CNAtoMD

Symptomatic bradycardia has no role for nitrous. This patient is sick and sick as hell and likely to die no matter what you do. First step is pacing them while someone draws up atropine. The next person is hanging fluids and I am putting the PCA on...

You absolutely should have the following when contacting the on call physician. 1) a quick history "Mr. Jones was admitted with x" 2. the reason you are calling "Mr. Jones blood pressure or lab value is X" and 3) the chart open to answer my question...

Not a nurse but feel that I feel I still can answer. First it is not your life, your family member, or your friend. It seems cold but this is business (just like any other business). Business stays at work and your family stays at home. If you si...

I quoted you because you said you immediately thought PE and many have posed the idea of a d-dimer. My thoughts are that if you have been in the hospital you should never rule out PE by d-dimer. The research has shown that there is a false negative ...

Also as an ER doc you know how many times my ears have been ringing PE or maybe could be, or I cannot say it is not PE? Probably 500 times. How many times have I picked up a PE between 3 years of residency and 2 years of being an attending? 15: 15...

So take this same patient that had CP and was dyspneic on the floor and the resident hear's crackles in the lungs and gave 40IV lasix and they got better? Seems like problem would be solved and everyone would rejoice. Now lets say the same patient h...

First I'm glad you had a positive relationship with a physician, seems from many here they don't have that experience. Second do not buy them anything. Gifts for a physician can often turn cheesy and not needed. Being that this doctor personally w...

The age old fight x vs. y and is bound to incite an argument of the PA vs. NP. You are posting on a nurses forum so most likely everyone will tell you go the NP route. In reality as it stands now it does not really matter. They have almost the same...

And so I contribute to the actual thread. One from my intern year. Fresh out of medical school about a week into residency and had a pretty sick septic patient that I really wasn't sure how to take care of yet. Pretty sure the nurses liked to screw...

So what do you actually expect from nursing week? What type of gifts do you expect? Real question. I take back that many of the nurses complained about what we bought for nurses week, it was a select few. What got me so mad is that I am involved in...

Sounds like I really got to ya with that anger. I was actually already set on medical school when I started working as a CNA. Seemed like a good job with decent pay for a college student, plus worked at the place my grandmother lived so got to spen...

Whoa whoa whoa. Talk about sweeping judgements. I never said nurses are drunks. I said the nurses called in to get drunk. Heck every year all my medical school friends take 4 days off and head to my cabin to get rip roaring drunk. It doesn't make...

Also over Halloween there was a big party hosted by one of the ED docs. I had to work that night and had to miss the party. Every single doc and resident showed up to work. Six, yes say it with me, six RN's and 4 PCA's called in that night. I kno...

What ignorance. Go through 4 years of college and 4 years of medical school to be 300K in debt and work for another 3-5 years at just above minimum wage. Yea totally in it for the "money". Sure some physicians are in it for the money and those are...

Very common. Where I did residency I needed 15 central lines to be "signed off" to do them solo. I was supervised by a senior until I hit them which I did probably 6 months into intern year. Still we had a rule that as interns someone supervised s...

Hypertonic saline in hyponatremia has one role and that is to correct seizures. Other than that fast correction can lead to central pontine myelinolysis or other debilitating CNS problems. You can give 3% but you really shouldn't correct hyponatrem...

In my first year of residency I had a patient with a spontaneous pneumo. My attending told me to put in a toravent. I had never done one before. What was I supposed to do? So I youtubed thoravent and found out how to put one in. As a resident tha...

It is funny that this is a thread for dumb things doc's say (granted sometimes they do) but often RN's don't have the answers. There would be absolutely no way I would give 2% or 3% to hyponatemia. Granted I don't know all the details but correctin...

I haven't read much of this thread (although it seems like there was a good amount of bickering back and forth). I still wanted to reply to the OP. I struggle with patient satisfaction because I truly believe in being honest and friendly with patie...

This is right on. I'm and ER attending and completely agree with this. There are many people that run around with SBP's of 180 and even greater and really don't know about it. A simple reading of 180/108 is not normal but it is not an emergency. ...