Email4KH

Latest Activity

1. Can't remember what this is called

   Email4KH replied to PsychNurseWannaBe's topic in Geriatric

   The article is a great resource for BP info. The pause you're talking about, the auscultory gap, is discussed close to the end. One way to be sure you're not being fooled by it is to inflate the cuff to the point that you occlude the radial pulse, ...

2. ER Patients

   Email4KH replied to vonxojn's topic in Emergency

   Here's a funny one: A family brought in their pre-teen daughter after a copperhead bite and refused to allow us to treat her, saying that God would take care of it. Why didn't you just let God take care of it at home?

3. My ED can't decide what it wants to be.

   Email4KH replied to Email4KH's topic in Emergency

   I think the law actually says that you can't refuse to evaluate in the ED. I don't think an ED is required to treat. The idea about the separate waiting areas would be great for avoiding waiting patients' perception that less-acute patients are bei...

4. My ED can't decide what it wants to be.

   Email4KH replied to Email4KH's topic in Emergency

   Here's an idea: Why not guarantee payment to primary care providers for all patients, and reserve the right to refuse ED treatment for non-emergent cases; referring them to their primary care providers instead? It seems that it'd be much cheaper th...

5. Changing careers but discouraged by a failed student

   Email4KH replied to Cartman1532's topic in Male Students

   . You're listening to a chauvinist failure?

6. Has anyone here had to do clinicals in OB

   Email4KH replied to edsdcs's topic in Male Students

   I thought it was interesting that women often got very uptight about having a male OB nurse in the same room, but a male doctor could go in up to his elbow and the same patients wouldn't give his gender a second thought.

7. Pt demanded a stronger pain med

   Email4KH replied to AstrosFan's topic in Emergency

   We STILL don't give pain meds until the MD assesses. Too many walk out after getting "fixed."

8. Assault Response Training for ER Staff

   Email4KH replied to Fiesta Red's topic in Emergency

   CPI here, too. As with others, our facility only approves reacting to assaultive behavior with CPI-designed techniques. My children, on the other hand, have no interest in seeing Daddy get hurt. I vote with them. Sure, I'll try the goofy CPI. But...

9. Press Gainey AARRGGHH

   Email4KH replied to susi_q's topic in Emergency

   I like a variation of the question that is a favorite of one of our ED docs when the patient starts on their laundry list of symptoms: "Wait, wait, wait. What is the ONE THING that finally made you decide to come to the ER tonight?" PressGaney c...

10. My ED can't decide what it wants to be.

    Email4KH posted a topic in Emergency

    Our management wants ease of access. Our management wants fast turnaround. In one breath, our management complains about patient load. In the next, they're telling us about how they're trying to make the ED a better place to come for non-emergent hea...

11. Medicaid. Is it being abused?

    Email4KH replied to SWFlorida's topic in Emergency

    I just triaged a Medicaid frequent flier who rode the 911 express because he has a runny nose. $400 ambulance service. $500 ED visit. I'm working my ass off; spending time away from my family to support this bullshit. I just sent an email to my c...

12. Uninsured=financial ruin

    Email4KH replied to HM2VikingRN's topic in Activism

    Here's the real sin in this issue: Multi-billion dollar, multi-national companies are allowed to pay poverty wages and offer absolutely no healthcare benefits.

13. Uninsured=financial ruin

    Email4KH replied to HM2VikingRN's topic in Activism

    We HAVE universal healthcare. Walk into any ED and be treated for any complaint, whether you have resources (or intention) to pay or not. We already have universal healthcare. It's just being delivered in the least efficient way you could possibly c...

14. ED admitting orders

    Email4KH replied to bill4745's topic in Emergency

    This is a pet peeve for me. Our ED docs call admitting docs who then either come in and write or call in orders. Calling in orders isn't bad from the RN standpoint, but the ones who come in and then take over an hour to write floor orders create a...

15. Most RN's first borns?

    Email4KH replied to lvs2nrs3535's topic in General Nursing

    First born. Male. ETOH father who quit drinking before I was born, but was frequently absent due to his job. Very interesting observation.