offlabel

offlabel

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All Content by offlabel

  1. SEE Score Requirement

    offlabel replied to ClevelandICU's topic in Student Registered Nurse Anesthetist

    Again, sounds like an issue for the

  2. SEE Score Requirement

    offlabel replied to ClevelandICU's topic in Student Registered Nurse Anesthetist

    Never heard of such a thing...sounds like the program is hedging it's bets against low NBCRNA certification test passing rates hoping a good SEE score will mean passing the cert test. I'd bring this...

  3. Wisconsin Nurse Amputated Man's Foot Without Orders

    offlabel replied to NRSKarenRN's topic in Nursing News

    You're basing your poor assessment of delivery of medical care in the US relative to the rest of the world based on a single, controversial, arguably flawed assessment of 'medical error?' If that's an...

  4. Wisconsin Nurse Amputated Man's Foot Without Orders

    offlabel replied to NRSKarenRN's topic in Nursing News

    *All* US healthcare? Wouldn't say that as it's the best in the history in the world in both delivery and research and development. That's what makes this OP such a ridiculous

  5. RN to NP with a BS in Marketing, Best Path

    offlabel replied to Kristina2222's topic in General Nursing

    What have you been doing in nursing, for how long and what kind of NP practice are you interested

  6. Can atrial fibrillation cause cardiogenic shock?

    offlabel replied to Hacker's topic in CCU, Coronary, Cardiac

    This is the type of standardized question that has bugged me since I became a nurse in 1988. The statement, 'atrial fibrillation does not cause cardiogenic shock' is just false, but false with a...

  7. Manifolds: Question On Connecting Multiple Drips

    offlabel replied to Kate96's topic in Critical Care

    The total rate of the IVF entering the catheter hub is the cumulative rate of all the drips entering the manifold, ie, five pumps each going at 100 ml/hr means that the rate at the hub is 500 cc/hr....

  8. Orthopedic patient

    offlabel replied to Lily2009's topic in General Specialties

    Her mortality from not having her hip fracture repaired dwarfs whatever lung issues she's having right now. Doesn't sound like a great situation but all things being equal, she'll more than likely die...

  9. DNR

    offlabel replied to thisnurse123's topic in General Nursing

    hah...yeah...until the UTI migrates to the

  10. What is the best duty station for a new grad nurse who wants to transition into ICU as soon as possible?

    offlabel replied to gee_mcgee's topic in Government, Military

    What you may lack in facility acuity, you'll well make up for with your military service. That means something and you'll bring that discipline and, for lack of a better word, altruism and world view...

  11. Wisconsin Nurse Amputated Man's Foot Without Orders

    offlabel replied to NRSKarenRN's topic in Nursing News

    Anyone else here think there's a problem with a patient languishing in a care facility that has a foot hanging by necrotic connective tissue? Wisconsin? Sounds more like some back alley in Mogadishu....

  12. DNR

    offlabel replied to thisnurse123's topic in General Nursing

    Well, without knowing what exactly the POA document itself allows or stipulates, its a moot discussion. POA doesn't give carte blanche authority unless it does...That being on a case by case...

  13. What is the best duty station for a new grad nurse who wants to transition into ICU as soon as possible?

    offlabel replied to gee_mcgee's topic in Government, Military

    BAMC or Tripler...Military hospitals historically have treated young healthy patients that don't offer a great learning experience for someone wanting to get into more advanced roles. That's starting...

  14. DNR

    offlabel replied to thisnurse123's topic in General Nursing

    Usual for a POA refusal or sending a patient under DNR to the hospital? DNR is not hospice care. A DNR does not remove the duty to treat. If the conversation about comfort care/hospice needs to be...

  15. Any ENT surgical nurses?

    offlabel replied to CamieKY's topic in General Nursing

    Ever see someone that lost a fight in bar? Same

  16. Inexperienced ER help

    offlabel replied to HospitalNurseIsOnThePhone's topic in Emergency

    Unless there was a county declared mass casualty incident, can't imagine how that could be considered a good idea on any planet. And then it would be 'all available residents report to ER conference...

  17. Need guidance from seasoned leaders

    offlabel replied to Glycerine82's topic in Geriatric, LTC

    Sounds like you have all you need to fire her in terms of documentation for when she threatens to sue you. You're already down a nurse with her there, with her not there, doesn't sound like anyone...

  18. Emotional Self Care: 6 Steps to Improve Resilience

    offlabel replied to Kathy Stosz's topic in General Nursing

    Timely article, thanks....having a regular, daily prayer life is huge for resiliency as

  19. Wrong Department?

    offlabel replied to NNF2015's topic in General Nursing

    Not to put too fine a point on it, advancing an OGT to 60 cm's in an adult isn't the end of the world. I routinely put them in in the OR (I'm a CRNA) without measuring. I just stop when I meet...

  20. Marijuana

    offlabel replied to Whatsnext's topic in Nurses Recovery

    that could go for over a

  21. Wrong Department?

    offlabel replied to NNF2015's topic in General Nursing

    Sounds like they've set you up to fail. If, as you say, your first preceptor hasn't even been a nurse, let alone an ER nurse, for a year, that's a clear case of the blind leading the blind. If your...

  22. Invasive monitoring in ASC

    offlabel replied to Alison Kirkpatrick RN's topic in PACU

    Intra-operative beach chair position is associated with devastating neurologic injury because of improper interpretation of the NIBP readings...ie the blood pressure in the arm was way higher than the...

  23. postpartum vs ER

    offlabel replied to newnurse11's topic in Job Search, Interview, Resume

    ER is not a place to learn or reinforce nursing skills. It's a place you go to build on them. The skill you'll need to learn are meaningful time management, correct use of the nursing and medical...

  24. Is 10,000 Steps the Right Amount?

    offlabel replied to FNP2writer's topic in General Nursing

    It's great when someone comes along and gives good insight on a conventionally held idea that has no meaningful basis for acceptance. Good job. 10000 steps is about 5 miles which if achieved daily...

  25. Transition from L&D to NICU?

    offlabel replied to spaulson1's topic in Ob/Gyn

    The two roles are not even remotely related. If you must do a transition job, PP is much more