offlabel

offlabel

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All Content by offlabel

  1. Midwifery in the VA

    Like labor and delivery at a VA? I'd be shocked at that and even if there were, the hospitals that provided that service would be few and far between. VA insurance would cover maternity and l and d...
  2. Sent a CNA home

    ...and she kept reacting. She wasn't yelling back but she was laughing at him, making faces, and being snarky in her responses which just made him more upset. Clean out your locker, you are no...
  3. IV gauge for colonoscopy&egds?

    What's the big deal about putting in a 20 ga IV? It's tiny an hurts just as much as a 24 ga and way more
  4. Deathbed Visions of Children

    I sit with them, watch them silently, perhaps hold their hand, watch their restlessness and then, often shortly prior to death, a peaceful serenity comes over them...I simply ask if they are willing...
  5. Anyone fasting right now?

    Routine fasting is a Christian spiritual exercise as well, FYI. Usually having to do with food but not necessarily. Ash Wednesday and Good Friday are the most common days of fasting but some folks...
  6. Well, you're not
  7. 1. Quality of clinical training. 2.Personality/sociability/situational awareness impression at time of interview. 3. Pre-training experience/time in
  8. Unsafe anesthesia practices in phase 2

    I had a patient today who was far too sedated to come straight from the OR and complained of 8/10 pain on arrival to myself Honest question...how does a 'far too sedated' patient complain of 8/10...
  9. Exactly! To say nothing of the mass delusion of the Gender/Climate/Race cult. It's like hallucinogens are in the drinking
  10. Pt. selection for any outpatient setting is important, but the envelope is definitely being pushed for financial considerations. More sicker people are coming to outpatient settings than say, 10 years...
  11. ACLS vs real life

    The reality is that if you have no idea what caused the arrest, every HandT on the list aside from those that you can objectively measure like temperature and glucose, everything is on the table....
  12. Foley ordered for patient able to void on own?

    right...but there are legitimate, relevant questions and questions that should be run by more experienced people first. You know as well as I do that answering the phone for questions that are seen in...
  13. Potential earnings mean nothing. How much has this person actually made on the lecture circuit? We're not talking about Barak Obama
  14. That she's on a speaker's bureau website (basically a talent agency) is not any indication of her success as a speaker. I really doubt she's making a go out of traveling the speaker's circuit....
  15. Foley ordered for patient able to void on own?

    At what point do you not question orders? It's not the physicians role to teach nurses. Always? Not understanding something doesn't mean something is wrong. There have to be nurses around that can...
  16. Foley ordered for patient able to void on own?

    that she could/did void in the time you had her doesn't then mean that is her norm. She developed bilateral hydronephrosis from the condition. There's a problem there that the physician specialist is...
  17. this wasn't an innocent mistake. sounds like the testing did it's job. she's freely drinking while on strict monitoring. She needs help, not more ways to not get
  18. Who is allowed to insert colon scope?

    Well, if there is a perf, it's the endoscopist on the hook and it would be pretty hard to keep something like that a secret. The physician would be held liable both on a legal and medical staff level....
  19. Who is allowed to insert colon scope?

    "I can't find anything regarding any one other than the doctor performing the procedure being allowed to insert the scope." There's your answer. It's an invasive procedure where the operator can...
  20. My most disappointing case...

    Why wasn't he a candidate for EVAR? With the CTA's, going to guess that none of this was a surprise to the
  21. Intraoperative Family Notifications

    If this responsibility is falling on the nurses, you owe it to them and the families to coordinate training with your chaplain staff. A script is a really good start, but if it isn't done right there...
  22. You wouldn't be able to tell the difference on a practical, day to day level. Clinically speaking, nothing has changed. If someone is ideologically driven to the point of denying themselves a...
  23. This is a manifestly and demonstrably false statement.
  24. Horror Odor - Removing

    Breathe through your