ERERER

ERERER

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About ERERER

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  1. do you go to work sick?

    Sitting here with the flu, yuck. debating on whether or not to call in sick. what is wrong with nurses that we give work notes to hangnails, but don't take time off for ourselves if we're sick? how do you decide when to stay home? i have not calle...
  2. CEN exam tomorrow

    so, how did you do? mind sharing some tips for the rest of us? how has the exam changed, where is it's focus, etc. thanks!
  3. Anyone currently studying for the CEN exam??

    30+ years as RN, 20+ in all kinds of ER's..... used to be CEN, but unfortunately let it expire, so have to retest. Have heard that they changed the content last summer, anyone noticed??? also, wonder why Laura G-VonFrolio has not updated her tap...
  4. "Do you miss the ER?"

    well, I'm still in the ER, at my advanced age and bad feet every day I ask myself how much longer can i maintain this? There are only 12 hour shifts, new grads counted as full staff (not their fault), corporate mentality (right now you have some emp...
  5. Vit K

    after handing the syringe to the doc to give, he changed it to IM and we haven't had that problem anymore. are you giving it for a high INR from Coumadin? we generally use FFP too if there is a critical need
  6. room assignments/responsibilities

    we are trying to deal with this among ourselves. I do not like to "write someone up" or blah blah blah to management unless it is something we can't handle ourselves. This particular nurse has been taken "outside" and talked with, given direct ord...
  7. room assignments/responsibilities

    In our ER we are assigned a group of rooms for the shift. Patients placed in those rooms from triage or EMS are "our" patients. If we are getting "slammed", everyone else usually pitches in to help out..... Lately we are having trouble with one nur...
  8. Ummmm..are they ALLOWED to do that?

    you cannot transfer a patient to another facility if you have the ability to care for them. this does not mean bedspace, it means specialties (burns, neuro, etc). i've been doing this a long time. you would never find a physician to accept an esta...
  9. Ummmm..are they ALLOWED to do that?

    +++++++++++ I have researched Emtala quite a bit for some problems we were having. No where did it address this issue. The patient is not "dumped" on the ER. They keep their same doctor and their same orders. The ER doctor is not involved. It is...
  10. Ummmm..are they ALLOWED to do that?

    I do not understand why this would be an emtala violation. When the patient comes down to the ER, they continue under the care of their admitting physician along with their orders. The ER doc does not get involved in their care. If we need an orde...
  11. Ummmm..are they ALLOWED to do that?

    I can see both sides of this problem. I am currently working in a dinky non=teaching REDNECK hospital. If a patient goes bad, ICU is full, there have been a couple of occasions where they were brought back to the ER. SIDE1: where is the safest p...
  12. Resources for ER Newbie

    hey... i've been a nurse since the dinosaur age. This is what i carry in my pocket: "Emergency and Critical Care Pocket Guide, ACLS version" by Informed.(Paula Derr). i'm pretty sure you can get in from Amazon too. Just remember, there is no way...
  13. Do You Have a Voice?

    so what is the answer? as professionals we should have input on how we conduct our profession. I personally resent all these "like it or leave it" memos that come down from above. i don't think that admin has a clue as to what is actually going o...
  14. Do You Have a Voice?

    Do staff nurses in your facility have any input in policy making, clinical decisions, etc? In our hospital there is upper management, who get their information on problems on the units from managers. I have read of some hospitals using shared gove...
  15. Have your own malpractice insurance?

    always, always, have your own policy. your employer will tell you that "you are covered" by theirs. smile and say thanks. then get your own. more than once, when a hospital has been sued they have turned around and blamed the nurse, then sued her...