TLSpaz

TLSpaz ASN, RN

Emergency Room

Member
  • Content

    171
  • Visitors

    7,141
  • Followers

    0

About TLSpaz

TLSpaz is a ASN, RN and specializes in Emergency Room.


wife, mother, daughter, friend, sister, veteran, nerd, nurse, patriot, survivor,

Latest Activity

  1. Feel I was wrongfully dismissed

    Have you considered just going to nursing school in California? Yes, you would be "starting over" as most your credits will not transfer, but think of it in terms of the money you will NOT have to spend moving back to Florida. Also, consider that r...
  2. Inappropriate nurses?

    What "else" would I have done? The only thing I would have done is answer the question.
  3. BSN premium on the table.

    I am in a union hospital and I am on a negotiating team. I cannot, however, answer your specific question. This issue of BSN premiums is not a battle we have chosen to pursue.
  4. Pyxis error

    .The Pyxis where I work only requires a 2nd user verification if a narcotic is being wasted.
  5. "Treat the monitor AND the patient" is what I was taught. I recently had an 86 year old female with a heart rate of 32. She was sent over from her PCP's office. Her only complaint was "I just feel really tired."
  6. Emergency room RN minimums in Texas

    THIS! Most nights in the ER where I work, the Charge Nurse doubles as the triage nurse after 0100 or 0300 depending on when the last mid-shifter leaves. That leaves two RNs to work the floor. We are a small ER, but we aren't THAT small. We waste ...
  7. Highest/Lowest K+ you've ever seen

    The highest I've seen was 9.2 and it happened last night; confirmed via ABG with lytes, which resulted at 9.1. Pt presented to triage with profound muscle weakness and a HR of 32; ended up having a trialysis cath inserted and was being admitted to I...
  8. Leaving Bedside Nursing

    Yes but with bedside nursing, these troublesome and entitled patients and families. Where they eat," so to speak. It's so dang disheartening to be bending over backwards attending to someone's personal care needs (eg "wiping poop" and acting as a pe...
  9. Parents who can't/won't pick up kids

    This!!! From UTI to pyelo to full-blown urosepsis...
  10. Ethics: Brain bleed sign out AMA

    Actually, laying hands on an A&Ox4 pt against his/her will is battery. Simply making a threat to do so is assault.
  11. let go during orientation, needs advice?

    OP: I was in very similar circumstances...VERY similar...about 4 years ago. Don't have time to go into it right now and don't want to go into in an open forum, but if you want, I can make contact via PM at a future time. I will tell you this: I res...
  12. Depressed self-referral to ED

    This was a violation of her civil and constitutional rights. She was falsely imprisoned without due process.
  13. Why don't you just read the chart?

    I am an ER nurse. When I give report, I systematically use SBAR. When I am finished, I always ask, "What else would you like to know?" What irritates the crap out of me is to be interrupted with questions about "skin issues" and code status when I...
  14. Why don't you just read the chart?

    I am witnessing a substantial incidence of deficient reading comprehension throughout this thread. Given the OP's need to issue multiple clarifications about the subject of "guessing" and other misunderstood points of order, maybe expecting others t...
  15. Article: Paramedics equal to RNs

    duplicate post deleted