cookienay

cookienay has 18 years experience and specializes in ER, education, mgmt.

Latest Activity

1. 911-ing a resident out, requires an order?

   cookienay replied to NurseLynwood's topic in Geriatric

   Do you seriously need an order in LTC to call 911? Any reasonable layperson should have been able to recognize that the resident was suffering an acute medical emergency. So a trained, licensed nurse does not have the authority to do the same? What i...

2. PTO/Sick Leave for Nurses

   cookienay replied to zem2002's topic in General Nursing

   Accrual of PTO is based upon hours worked and years of service. More time with the hospital means you accrue at a higher rate. I find it to be very generous. We are allowed 4 occurences of absence in a rolling 12 month period, on a no fault basis (m...

3. work excuse and privacy issues

   cookienay replied to psu_213's topic in Emergency

   Refer to Occupational Medicine if available (family MD if not). They can determine if someone is fit for their particular job duties.That is not ED issue.

4. Bedside Report dillema

   cookienay replied to DJ-Adia's topic in General Nursing

   THis is slightly off topic, but your management's reasons for starting this practice are puzzling. Bedside reporting is actually a component of Joint Commission's NPSG to increase effective communication between caregivers. (As was the read back and ...

5. ppd question

   cookienay replied to missladyrn's topic in General Nursing

   That happened to me once and I was scared to death. Turns out it was a local reaction and was gone by the time the 48 hour read time came up. Try not to worry until you have to!! If your employer won't foot the bill for the cxry if one is needed, cal...

6. THE Epic failure of surveys and the new focus on "customer service".

   cookienay replied to eriksoln's topic in General Nursing

   I am all for a certain level of customer service. For starters, people most likely will not sue someone that they like. Secondly, it makes my job easier. To go above my patient's expectations is something that actually alters their perception of the ...

7. new to the ER with a question for you experts :)

   cookienay replied to instanthuman's topic in Emergency

   Esme- good info. Would it still be considered EMTALA if they were under the care of the admitting inpatient physician and not the ED physician? They were just geographically in the ED area? This is where I was coming from in my initial response of it...

8. new to the ER with a question for you experts :)

   cookienay replied to instanthuman's topic in Emergency

   This is not an EMTALA violation per se that I am aware of. Ideally, these patients should be moved to a different facility that has the staff and space to properly care for them. There is increasing evidence to support what we have always known: outc...

9. Have you ever been told

   cookienay replied to purple10's topic in General Nursing

   I have no idea what you all are talking about. I sit around all day painting my nails and eating bon-bons. Being a nurse is waaaaaay easy. *insert sarcasm and eye rolling here*

10. Todays Most annoying pt award goes to....

    cookienay replied to Pepper The Cat's topic in General Nursing

    This thread made me laugh out loud. I know I have taken care of each one of these fruitcakes at least once in my career.

11. Need Advice

    cookienay replied to MarBug7's topic in General Nursing

    I find it ridiculous that a fellow nurse would say it was "your fault" because a pt became septic. Complications happen. While there are things we can do to prevent sepsis I find nothing in your post to indicate that you caused the sepsis. Sounds lik...

12. Access to Nurse via Telephone

    cookienay replied to Flying ICU RN's topic in General Nursing

    "Now, I know you can't tell me anything because of confidentiality and all that, but what was was wrong with him?" That is my favorite. You can bet the clerks hear about it when I get that phone call. I tell them "The patient has a phone in their r...

13. "Good Housekeeping" Got the ED Nurse's Message

    cookienay replied to BabyRN2Be's topic in Emergency

    Love the call ahead advice! Umm, this is not Chili's. We do not do call ahead seating.

14. Different Licensure for School Nurse?

    cookienay replied to cookienay's topic in School

    Thank you all for the information! Supernrse, so it is a licensure and not a certification, correct? who licenses you as a school nurse? Is it the state BON? Or is it a professional organization? I guess I better get started on this coursework! Thank...

15. Different Licensure for School Nurse?

    cookienay posted a topic in School

    Hello Nurses! This is my first foray into the school nursing forum and I have a question that has more than likely been asked before. I plan to apply for a school nurse opening next school year for a small rural school in Ohio. I have a BSN and 18 y...