grizun

grizun

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All Content by grizun

  1. Almost fired for med error

    Serves you right for reporting it. Snitches get stitches, even if you snitch on yourself. The doc changed the order. No harm no foul.
  2. Pseudoseizures in the ED

    We laugh in their face and tell them to quit faking it.
  3. New ER Fellow/PCN

    sup baby?
  4. I hate republicans, but I cannot disagree with this law.
  5. First code experience

    I've always been able to separate my emotions from the work. Often, after the fact, when the patient doesn't make it and I'm speaking with the family I'll feel bad for them, I empathize with their pain, but I've just seen so many die in front of me t...
  6. Paramedic and nurse?

    Most paramedics I know are freaks in the bed. Go paramedic route.
  7. At a previous job in an extremely busy ED I was often criticized for "over assessing" my patients. Not being focused enough. My manager even told me once I should never listen to heart sounds. He posed the question,"What could you possibly hear that ...
  8. Why are you listening to the heart?

    In the ED I work at now is a nurse, with whom I also worked at in the ED where I was told to stop listening to heart sounds. This nurse doesn't even own a stethoscope. I am not exaggerating. I'm not sure how one assesses the effectiveness of breathin...
  9. CPR - I need a myth buster!

    Really, OP needs to read a book. OP would then understand things like overdrive suppression and why it's ineffective when the ventricles take over, etc.
  10. Adult gero vs acute care

  11. Cleveland Clinic VS University Hospital

    What are you talking about?
  12. Increased blood pressure. What to do?

    Had the patient been working with PT just before having vitals checked?
  13. Cleveland Clinic VS University Hospital

    Perhaps you've heard the expression "the fish rots from the head?" Toby has created a culture where nurses have no say and are expendable. Why do CCF nurses wear all white? Because Toby says that's what the uniforms will be in spite of every Clinic n...
  14. Cleveland Clinic VS University Hospital

    I don't reveal where I've worked.
  15. Cleveland Clinic VS University Hospital

    Dont have people coming from all over the country? Hmmm. You sure about that? There is more celebrity traffic at CCF. That doesn't mean they are any sicker. They have a totally different business model. Regarding CVICUs at CCF, that's their forte. N...
  16. Why are you listening to the heart?

    Murmur that gets better with increased volume.
  17. Why are you listening to the heart?

    Begs the question, why listen to heart sounds on a med/surg floor then? What would that change? Other question, does the time it takes to do a slightly more thorough assessment when time permits make a major impact? Just curious.
  18. Cleveland Clinic VS University Hospital

    High acuity go to the clinic? Really? Many would say UH main campus ICUs have just as high acuity as CCF main campus. Mainly due to the fact that inner city people tend to seek care less frequently, in which case they are far sicker than average when...
  19. Why are you listening to the heart?

    What about if hypertrophic cardiomyopathy is suspected?
  20. Cleveland Clinic VS University Hospital

    I was quite successful at Metro. That being said, I saw several newer nurses get fired while still in orientation because they weren't "picking things up fast enough." Problem is, they had zero guidance. The new grad residency is separate from what h...
  21. Capstone

    What is a capstone project?
  22. Cleveland Clinic - New Graduate Nurse Advice

    Little Italy is a cool place to live and probably more convenient.
  23. Cleveland Clinic VS University Hospital

    I have worked at all three. I will never leave UH. The Cleveland Clinic treats nursss like excrement. You are expendable to them. It's a very negative environment where they are always waiting for you to mess up so they can pounce on you. Metro simp...
  24. I want to quit

    So quit. ER is definitely not for everybody. I float so I occasionally pick up shifts on the floors too. Makes for a change and allows me to get to know patients better. I'm a talker and enjoy the interaction with people.