TlhRNED

Latest Activity

1. Intoxicated- does it mean incompetent?

   TlhRNED posted a topic in Emergency

   We had this discussion in our ED tonight. If a patient is intoxicated, are they incompetent?

2. Collecting co-pays at the ED registration desk.

   TlhRNED replied to TlhRNED's topic in Emergency

   We are not a locked down unit- we have entrances and exits at both sides of the ED, there will not be any added staff, we are already fighting for staff, and we are not a grocery store.

3. Collecting co-pays at the ED registration desk.

   TlhRNED posted a topic in Emergency

   Our facility is suggesting that we start collecting co-pays on insurances at the ED registration desk upon discharge. I am completely against this... Any feedback out there? To add clarification here... we do not have a locked ED. We are a small r...

4. Im curious about ER tech qualifications

   TlhRNED replied to qwitcher13itchin's topic in Emergency

   I am a Nurse Manager in PA and we utilize ED techs. We follow the ENA EDT curriculum and guidelines for PA. It is up to the individual facility of what qualifications are preferred for the facility. I require EMT and CNA within one year of hire. ...

5. First Dose/Medication Mgmnt in the ED

   TlhRNED posted a topic in Emergency

   I am interested in getting feedback on the JCAHO regulations for first dose medications and medication management from the ED perspective. Our pharmacy is telling us that we need to fax every non-stat order to them prior to administration to a patie...

6. Ketamine

   TlhRNED replied to Uptoherern's topic in Emergency

   We use the conscious sedation policy as well. There is not a thing you can do differently. Protect the airway. Go back to your basic ABC's. The unfortunate thing about Ketamine is that there is no reversal agent. The fortunate thing is the 1/2 l...

7. Antipyretics Tylenol vs Ibuprofen in Pediatrics

   TlhRNED posted a topic in Emergency

   Our pediatricians in my facility are pushing for our ED to start an initiative for patient/parent education on the effects of alternating or combining Tylenol and Ibuprofen in the Pediatric population. They do not want us treating all fevers and edu...

8. New breed of bullies!

   TlhRNED replied to Tink RN's topic in Relations

   Kudos to you for sticking to yourself and doing your job as a professional! The behaviors of others only shows their own ignorance! Do not allow yourself to get involved with those "types". Yes, they are out there everywhere, probably in every ED ...

9. "Outpatient Orders"

   TlhRNED posted a topic in Emergency

   Does anyone deal with "outpatient orders" in their Emergency Departments? We are constantly receiving orders from family practice/ internal medicine/ peds to give injections, do procedures, etc... in the ED! How do you all handle this???

10. Tsystem

    TlhRNED replied to TexasRN31's topic in Emergency

    We have both the physician and the nursing t-system and LOVE it! They have a website you can log onto and a rep will contact you if you desire.