rnwaller

rnwaller

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About rnwaller

Latest Activity

  1. Long Term Acute Care

    Hi Everybody, We need to distinguish here between an LTAC (Long Term Acute Care HOSPITAL) and LTC ie. long term care or a SNF - Skilled Nursing Facility/Nursing Home LTAC is a hospital (and licensed as one) some even have ICU level of care. Per Medi...
  2. Caring for Jehovah's witnesses

    I continue to monitor the patient (which would include transfusion reaction) just as if I hung any other medication. That is, in essence, a nurses job. Keep up the great work everbody.
  3. How to approach my manager??

    I am hopeful that you have enough repore with your manager that this discussion should not be a big deal. In my opinion, no need to tell your personal story, just express an interest in moving to day shift. Is there a day shift position posted? Is i...
  4. How To Become an Emergency Nurse

    Thanks for choosing ER Nursing (although this could change) 1. Ask your guidance counseler to 'shadow' and ER nurse. 2. Sign up to get your nursing degree - I highly recommend a BSN program while you're young!! 3. Graduate and taking the nursing boar...
  5. Advise on how to deal "bossy" colleagues?

    I am concerned with the posts I see here. I seem to be reading a lot of one person 'against' another. I agree there are some bullish/bossy people out there - but my guess is they are fewer in nursing. Most nursing enviornments require teamwork, so...
  6. Caring for Jehovah's witnesses

    I am agreeing with Liverpool Jane, as an RN and a JW I try to avoid hanging blood. In the US it is always two nurses who hang blood (so I am never doing it 'solo'), and after the blood is hanging it is my job to monitor the patient (as nurses do all...
  7. Caring for Jehovah's witnesses

    Hello again, You mention this patient had chronic anemia. Is she getting the full follow up? Does she have a hematologist, is she getting Epogen? Iron? May be this is all true but I do sometimes find that a patient will refuse a transfusion, then n...
  8. feeling like a taskmaster

    I have been working ED for 9 years now. Lately, I am feeling like a taskmaster - I start the IV, give the meds, dip the urine, give the contrast etc .... What I don't seem to have is any input/interaction with the diagnosis process. The best exampl...
  9. All White Uniform Dress Code?!!

    My hospital is just looking at uniforms and I expect a decision this year about a single scrub color. I too have been at a facility that went all white. I agree with several posts - looks good but is impractical at times (I work ER). I can say th...
  10. Triage TX Anyone Have Any Good Ideas?

    Your already on the right track. The system we used was two (or three) triage nurses. One continued traige and one started workups, including sending labs, ekg etc. (an ED tech can also be helpful) We had a chart rack and a specimen holder and this...
  11. You sound very stressed at your current position. I hope you can clear up these change of shift procedures or you may need to move on. Think about suggesting some solutions, get a group involved in making it better, hopefully you can gain some adm...
  12. Stupidest reason to go to ER

    re: pregnancy test Answer - Please call your PCP on Monday for your test results. The result is not an Emergency! I have actually been able to do this once!
  13. Triage TX Anyone Have Any Good Ideas?

    Maisy, You did not say how busy an ER you where in or if its a one or two nurse triage system. I spent a year on committee of this very question. Some quick answers. We initiate standing orders in triage including Xrays and bloodwork - IV starts ar...
  14. Scheduling lunch breaks in the ED

    ED and Breaks, tough words in the same sentence. Scheduling - not a part of the ED language. I have just returned to a regular ED job after a few years of traveling. My experience is a system where you have a 'buddy' assigned is best. You and you...
  15. If your relief has not arrived, report off to oncoming charge RN, if he/she cannot accept report then have your OT sheet in hand and let him/her know gently but firmly that you expect to be paid if you cannot report off in a timely manner. On the f...