PewpSmith

PewpSmith

Special Procedures

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All Content by PewpSmith

  1. School Nurses and Mental Health

    Saw this article on NPR and it raises some interesting points I hadn't considered about this specialty. I mean.... I tend to think of you guys being responsible for physical health and student well...
  2. Pet Peeves with Doctors

    2 things- When they take nearly all the charts on the floor and hide with them. When you find them and ask for your chart to do documentation they're like- I'm not done with it yet- then take the...
  3. Nurses Who Harm Patients

    Ok.... so by your own statistics of 2000 nursing being convicted of this WORLDwide.... let's do some statistics..... Many accredited sources report 3.1 million Registered Nurses in the USA alone.......
  4. I am super guilty of asking people where they are from and/or what their ethnic background is. Sometimes I've even gone so far as to ask, "Were you born in another country?" after they say a local...
  5. how serious are HIPAA violations taken?

    Honestly, as crappy as this is, it depends on who it was that violated you. My husband's ex, who is a doctor, looked up my records for AT LEAST my demographic info (SSN, address, phone numbers,...
  6. Can I just give advice about the friend request on Facebook coming from my own personal experience? Don't add this person. Until you have been there a reeeeeaaalllly long time and you actually would...
  7. New grad wants to QUIT first job, PLEASE HELP.

    Can I just say that I, too, hate when other nurses make the "I got less than 2 weeks orientation so don't complain about your orientation" remarks. Especially in critical care areas or for any new...
  8. Nurses Humilated - Illinois

    This is disgusting and makes me see red! Ya know, it MUST be nursing's fault and never that there isn't enough staff and resources (sarcasm font needed) I hate this mentality that it's everyone's...
  9. CEN 2016!

    So I'm very excited to announce that I took my CEN exam today and passed it with 131/150! I bought several books but found that only a few were actual useful and/or pertained to the exam. The 2 books...
  10. CEN 2016!

    Boswell Page: (link removed) Make sure you go back through at least 10 questions bc a couple are softballs And Solheim: (link
  11. CEN 2016!

    Hey you guys-- I'm on Facebook and was wondering if those of you who passed the CEN exam already could look at the questions posed on the Mark Boswell Facebook page and the Jeff Solheim page and tell...
  12. What is your Nursing Kryptonite?

    Uuuuuugh I forgot about that crap! That's the thick white cream we slather on high skin risk pts right? I haven't had to deal with that stuff for a while since I moved to
  13. What is your Nursing Kryptonite?

    Just asked Mr. PewpSmith (GI MD) and he said he couldn't think of a
  14. What is your Nursing Kryptonite?

    Can I just say HOLY crap for a moment? I nearly called this post "What is your Achilles Heel" ..... And then settled on kryptonite.... And then our shared aversion to dentures??? I also don't bat an...
  15. SERIOUSLY, sometimes I just surrender!

    Reading that in my head made me giggle like the immature 5 year old I really am at heart. Poop (pewp) should totally be an honorary
  16. SERIOUSLY, sometimes I just surrender!

    I have been reading quite a few School Nurse threads (you guys are the most involved on allnurses I think) and it has opened my eyes as the parent of a 1st grader who has frequent respiratory issues...
  17. What is your Nursing Kryptonite?

    See, now I've heard of being squeamish with trach/Oral secretions from just about every other nurse I've had this conversation with. I have heard colostomies too, unsurprisingly lol, but never have I...
  18. He wrote Being Mortal, Complications, Better, and The Checklist Manifesto. They are all typically about the healthcare system and the many double edged swords we face when trying to do what is best...
  19. You should check out the book by Atul Gawande called The Checklist Manifesto if you're interested in healthcare reform based on other industries. Its a very interesting read :) Anything by that author...
  20. 6 months in the ED -- should I "get it" by now?

    You're absolutely right-- it is serious for sure. I guess my intent was to make OP feel less grief about the order in which she chose to do things because it looked to me like her patient was urgent...
  21. 6 months in the ED -- should I "get it" by now?

    Agree to disagree? You make a lot of assumptions (their usual bp, beta use, being elderly or not) to say it was incorrect but any sepsis patient can go down the tubes fairly quickly. Also, many/most...
  22. 6 months in the ED -- should I "get it" by now?

    Hey there, ER nurse with 8 years varied experience here (3 different ERs with very different settings) And unless you're well behind your peers with how many patients you're managing at the same time...
  23. Staying Well Fed: with no breaks..

    In my experience I've found that how well the nurses are allowed to take care of their own needs (take bathroom breaks, eat, take reasonable amounts of breaks) depends on the 'culture' of the...
  24. The Flip Side - When you're the patient/family

    Sometimes, when you have been appropriate and have tried to address things via the proper channels (Asking the aide to speak to the primary nurse, the primary nurse to speak to the charge nurse, etc.)...
  25. Today sucked

    Man… that's a lot to handle. Just think, though, how lucky your kid is to have a nurse for a mom who knows how to manage their condition and you obviously already know how to handle it because...