I have actually begun to like sandman. Could give him a nice pat if I saw him. He really cracks me up and makes me roll with laughter...with the funny and absurd things he says. Please nobody hurt his feelings or he may stop telling these priceless funnies. Infact encourage him!! <img border="0" alt="[Laughy]" title="" src="graemlins/laughy.gif" />
PS Kimberli is the Queen of SDN, she should appoint Sandman as the official jester.
•••quote:•••Originally posted by drfeelgood:
•I'm sick of smart-@$$ nurses who go up to me and question my judgement in the ICU... •••••Take it easy there, buddy....
I have spent a great deal of my time telling Interns and Residents, "No, I'm not doing that order because..." (The best example I can come up with off the top of my head was the Resident that wanted me to "open the Dopamine wide" thru a 22ga in the patient's left pinky finger.) Those nurses are the last "check-stop" for you and your orders before they reach and potentially harm, or benefit, the patient. Changes in patient condition (whether "according to plan" or course of the disease process), need to be reported to the Physician in charge of the patient's care...this is a LEGAL issue in the United States, not an issue of questioning your god-like judgement.
I've always found it to be that the "better" Docs take, and often act on, the advice without an attitude; as well as take a few words to explain their Plan of Care/reasonings for decisions to the Nursing staff who is at the pt's bedside 24/7. Gosh...that sort of sounds like TEAMWORK, huh?
I know of one former CRNA who is now an MDA and on the faculty of a very good anesthesiology residency training program. I have also heard of another CRNA (although I have not met him) who is finishing an EM residency this year.
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