Rickbos

Rickbos has 38 years experience and specializes in ICU,OR,PACU,ER.

Latest Activity

1. 'cattle calls' in ER waiting room?

   Rickbos replied to BaptistBites's topic in Emergency

   We used to use pagers but 2 or 3 times a day I would "beep" the next patient and wait & wait & wait, and "beep" again ....but nobody would respond. I swear someone's garage door in the neighborhood was opening and closing instead.

2. Triage protocols. what does your ER use?

   Rickbos replied to lifsavER67's topic in Emergency

   Its all determined by total amount of resources utilized as outlined in Emergency Severity Index Version 4: Everything you need to know 5 LEVEL TRIAGE SUMMARY ESI 1 Needs life saving interventions ESI 2 Needs immediate Rx but not...

3. Charge/Triage RN Position

   Rickbos replied to Rickbos's topic in Emergency

   That is exactly how I feel about the safety aspect of having the charge nurse do triage and have a patient assignment. It is a set up for a bad outcome. Thanks for your answer.

4. Registration By RNs in Triage or ER Registration Clerk?

   Rickbos replied to Rickbos's topic in Emergency

   Thanks....

5. Charge/Triage RN Position

   Rickbos posted a topic in Emergency

   Hi Does anyone work in an ER where the Charge RN is responsible for the whole ER for their shift, triages all patients, and also has a patient care assignment in the ER? If so what type of patient load do they take, how many patients a day does your...

6. Registration By RNs in Triage or ER Registration Clerk?

   Rickbos replied to Rickbos's topic in Emergency

   Do you, as an RN, have to enter the patient name, DOB, ER doctor, and print out an ID bracelet & stickers as part of triage as part of your electronic triage?

7. Registration By RNs in Triage or ER Registration Clerk?

   Rickbos replied to Rickbos's topic in Emergency

   We were proposing the patient upon arrival(if well enough to do so) fill out a carbon less copy triage form that has basic demographics(name, DOB, complaint, & med list). One part of the carbon less copy goes to registration and the other goes ...

8. Registration By RNs in Triage or ER Registration Clerk?

   Rickbos posted a topic in Emergency

   We are trialing a new triage system to hopefully improve flow that has the triage RN do a portion of the patient registration, apply the ID bracelet, do the triage assessment, and then place them in a room after triage(if available) and the registrat...

9. Happy Emergency Nurses Day!!

   Rickbos replied to Lunah's topic in Emergency

   We must have upset some folks in the front offices because we never heard a word from any of them on ER Nurses Day..... Amazing, life goes on!

10. function for half sheets in triage

    Rickbos replied to nurse ninja's topic in Emergency

    We use a patient generated triage form that has Name, DOB, Reason For Visit, PCP, Meds & Allergies. Because we are in a resort area, we ask for a telephone # they can be reached at while they are visiting so we can contact them if follow up is ...

11. Help with decreasing ED wait times ...

    Rickbos replied to RNSurf's topic in Emergency

    Somehow the emphasis with ER care has been put on giving the patient the "false sense" that they are getting treated better by rushing them back in to a room in the shortest amount of time regardless of their acuity. It is an attempt to increase Pre...

12. High acuity patients in Minor Care and low ER staffing

    Rickbos replied to FNPveteran's topic in Emergency

    The Press Ganey pacifying "immediate bedding" management idea violates the original concept of triage.... "treatment as per acuity". If you want "first come first serve" go to the deli counter or McDonald's. If you want sound, efficient emergency ...

13. Summer lull?

    Rickbos replied to emtb2rn's topic in Emergency

    You are experiencing a lull because all your patients are summering in my ER on Martha"s Vineyard. Please put a return address on your folks so we can send them back to the correct point of origin when they are done here. Have a great summer, where...

14. How do you triage? How do you assign levels?

    Rickbos replied to RhiaRN75's topic in Emergency

    After watching the the 5 Level Triage DVD a couple years ago I made up this little cheat sheet to help me remember the ESI levels. This is solely based on the instructional dvd and really the 5 levels the author of the original question uses are rig...

15. Triage Standing Orders for Lab and X-rays

    Rickbos replied to Rickbos's topic in Emergency

    Thanks for your ideas. Since I posted the original message I have worked it out our ER registration folks to register the patient in a timely manner to eliminate the problem I originally had. All is well for now...thanks