5n2_is4u

5n2_is4u specializes in ICU/CVICU now ER RN.

Latest Activity

1. CEN Review

   5n2_is4u replied to WRNCEN's topic in Emergency

   I received my CEN in April. Congrats on going for it. It is a VERY hard test but I think you learn a lot studying for it. I bough the CEN study guide from ENA. The book also gives you 2 or 3 online practice tests so you can get a comfort level with t...

2. When you take over a patient assignment....

   5n2_is4u replied to Virgo_RN's topic in Emergency

   Virgo, I feel your pain! The mess the prior shift leaves the room and the pt in is UNACCEPTABLE! I think it is totally unprofessional. Sure, sometimes the shift is totally nuts.....but a dirty commode? no IV even attempted? garbage can full and overf...

3. Good Press Ganey for ER. Possible??

   5n2_is4u replied to 5n2_is4u's topic in Emergency

   I agree hherrn and gardengal. So what do you say to the staff that want to change the process to raise scores? I do the best job I can do every day....people that have a genuine NEED to be in the ER are very appreciative. The rest of them will never ...

4. Detaining impaired pts---Battery ? Kidnap?

   5n2_is4u replied to 5n2_is4u's topic in Emergency

   The ED I work in generally asks the pt if they have transportation arrangements prior to narcs. Albeit, some do lie. Once the ride arrives we require that the driver come into the ED, show the whites of their eyes and the pt is dc'd. This policy tha...

5. Detaining impaired pts---Battery ? Kidnap?

   5n2_is4u replied to 5n2_is4u's topic in Emergency

   Great idea elkpark! I will pursue that angle. I just can't imagine it would be legal. Thanks

6. Which phone pda or PDA are you using in the ER

   5n2_is4u replied to MOTOXRN2004's topic in Emergency

   The search I have done is unanimous. Detaining patients is illegal. Since I do not have an outfit for court I will not be doing any detaining!!

7. Detaining impaired pts---Battery ? Kidnap?

   5n2_is4u replied to 5n2_is4u's topic in Emergency

   erlissy--we do check if patients have a ride but patients do lie, We ask them to have their rides come into the ED so we can see them.....I am talking about the pt who has lied and then when we insist on a ride they bolt. Do you "detain" them?

8. Which phone pda or PDA are you using in the ER

   5n2_is4u replied to MOTOXRN2004's topic in Emergency

   You love your droid, huh??? As much as I love my iphone. Do you have any thoughts about detaining patients??? Legal nightmare??

9. Which phone pda or PDA are you using in the ER

   5n2_is4u replied to MOTOXRN2004's topic in Emergency

   That is totally ridiculous!!! The technology is making us better informed with an easier process. How could this be anything but good. Does the hospital provide another fast option for getting the information?

10. Detaining impaired pts---Battery ? Kidnap?

    5n2_is4u posted a topic in Emergency

    There is a policy in development for our ED that deals with nurses physically detaining patients that want to leave after receiving narcotics. The tentative wording is that nurses are to.....physically detain them. I see this as battery and/or kidnap...

11. Oh, the personalities.....

    5n2_is4u replied to Virgo_RN's topic in Emergency

    I agree totally with the ED personalities. Most are Type A, and that is ok. It is the narcissistic overbearing nurses that can make a 12 hour shift feel like an eternity!! You know the type; they know more than anyone--especially more than the MD's a...

12. Good Press Ganey for ER. Possible??

    5n2_is4u replied to 5n2_is4u's topic in Emergency

    You are so right! Administration seems to have overlooked that option. A happy nurse can provide the best care in a very compassionate manner. Wonder why that never seems to be the focus?

13. Good Press Ganey for ER. Possible??

    5n2_is4u replied to 5n2_is4u's topic in Emergency

    The risk of pts leaving the waiting room with intact IV's or meds on board opens up a whole new issue of liability. I do think the RN in the front to evaluate pts prn during the stay in the waiting room is a good one. The concept of "rounding every h...

14. Good Press Ganey for ER. Possible??

    5n2_is4u replied to 5n2_is4u's topic in Emergency

    Thanks Rickbos! We a looking at a fast-track process but need to finish an expansion project to create the rooms. A lot of our "clients" expect instant service, as their issue is the "most urgent"; it is easy to see that the dysuria they have had for...

15. Good Press Ganey for ER. Possible??

    5n2_is4u replied to 5n2_is4u's topic in Emergency

    Ours is only 8 beds!! The only other hospital in town has a 26 bed ER and is a Level 2 Trauma Center. It is big and impersonal. Ours is the one "everyone" likes because of the care and the personal attention you can give on the units. The ER is a who...