mannurse65

mannurse65 has 14 years experience and specializes in ED, CCU, ICU, Fixed Wing.

Latest Activity

1. Drawing Labs without an order

   mannurse65 replied to umnurs's topic in Emergency

   I too, was involved in creating the Pre-printed Orders and Practice Guidelines, with our physician group. The intention is the same as protocols except that a protocol allows the nurse to initiate care regardless of what the doctor decides after the...

2. The Male Dr Nurse

   mannurse65 replied to phatreecio's topic in General Nursing

   Thats good! On my OB rotation, I stood by uselessly while one of the hospitals ED docs went through labor, which really helped break the ice when we started working together in the ED a couple of years later.

3. My 9 year old patient was raped and required surgery

   mannurse65 replied to ssouthernyankee's topic in Safety

   It is a very difficult situation, and I feel for you. There should be agencies/people to help: Sexual Assault Nurses, Child Protective Services, Councilors, Patient advocates. I agree that every thing you chart needs to be clear, correct, and wit...

4. Drawing Labs without an order

   mannurse65 replied to umnurs's topic in Emergency

   So, I'm guessing you have never had a doctor denie that they gave a verbal order, or change a written order or the time of an order? How about writing "I did not order this!" on a protocol order? It only takes one patient complaining to the right...

5. Drawing Labs without an order

   mannurse65 replied to umnurs's topic in Emergency

   The preprinted carepaths are individualized by just adding the sheet with the pt name to the chart and the doc signs them. No big deal, the orders were things the docs had already decided on some time ago. Before we had these protocols nurses did lin...

6. Drawing Labs without an order

   mannurse65 replied to umnurs's topic in Emergency

   I am currently attempting to get a clear answer from Joint Commission, but their latest attempt to screw up ED practice is that a protocol is fine as long as it is signed off on by the patient's MD. So, every IV you start, med you give, under the pr...

7. VIP Triage

   mannurse65 posted a topic in Emergency

   A state senator walks into our ED. Management rushes in to ensure the pt gets in ahead of all others. all the beds are full to hall 8. Our charge nurse says no, I am in charge during her lunch and say no. Management takes the patient to cath lab ...