Latest Likes For thelema13

thelema13 6,838 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: 372

Sorted By Last Like Received (Max 500)
  • Mar 13

    Wow, some hateful answers for a guy smoking grass. It's not like he is snorting cocaine or shooting oxycodone (worked with both).

    Marijuana is illegal and legal, depending on your state. Act accordingly to the law.

    I grew up in Canada with everyone from my babysitter to my grandma rolling a joint. Not a big deal to me. But to those that say marijuana is an 'introductory' drug that leads to heroin, come on. What are you smoking? Actually, tobacco and alcohol is almost always tried first, but they aren't considered drugs by the average person, are they?

    To the OP, you will be drug tested possibly before and during your time in the program. A positive result on any drug is usually grounds for dismissal from said program.

    And kudos for trying a natural herb over running to an MD for a benzo. See if you don't get addicted to that crap....

  • Oct 25 '16

    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 '16

    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??

  • Jul 30 '16

    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 '16

    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 '16

    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 '16

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