Joe B1

Joe B1 has 21 years experience and specializes in ED.

Latest Activity

1. The ridiculousness of basing reimbursement on customer satisfaction

   Joe B1 replied to wooh's topic in General Nursing

   The fact that Payment of funds for services provided is being based on something so entirely subjective is obviously a political decision, not one based on any logical reason. I think it should be tied to real, measurable results. Probably never ha...

2. Groin Prep for Cardiac Cath

   Joe B1 replied to sguthland's topic in Emergency

   I've been asked to prep the groin exactly once in 21 years and fortunately I had the time to do it because the cath lab team was running late and I was caught up with all the i's and t's done. I think it depends on who has the most time to do the pr...

3. Best ER Nurse quotes

   Joe B1 replied to JennyAS's topic in Emergency

   From an ER doc entering the room on an EMS code blue pt: "Yep, he sure is dead." After which he turned and calmly walked out of the room.

4. We no longer triage

   Joe B1 replied to Guest219794's topic in Emergency

   I can't say I'm wild about that sort of process. It's been tried a few places I've worked and it works about as long as it takes to fill up all your beds. There also ends up being a lot of musical beds when you have pts taken to the fast track that...

5. Drug-Seekers

   Joe B1 replied to inteRN's topic in Emergency

   I'm not saying that I'm giving up, I'm saying that we need strategies for how to deal with the inevitable. I think that as long as you have people with control over access to drugs that people want, people will find ways to get them. I'm sooo with...

6. Help for this new grad in the ED??

   Joe B1 replied to QueensNurseNY's topic in Emergency

   Hi QueensNurseNC and welcome to ER nursing! It looks like you're coming into this with the right attitude and putting your head into the science of ER nursing. I'll agree with what many of the other posters have already said. They're giving good ad...

7. Good Personalities for ER Nursing?

   Joe B1 replied to JMomBaby's topic in Emergency

   I've seen all kinds of personalities in the ED. You'll just have to always keep in mind that the ED is a fluid environment and your priorities can often shift on a moment by moment basis.

8. Drug-Seekers

   Joe B1 replied to inteRN's topic in Emergency

   NurseGloria, I don't blame the victims, but the truth is they're not all victims. Education can help to an extent. Prohibition has never been effective and usually results in illegal trafficking, theft, murder, abuse and imprisonment. People wil...

9. Drug-Seekers

   Joe B1 replied to inteRN's topic in Emergency

   I've been dealing with this problem for over 20 years in different ED's and it only seems to worsen by the year. I'm beginning to think that it's not a problem we have but a predicament we're in. The difference here is that problems can be solved, ...

10. Good Press Ganey for ER. Possible??

    Joe B1 replied to 5n2_is4u's topic in Emergency

    Why is it so hard to understand? They don't want to understand it. There are too many salaries that depend on these exercises in futility. It's make-work for the executive class. Business where it has no business being in business. If they unde...

11. Good Press Ganey for ER. Possible??

    Joe B1 replied to 5n2_is4u's topic in Emergency

    I tell you something else. I think pt satisfaction surveys are a total waste of time. One facility I worked at surveyed 1% of the people we saw every month and, not surprisingly, the scores were quite variable. 1% is statistically useless. That's...

12. Good Press Ganey for ER. Possible??

    Joe B1 replied to 5n2_is4u's topic in Emergency

    I've worked in several ERs now and I believe that good Press Gainey Scores are a result of: --The staff doing their best to keep pt's and families informed and comfortable --The length of stay and quickness of access to care --The presence of a telev...

13. New Triage system

    Joe B1 replied to teeituptom's topic in Emergency

    Love the triage system and agree with it completely. I also love the buttons. I used to have one that said, "I smile because I have no idea what's going on" but they made me stop wearing it. If we had the "should be taken out and shot" category, we...

14. Songs to play in the Waiting Room

    Joe B1 replied to S.T.A.C.E.Y's topic in Emergency

    I've been into AC/DC a bit lately and think that "Highway to Hell" would be good for the waiting room. "Thunderstruck" might be good during a code. Joe

15. Nicknames you give patients?

    Joe B1 replied to andhow5's topic in Emergency

    We had one guy I called Minnesota Fats because he was demented and playing "pocket pool" everytime you went in the room. One of the other nurses called him "Mr. Happypants". When a pt is seriously dopey (picking pixies out of the air) from the stuff...