mcvaragon

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1. Triage at the bedside

   mcvaragon replied to MAISY, RN-ER's topic in Emergency

   To Maisy ER RN, Our system was the following: During times when beds were available, an EMT/ Paramedic is at triage. They simply identify that the patient is here to see the ER Doc and either select a bed and/or call the Triage RN in the treatment a...

2. Triage at the bedside

   mcvaragon replied to MAISY, RN-ER's topic in Emergency

   From reading your explanation above, your ER sounds like it is going beyond the basic triage bypass or quick triage scenario. The process that we use is that the patients go back until the rooms are full (rooms are reserved/blocked for EMS on our tr...

3. ED triage woes - advice appreciated!

   mcvaragon replied to kmoonshine's topic in Emergency

   I would suggest the following: 1. If you have shared governance, suggest they do an ESI Audit Tool. If you don't, bring it up to leadership. 2. I would ask that your leadership approach flow differently as unfortunately, many nurses choose answer ...

4. What is your ED policy in these circumstances

   mcvaragon replied to JessicRN's topic in Emergency

   We start the dopa/levo if patient is critical and request the central line. Chances are if you don't, you won't have a line for long and a mess on your hands. Conscious sedation is conscious sedation..... it's the drug and not the dose. If they are...

5. Triage at the bedside

   mcvaragon replied to MAISY, RN-ER's topic in Emergency

   I have bypassed Triage at my last 4 ED's..... it is a best practice and perhaps your new Director should show the evidence based practice to the staff. 1- Triage is a process and not a place. 2- There is never a time that a "patient" is safer in th...

6. Thinking of going into Air Force as a BSN

   mcvaragon replied to jcoolcuda's topic in Government

   I've been there, done that.. got the T-shirt (and the shoes). I can say that I loved every minute of it. I flew Aeromedical Evacuation and worked in a large Air Force Medical Centers. There are only a few large hospitals left in the U.S and oversea...

7. How does YOUR hospital waste its money?

   mcvaragon replied to Riseupandnurse's topic in General Nursing

   This is interesting.... Let's start off by saying that healthcare "is" actually a business. The days of hospitals being run by nuns or insurance companies paying whatever the hospital bills them are over. Stupid JCAHO and the state. The hospital ac...

8. ER nurses (or any RN), what would you have your tech do?

   mcvaragon replied to Washoften's topic in General Nursing

   What would I have my tech do? I would have the tech be the primary on ALL of the tasks within their scope. Unfortunately, many ER RN's have become task oriented. The techs see the RN ONLY doing tasks, plus meds and hopefully an assessment. Theref...