN as a new grad?

    Don't think the CEN without the experience will help you get the job. Joining the ENA would probably do you better when looking for an ER job because it will demonstrate an genuine interest in that specialty. Try to go to chapter meetings and make your face known. It wouldn't hurt to show up to at the ED where some of those nurses work (the ones that you meet at the chapter meetings) and find the back door approach to landing a job in the ER.
  7. loricatus

    Is this bizarre?

    This is more common than you might think. The only hope would be to talk to the Nurse Educator for the floor and ask the N.E. to talk to the manager. Have been in this position and started looking for a new job as soon as the mention of going it alone 4 weeks after graduation from school was made-my preceptor went on maternity leave on week 4 after orientation started. And, it was a Neuro ICU floor where I was expected to take 2 patients on my own. Had no problem finding a new job just telling the truth of what was going on. FYI: High employee turnover ratios don't look good for a manager at their review time-----hint, hint
  8. loricatus

    Too many know it "allnurses"

    I totally agree with you on this...
  9. loricatus

    Too many know it "allnurses"

    I wish I could say I see what you see. Maybe the degrading and attacks are more selective. I rarely post here anymore because of some of the viciousness displayed, together with selective moderation. I really hate having to say this and truly miss the friends I have made here. It just isn't the same anymore, IMHO.
  10. With minimal regulatory control over the healthcare insurance industry, maintaining employer-based healthcare insurance (reducing personal options for chosing one's supplier of healthcare insurance coverage), eventually being financially penalized for opting not to feed the healthcare insurance industry & not providing a public option (buying in to the same coverage as congress has), I cannot see how the Obama Bill is going to produce positive outcomes (as it relates to improving healthcare for the American people).
  11. loricatus

    I want to be an ER nurse...... help

    Try calling level I or II trauma ERs and ask to speak to the Nurse Educator. That is the person who can fill you in on the training given. I would not recommend going to anything less than a level II is you want to get to see the good stuff. A level I would be ideal but having an ER medicine residency program would be even better because you get to interact with the residents who are in the training process, also.
  12. loricatus

    Good Personalities for ER Nursing?

    You misunderstood what I meant about changing priorities. As you must know, ICU changing priorities are no where near the complexity found in a busy ER, where there can be more than six beds (filled by more than 6 patients in a shift). ICU is more focused and the prioritization found there do not involve a multitude of patients.
  13. loricatus

    Good Personalities for ER Nursing?

    You will have to be able to have the ability to constantly change your priorities. Lists of things to do (per patient) are OK, but you may have to juggle about 6 of those lists at one time. With what you describe yourself to be, I would suggest critical care nursing. There you can give the patient more focus and not have to be juggling 4+ patients who all need something done at the same time.
  14. loricatus

    Graves disease thyroidectomy

    Based on my experience in the PACU, I would say no because the other forms of general anesthesia are more easily reversed if the need arises. Propofol was generally reserved for the quicker procedures like EGDs & or spinal injections for pain patients.
  15. loricatus

    Graves disease thyroidectomy

  16. loricatus


    Having transplanted to the DFW area from a major NE city over 14 years ago, I think the ONLY thing that can make you love Texas more than Chicago would be the lower cost rent. Be sure to visit in August before you make your final decision-if you can survive the heat (and it ain't a dry heat), you might do OK. One word of advise is to not burn your bridges when you leave.