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thelema13 6,311 Views

Joined Jun 13, '11 - from 'Florida'. thelema13 is a ED RN, CHARGE NURSE. He has '3' year(s) of experience and specializes in 'ED'. Posts: 287 (49% Liked) Likes: 371

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  • Oct 25

    Go to a running store and have them analyze your gait on a treadmill. They will tell you if you overpronate, underpronate, or are a neutral walker/runner. Then you can pick the appropriate shoe for your gait and arch, then you will be walking in Pedal Heaven. Asics, New Balance and Mizuno shoes are my favorite.

  • Sep 28

    Quote from johnny1414
    oh well i just heard from my peers that er nurses only have to do like half the work of floor nurses and icu nurses and stuff, so i was just wondering.. Any thoughts??
    hahahahahahahahahahahahahahahahahahahahaha!!!!!!!

  • Jul 30

    I have filled out many risk masters with no action taken. I have gone to multiple meetings, requested by myself, to speak with the ED director or manager about a nurse/incident/labs lost/yadda yadda.

    The sad thing about all of the previous posts is that it happens all too often. Under staffing, pressed for time, and increased patient loads make us cut corners from time to time. Yea, I have falsified a patients vitals that was in my ED for a toothache or a stubbed toe. I document estimated weights all the time because I cannot get every EMS or straight-back patient on the scale. I am supposed to do hourly rounding AND hourly clinical notes, but in all honesty, when does that happen? On a slow night perhaps. If I am lucky.

    Some genius thought it would be a good idea to scan all meds when giving them. Yes, accurate charting and another fail-safe for patient safety, but also yes to time consuming, frustrating when the scanner/badge/med doesn't work properly and not really appropriate for the ED. And then I get chewed out for not complying with policy. How about some of the higher-ups come down and work a shift and scan ALL the meds? Half the time the COWS battery is dead from day shift.

    Our scope of practice as nurses is continually widening, yet staffing seems to dwindle, tech positions disappear, and shifts feel like they get longer. There is always an exception to the rule, but knowingly fraudulently documenting that you did something when you did not is wrong. Slap my hand for documenting the tooth ache has a pulse ox of 100%, but I am not charting an assessment that I did not really do. I simply won't document, and if my charge or manager or director wants to ask questions or moan and complain, I will tell them the truth. Yes, the reason the Baker Act ran out of the ED is because the psych rooms were already full, the ED was full, and I had 7 patients to care for and I even pulled a CNA from the floor to be a sitter. I am not going to tackle a patient, that is what the sheriff's office is for. It is not my fault that we are understaffed and overworked. The truth hurts sometime.

    To the LTC and nursing home nurses, I give you kudos for what you are able to do. That has to be a depressing job. I know you guys are so understaffed, it is ridiculous. Blame capitalism and greed for these situations. Just one request before you package up a patient and send them my way: an accurate, concise report would be nice, handwritten on paper even, and not 'the patient doesn't look good"; empty the foley bag! Vent over.

    I say to each their own. After all, it is your name and license number that is on the line when the attorney's start sniffing.

  • Jul 29

    Just to follow up, I got questioned by my manager about the pt And I stated I think we did everything we could have, save giving her dilaudid. I was backed up by coworkers and charge nurse. Good thing I did a risk master just to cover my butt. Pt never cam back later in day like she stated.

  • Jul 15

    My wife is an MT in Florida, initial job was at a chiro office, he was charging clients $60/hr but my wife would receive $15/hr plus tips, and have to supply her own massage creams.


    So we brainstormed, she got a small office on the highway out of an assisted living-type facility and does not pay rent, rather trades an hour massage per week to the building owner and his wife. Also, she chips in on utilities. Instead of charging $60/hr like everyone else in town, she charges $35/hr. She is booked solid and has built quite a reputation. With $60/hr rates, she was getting ~10-20 massages a week, now at $35/hr she does 20-40 massages a week, gets way better tips, and basically cannot accept any new clients due to a strong clientele.

    Her rationale- "I would rather make $35/hr and be working full time than charge $60/hr and be worried about having work."

    People see $35/hr and jump on it, I have let my nursing colleagues know and she still gets $60+/hr including tips, regularly.

    Hope this helps.

  • Jul 10

    Same old Ricky, fall due to drinking, off for his 10th CT this month.

  • May 20

    Central FL, charge nurse in ED with 5 years experience. BSN, CEN. $28 base with 20% night diff, no diff for weekends. No bump in pay for BSN or CEN. I'm told compression raises due in April... but I'm not holding my breath.

    Nonunion, not for profit hospital.

    Mortgage is $650/mo with taxes and insurance included for 3/2 1800 sq ft house. Utilities 300/mo.

  • May 9

    Quote from ~*Stargazer*~
    People expect competence. What they don't expect but hope for is kindness.
    People expect dilaudid and a ride home for free

  • Apr 22

    Just to follow up, I got questioned by my manager about the pt And I stated I think we did everything we could have, save giving her dilaudid. I was backed up by coworkers and charge nurse. Good thing I did a risk master just to cover my butt. Pt never cam back later in day like she stated.

  • Apr 22

    Sorry also forgot to mention 500cc NS bolus.

    Pt denied HA or hx of migraine. Pt kept asking for dilaudid by name. I felt bad for her, it's not nice to vomit so much. I advocated pain medication but doc wouldnt give it. Pt was a frequent flyer, and husband known to be a di** to staff. He picked her up on discharge and demanded the medical directors name and number, screaming he wasnt going to pay the bill and that he was going to get us all fired.

    In my opinion, there was some psychological aspect to her condition, which played into her symptoms making them worse. It sounded like after the initial vomiting after being brought back from triage, she was wretching, trying to make herself throw up. Just my opinion, and I did speak to my charge nurse a few times about the pt. What got me is that she was telling me to tell the doctor what to order, "i need at least 4 shots of phenergen and 2 shots of dilaudid, plus one of each before i leave for the ride home." Upon discharge, pt refused wheelchair and stormed out angrily, without any s/s witnessed before. And to leave our ED is quite a walk since we are renovating.

    Thanks again for all the replies!

  • Feb 11

    This happens EVERY DAY. When people come to the emergency department for sniffles, stubbed toes and lacerations that have stopped bleeding on the ride over, you can expect this to continue and get worse.

    That is why I staple an information sheet on our local urgent care clinics onto all visits I deem trivial. I am the king of treat and street.

  • Feb 9

    The RN (me) that turned around and punched the wall after a patient/bed combo rolled over right foot. Boxer's fx and great toe fx, and a worker's comp claim in the works. Wonder how that will go?

  • Feb 5

    The RN (me) that turned around and punched the wall after a patient/bed combo rolled over right foot. Boxer's fx and great toe fx, and a worker's comp claim in the works. Wonder how that will go?



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