offlabel

offlabel

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All Content by offlabel

  1. 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
  2. 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....
  3. 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...
  4. 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
  5. 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...
  6. 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...
  7. This is a manifestly and demonstrably false statement.
  8. Horror Odor - Removing

    Breathe through your
  9. Why is PGE contraindicated in PPHN?

    Just spit balling here...prolly has to do with the potential of PDA in kids with PHTN. Keeping the ductus open with PGE will just increase aortic flow to the PA and make the PHTN worse?...
  10. Foley Catheter Use After Kidney Transplant

    One catheter per night and enough for 2 straight caths/day. Renal transplant may have nothing at all to do with it. A new catheter every night is prolly because of the risk of UTI because of...
  11. Kansas Board Investigation

    AFAF....what would have happened if you just quietly left the state for somewhere you were licensed in and hoped for the best (assuming you were confidently unaware of any actual malpractice issues)?...
  12. Patient Death After Shift

    Yeah, they had they're reasons for not taking him, and they had nothing to do with
  13. Patient Death After Shift

    Oh, and a surface echo on admission to the ICU would have answered a lot of
  14. Patient Death After Shift

    Tough deal. As to the metoprolol, its pretty much beta 1 selective so if the HR wasn't in the tank, I wouldn't say his hypotension was due to that. You don't mention when his last dose was, but you...
  15. Advice needed regarding diabetic student

    that was exactly the point. Not expanding that information to everyone because of confidentiality reasons is misplaced
  16. Advice needed regarding diabetic student

    Why the angst about staff being aware of a life threatening medical diagnosis? That's a form of body shaming and has no place in schools. There is no shame in having diabetes or any medical condition...
  17. 69 Medications Every New ER Nurse Must Master!

    It's on the ER formulary primarily to reverse procedural sedation with Versed (that's midazolam for anyone unfamiliar with brands) if necessary. Use in an overdose would be pretty
  18. These places are launch pads for ambitious people that want to train hard. Doing the CC and trauma sides in an ER like this is for the core, established and proven staff that have the appropriate...
  19. Botox prep for Neurologist

    No.
  20. Botox prep for Neurologist

    RN's prepare meds every day, why is Botox
  21. Medical Aid in dying

    The problem with 'slippery slope' arguments is that they are groundless speculation. The logical progression I'm identifying (and differentiating from a slippery slope argument) is demonstrable. Look...
  22. Absent Nurse Manager/Perianesthsia Director

    I think I know
  23. Ethical Question

    And you care because? Has she been checking in with you about reading
  24. Ethical Question

    And you are involved,
  25. Let him report you. Frivolous crap goes to the BON every day. Sleep