organichombre

organichombre ADN, BSN, MSN, LPN, RN

critical care, med/surg

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All Content by organichombre

  1. Care Plans - What's their purpose? - What do you think of them?

    organichombre replied to jjjoy's topic in General Students

    And that's ok, but please know that care plans should not be the last word in nursing. Merry Christmas and thank you for your

  2. Care Plans - What's their purpose? - What do you think of them?

    organichombre replied to jjjoy's topic in General Students

    "not validate the process in real time". Care plans, are for the inexperienced student an abstraction of hands on patient care. When one puts to paper what is hoped will be the outcome, there is a...

  3. Care Plans - What's their purpose? - What do you think of them?

    organichombre replied to jjjoy's topic in General Students

    Some instructors feel that a care plan is the Holy Grail of nursing. The time students spend suffering through them and becoming frustrated w/o the benefit of appropriate feedback represents the worst...

  4. Shift report and HIPPA

    organichombre replied to GiGiRNICU's topic in HIPAA Challenges

    I cannot imagine who that fool was and what regulations they are choosing to violate! Find another place to work would be my suggestion or send JCAHO an

  5. Ketamine drips post op for chronic pain pts

    organichombre replied to kanzi monkey's topic in General Nursing

    My concern is that with ketamine being an anesthetic our facility will feel that the benefits do not outweigh the risks, ie. quicker ambulation, better pulmonary toileting, etc., vs. possible injuries...

  6. Ketamine drips post op for chronic pain pts

    organichombre replied to kanzi monkey's topic in General Nursing

    http://www.anesthesia-analgesia.org/cgi/content/full/89/1/98?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&titleabstract=pain&searchid=952506038619_2145&FIRSTINDEX=30&fdate=1/1/1...

  7. Care Plans - What's their purpose? - What do you think of them?

    organichombre replied to jjjoy's topic in General Students

    Care plan requirements vary from school to school. I agree that after a certain point a care plan becomes a way for the instructor to lazily grade a student on material that is better assessed in...

  8. Care Plans - What's their purpose? - What do you think of them?

    organichombre replied to jjjoy's topic in General Students

    Care plans are a blueprint for pt care...that's it. No more, no less. Actually I have students verbally tell me the plan of care for a pt, dx, interventions, objectives, outcomes and then tell them to...

  9. Ketamine drips post op for chronic pain pts

    organichombre replied to kanzi monkey's topic in General Nursing

    I recently read an article in Chest about using Ketamine in sub anesthesia doses in combination with smaller doses of morphine to alleviate postop pain in thoracic surgery. I gave it to our thoracic...

  10. Keep forgetting my labs!

    organichombre replied to SoundofMusic's topic in General Nursing

    There is nothing wrong with passing work on to the next shift if you are indeed too busy, a new nurse and it does not become a habit. Learn to prioritize among your other duties and remember that you...

  11. Orientation-Staffing

    organichombre replied to mjscan_07's topic in MICU, SICU

    Call osha

  12. To suction the ETT, or not?

    organichombre replied to CactusFlower's topic in MICU, SICU

    Dontcha just hate it when someone outside of direct pt care throws out a blanket statement like that? Obviously this is a pt by pt management decision and all the previous posts are correct. Inline...

  13. *Sigh* Can't wait to get past this...

    organichombre replied to Bumashes's topic in General Nursing

    Please remember why you became a nurse...I'm sure you didn't say "Oh I'm going to do everything for my pt" and believed it! Nursing is tough...too much to do and too often too little time to do it. So...

  14. Any ideas?

    organichombre replied to megs0310's topic in General Nursing

    Be ready to answer questions about difficult pts, difficult staff, ethical dilemnas, and talk yourself

  15. your nursing career dream

    organichombre replied to Mecene's topic in General Nursing

    I currently work ft in an SICU and teach BSN program clinicals 2 days a week. My dream nursing job would be to get some one to pay for me to go back and finish my doctorate (a stipend too to...

  16. Nursing Student...Work as NA?

    organichombre replied to JerseyGir1's topic in General Nursing

    Dear JerseyGirl, I do not know about the requirement for what you ask but I have a question. I teach Accelerated BSN students who are enrolled in a one year and you're done program. The school...

  17. I Need A Tubex!!!

    organichombre replied to jlmb214rn's topic in General Nursing

    Man I so know what you mean! I had 4 of the Tubex's and when some fools stole my truck...they got all of

  18. Men in nursing: Do we have different emotional responses?

    organichombre replied to psychmalenurse's topic in Men in Nursing

    Hey Mike, Tough questions? Not so much since I've been doing this for 20 years but here are some honest answers... How does being a male nurse effect your male image? Do some patients assume your gay?...

  19. Guys, do you wear your wedding band to work?

    organichombre replied to JaredCNA's topic in Men in Nursing

    The alcohol cleansers we use nowadays probably keep the germs to a minimum. Wear your wedding ring...unless of

  20. Curious female here! :)

    organichombre replied to ltmja's topic in Men in Nursing

    Dear curious, Nursing could be considered my first career because all I did before was work in construction or on the farm! I came to nursing late at 30 and found it to be rewarding enough to pursue...

  21. Anyone use meditation?

    organichombre replied to TemperStripe's topic in Health, Stress Management

    Hello suninmyeyes, Meditation will not only enhance your ability to care for your pts, it will change your ability to exist in this chaotic world we live and work in. Jon Kabat-Zinn is a true...

  22. Critical care nurses being pulled

    organichombre posted a topic in General Nursing

    Hello all, Here at the VA Hospital in Louisville, the critical care nurses are pulled quite often to all floors; med/surg, psych, telemetry, etc. We asked management about a pay differential for being...

  23. Critical care nurses being pulled

    organichombre replied to organichombre's topic in General Nursing

    Thank you Naskippy, All of your arguements except the last sentence are in fact true. I am quite comfortable working in any area of the hospital because quite frankly I am an expert at what I do. What...

  24. Anyone use meditation?

    organichombre replied to TemperStripe's topic in Health, Stress Management

    I am so glad to hear that people are using meditation for their well-being. Nurses focus so intensely on their pt that at times we neglect our own health which leads to burnout and leaving the...

  25. working for the VA Hospital

    organichombre replied to karenpj's topic in General Nursing

    I've been here at the VA in Lou for 20 years as an aide, LPN, ADN and BSn. Our ICU'S consist of one MICU/CCU with 16 beds and an SICU with 8. Pt /staff ratios are 2:1 in the units. On the floors it's...