siegolindoRN

siegolindoRN

Emergency

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About siegolindoRN

siegolindoRN has 7 years experience and specializes in Emergency.


Latest Activity

  1. MEN, dont come into nursing

    I'd like to remind everyone that nursing is one of the few professions where, depending on what unit you work, only requires you to work 13 shifts a MONTH, only firemen have better schedules than we do.
  2. What's your triage protocol?

    Mount Sinai Health System uses the "Split Flow" patient flow improvement process. It utilizes separating ESI 1/2 and high level 3 (abd pain with co-morbidities) into acute areas and ESI low 3 (abd pain NO comorbidities), 4 and 5 into an evaluation ar...
  3. Handling multiple ICU patients in the ER

    Those are the days where teamwork is paramount for both safety of the patients and the nurses. As many have mentioned, manage up for assistance, don't assume you will be helped by maintaining silence. Don't just involve the nursing side but also the ...
  4. Reason for IV fluids

    its a multifactorial thing; on one end you have clinical practice, patient expectations, usage deals through supply chain, etc and on the other, the financial impact. Both are influenced by the medical director and/or senior administration. An IV ba...
  5. that sad part in the battle between ADN and BSN is that someone entering nursing as a second career with a previous bachelors education will be forced to spend more money in getting another bachelors degree (depending on year graduated may/may not ha...
  6. PRN job on top of FTE?

    I have kept a per diem gig since my first year post nursing school. The rates are higher than staff but lower than any overtime. Most places have stipulations regarding how many shifts, weekends, holidays etc per month that need to be "picked up". Si...
  7. Kingsborough ASN new grad in NYC

    As far as I know, only NYC HHC hires ASN prepared nurses along with most SNF or LTC organizations. I believe NYS (mostly psych) will take ASN and so does the VA (openings in the city are rare). The private sector, Montefiore, Mount SInai, NYP, Northw...
  8. I Left Work Sick- Can I be Charged With Patient Abandonment?

    Where were your coworkers in all of this???? They should have divided up your assignment so that you could've gone home. I can understand why a DON would refuse report when they are in charge of the house and couldn't possibly perform bedside care. I...
  9. The Fifth Vital Sign

    Pain can directly influencing BP, HR, and RR, amongst other things, so it should be monitored closely. When asking for pain ratings, I always add a comment to either validate or invalidate what my patients are reporting, its how I meet the need for d...
  10. Possible adult admit with minor child in tow

    KindaBack, Ill admit, "anything" wasn't the best word to use as those other items I would agree are not our responsibility (not as primary RNs at least). What is in our scope is addressing the potential mental/behavioral health issues that a patient ...
  11. Possible adult admit with minor child in tow

    A nurse can delegate a support staff member to watch a patient, they need not wait on a supervisor to make that decision. Charge nurses on various units can also coordinate the use of support staff in coordination with the supervisor. At the end of t...
  12. Possible adult admit with minor child in tow

    I have experienced this many times in my ED career, sometimes we were able to get family come in, sometimes we have called ACS, sometimes the NYPD. The one common denominator all the situations had, a sitter (support staff) is placed with the child(s...
  13. Switching Blood on Rapid Infuser

    The practice of flushing the line, or changing blood tubing, in between transfusions comes from the need to monitor for transfusion reactions (policies are created for the broadest applicability). The obvious difference in standard administration vs ...
  14. New grad wants to QUIT first job, PLEASE HELP.

    Get your year in first, then transfer to another unit. If after your second year, you still feel the organization is not up to your standards, then leave. If you quit after only a few months of work, you will find it extremely difficult for anyone to...
  15. Flex shifts, getting pulled to other units, ect

    1a)Full Time Equivalent (FTE) is equal to 1950 hours per year, some places work out complex algorithms so nurse's work 12 or 13 shifts in a month (11.5 flex). How you are scheduled can depend upon the payroll solutions the nursing department uses (ex...