tknrn

tknrn has 25 years experience and specializes in Emergency, Surgical, Prehospital.

Latest Activity

1. Discharge

   tknrn posted a topic in Emergency

   Hello, I was wondering if anyone has a policy on discharging patients from the ED. A PA that was employed at our hospital had wirtten as policy that all patients were to be taken to and discharged from the ED via WC. Our CEO is now concerned because ...

2. ER Orientation

   tknrn replied to tknrn's topic in Emergency

   Thanks for your reply. I guess to explain this better. We are a rural hospital (CAH) with acute beds totaling 18, ICU, OB and ER. They nurses are staffed usually with 2 Rn's, 1 LPN, and 2 CNA's..1 RN is charge nurse and 1 nurse is ER. Other then myse...

3. ER Orientation

   tknrn posted a topic in Emergency

   I am the ER Supervisor in a rural hospital. The ER is staffed by a PA in the day from 9-5 Mon-Fri. My dilemma is that she seems to insist on taking a RN that is not trained to work in the ER back to the ER when it is busy to "train her". This has bee...

4. RN-Paramedic Bridge

   tknrn replied to tknrn's topic in Emergency

   Thanks for the quick reply. I did do the EMT route at one time but didn't keep up my license. I will check into the Prehospital RN and see if that is available in Missouri.

5. RN-Paramedic Bridge

   tknrn posted a topic in Emergency

   I work at a rural hospital in the Emergency Room. I also have filled in as an ALS provider for the ambulance. I am wondering if there is any benefit to doing a RN-Paramedi bridge program. If so, is there any information on such a program? I live in M...

6. Oh my gosh!!! (found the rural nursing forum)

   tknrn replied to Ted's topic in Rural

   I also work at a rural hospital in Northeast Missouri and we are also designated as Critical Access. I am the ER Supervisor and so I work the ER when I'm scheduled to work. We are not union so we have call offs when the census is low as it has been r...

7. Skills in the We

   tknrn replied to tknrn's topic in Emergency

   Thanks for all of your input. It has been very informative.:) I hope to put together a list of skills that can be evaluated and checked off on fot the ER staff.

8. Skills in the We

   tknrn replied to tknrn's topic in Emergency

   Thanks for your input. The skills that you mentioned are physician only skills at our facility. The nearest level 1 trauma center is an hour away by air evac. My concern is that the nurses working in the ER should have competency skills that addres...

9. Skills in the We

   tknrn replied to tknrn's topic in Emergency

   Thanks for your response. We are fortunate to have CT available to us. Since the nursing staff that work in the ER also work the MEd-Surg area of the hospital, I want them to feel comfortable with the skills needed for the ER. I will add your input t...

10. Skills in the We

    tknrn posted a topic in Emergency

    I am the ER Supervisor in a rural hospital. The only certification required to work in the ER is ACLS. I feel that the nursing staff should be expected to show competency in emergency situations prior to working the ER. Any feedback about what compet...