kimmie4476

kimmie4476 ASN, RN

Med-Surg/Tele, ER

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About kimmie4476

kimmie4476 is a ASN, RN and specializes in Med-Surg/Tele, ER.


Latest Activity

  1. Minimum staffing need data

    Thanks for a starting place, I was getting no where
  2. Minimum staffing need data

    Hi all, I am trying to find some peer review articles or any data on the safe minimum number of nurses in an ER. My ER is a 22 bed level 3 trauma center with an average census of 80-100 per day. We have no policy stating the minimum number of nurses ...
  3. tips to keep patients from passing out durumg blood draws?

    If I have someone who tells me they are feeling faint, or that they normally faint with blood draws, the first thing I do is whip out an alcohol pad and stick it under their nose and tell them to take slow deep breaths. This also helps wake them up i...
  4. ER dropping the ball?

    That's the thing, the pt had no DIAGNOSIS of meningitis, nor does he even sound like he has it. The pt's I've seen with meningitis were extremely sick/about to die. This guy doesn't sound like that. It's always a possibility (see my above post) ...
  5. ER dropping the ball?

    Anyone with a fever and confusion "might" have meningitis, (or they might just have a uti or low sodium or with the chest pain, reduced cardiac output or reduced oxygen to the brain, hell, maybe he wasn't wearing enough oxygen at home) just like...
  6. ER dropping the ball?

    So, it's the ER nurse's responsibility to diagnose a pt with meningitis? Why aren't you advocating for the Ed Dr or the admitting dr to be written up? Both have the capability to diagnose, not the nurse, but that's the one you throw under the bu...
  7. ER dropping the ball?

    The night before last, I walked into the Ed for work and took report from the of going nurse "good news and bad news, I'm discharging the last pt in this pod (of 4) but you have an ambulance coming with a shortness of breath". OK, I think, I can...
  8. TNCC please give me some inputs

    Make sure you know the assessment process and practice saying it OUT LOUD. They will go over most of the book in class, so you can take good notes there, but KNOW THE TRAUMA ASSESSMENT. You will only get about 30 minutes the first day of class to pra...
  9. I need help!

    I can answer some of these questions. A little background....I got my LPN in 07 and my RN in 09. I have worked the same hospital as both an LPN and through school for my RN. 1) In my hospital, when I was an LPN, it was 1RN and 1LPN for up to 12 acut...
  10. Getting Your Desired Position 101

    Wow, this is great! I for one am horrible at interviews because I am so shy. On the positive side it keeps me in the same position for many years which looks good on my resume :)
  11. Assessments every shift?

    It really doesn't matter what anyone else does. You are responsible for what you do and for holding yourself up to your own standards. You have to find a way to keep your full assessment and fit it into the time constraints you will be under. Now, i...
  12. Things that make it all worth it

    Yes, it wasn't requests that they were calling me for, it was because they were critical and in addition...anxious about it so the thank you was for getting her through the anxiety...talking her down etc. No, I'm not a new nurse and it's not a honey...
  13. Things that make it all worth it

    Had a really rough night at work...one patient in particular ran me ragged all night...so much so that I was begging the other nurse to just answer their call light once. Then, just as I'm about to leave, there goes their call light..."okay, just one...
  14. improving staff responsiveness

    Take away the "That's not MY patient/job" mentality. Everyone where I work answers call lights regardless of whose pt. it is including the ward clerk and DON. It only takes a second of your time to see what the patient wants/needs and relay that to t...
  15. Where do the damn pillows go?

    I'm lucky in that our hospital uses the disposable kind and we have an abundance of them. Our DON who is extremely budget conscious (tight with the money lol) Says they are actually cheaper than trying to sanitize the reusable ones. We encourage pts ...