offlabel

offlabel

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All Content by offlabel

  1. I have made a complaint against an NP

    Guess the sarcasm didn't come through...I'll use an emoji next
  2. I have made a complaint against an NP

    Not so crazy. I sometimes take stable diabetics off their insulin for the same
  3. Frustrations with the dreaded OSH

    If you can rationally defend your care point by point when another stakeholder has a question, I don't see where this would be anything other than an opportunity to educate. Where does the annoying...
  4. I have made a complaint against an NP

    Clothes do say something, despite the demurring and feigned surprise and confusion. If you look like you're trolling for a little action, odds are, you
  5. sposue/partner present during labor and delivery

    Now you'd better define
  6. sposue/partner present during labor and delivery

    it would be interesting to see those studies. lot's go into observational studies and they're far less reliable than RCT's. Sample size, observational bias, control group....lot's of stuff make...
  7. Moderate Sedation Tips

    With all due respect, if someone is getting narcan and flumazenil and is not at least being attempted to be hand ventilated, there will be major interest in that management if there is any kind of...
  8. sposue/partner present during labor and delivery

    Someone with a doula self selects into a very specific and motivated group. They can be in a subset that is affluent, well educated and physically fit, but most of all, motivated to have very specific...
  9. sposue/partner present during labor and delivery

    How do you measure a reduction in stress and
  10. sposue/partner present during labor and delivery

    What measurable and reproducible elements will you be trying to
  11. Seattle is Dying

    You can defend a region and national interests and take care of societal ills too...there has never been a time or place in history where the standard of living has been as high as it is for the US...
  12. 2-day caths?

    The cardiologist told you this? If it happens, it isn't a matter of routine. It'd be unusual in an out of the ordinary
  13. Seattle is Dying

    I'll do you one better and take all of the hate by the "progressives" on this forum...the last 40 years has seen the full frontal assault on marriage and parenthood, causing the emergence of...
  14. Moderate Sedation Tips

    if you are giving propofol, you are endangering the means by which you are supporting your family. Don't do
  15. Obtaining FNA during a bronch

    reimbursement allows the operator (the endoscopist driving the scope) to direct someone else to open and close the "grasper" biopsy device. He/she aims, you pull the trigger. No big
  16. Seattle is Dying

    then what happens is, when those high dollar earners need places to live, framers, welders, painters etc. all of a sudden earn high 5 figures and squeeze themselves further out of metro Sacramento,...
  17. POLL - Oxygen titration in your unit

    I might ask why they're uncomfortable with that. Seems kind of irrational. The consequences of excessive oxygen administration are very well documented for anyone that would care to
  18. Seattle is Dying

    Well, a big part of the problem is the complete loss of the middle class in those places. They really begin to resemble a 3rd world economy where there are the relatively very wealthy and the...
  19. Seattle is Dying

    San Francisco has the same problems. Institutionalization is a crappy solution, but the alternative isn't much better. Defer tax revenue from the extreme wealth that has been created in these cities...
  20. Why are CV OR nurses "CV Queens"?

    Snappy dressers and very
  21. Rapid response in the clinic

    Why not just assist to the floor, elevate the legs and let the patient recover? An MD and RRT is needed for that? If it is a bona fide medical emergency then all hands on deck doesn't look pretty but...
  22. POLL - Oxygen titration in your unit

    If someone can maintain sat of 92 or better, there isn't a need for
  23. anaphylaxis

    No...it was the dose the patient
  24. Don't know if you're a student or not, but if you make these kind of statements outside the safety of a nursing forum, it'd be a good idea to know how to respond to someone when they call BS on it....
  25. Another Tragedy at Vanderbilt

    How can any coherent statement on the OP be made with no information provided at all? Is this just a way to cheap shot