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Search Results Type: Posts; User: Roy Fokker

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  1. It is *not* a pannus...
    I bet a mason would say "NO IT'S NOT!" LOL Man alive - to think there were even 'technical' definitions to this stuff! *smdh* cheers,
    Dec 11, '13
    Forum: General Nursing Discussion
  2. What aspect of nursing do you pride yourself in?
    * Making patients and families feel comfortable despite high stress situations and environment. Making them smile or (even better) laugh! * Patient education. I'm a big "use hands while he talks"...
    Dec 11, '13
    Forum: General Nursing Discussion
  3. Time Management
    Agreed! Although there is the chance that hypoglycemia could be a possible culprit - given how the sugars were running I very much doubt that. Bless you! And my first nursing preceptor who kept...
    Dec 11, '13
    Forum: First Year After Nursing Licensure
  4. How do you brighten your patients day?
    * By being my usual, goofy self ;-) I've found that humour is a GREAT help when dealing with patients in the ER. Witty wise cracks - sometimes about patients, sometimes about their conditions,...
    Dec 11, '13
    Forum: Nurses Rock
  5. Pain management in hypotensive patients
    I felt horrible for a young CA patient that was in constant pain but I was having a difficult time managing it because his BP was in the toilet. Watching his very loving family watch him suffer just...
    Dec 11, '13
    Forum: Emergency Nursing
  6. Managing pre shift anxiety?
    As long as you do what's right for the patient - nervous or otherwise - you'll be fine :-) You have to believe in yourself. I told myself when I switched jobs: "Pshaw! I survived 6 Charlie. I can...
    Dec 10, '13
    Forum: Emergency Nursing
  7. Violence in the ER
    Inebiration and intoxication is no excuse for violent behaviour. Do you think the DA declines to prosecute an MVA because the driver was drunk?! People need to be held responsible for their actions....
    Dec 10, '13
    Forum: Emergency Nursing
  8. Being a Patient Where you Work
    I've brought Dad in with cardiac complaints to my ED. When I had SVT, I requested transport to a different ED - nothing against my ED co-workers (my best friend was working that night) but I was...
    Dec 10, '13
    Forum: Emergency Nursing
  9. New to ER qsts about orienting
    I agree with a lot of what stargazer said - specially the bit about being not only a new nurse but new to the ED as well! Here is my perspective: As an orientee: I was new to the ER and nursing as...
    Dec 10, '13
    Forum: Emergency Nursing
  10. Well, I finally made a big medication error.
    Glad the kiddo wasn't harmed. Now give yourself 10 lashes with a wet noodle and carry on... I almost always have another nurse eyeball/check my peds drugs (even saline bolus/drip) before I give...
    Apr 19, '12
    Forum: Emergency Nursing
  11. Med Shortages
    Slowly getting some stock of IV Zofran (yay!). Also had a fresh batch of Propofol delivered! Still critically short/out-stock of IV: Valium, Versed, Compazine, Ativan, Reglan, Levophed, Neo, Vecc...
    Apr 19, '12
    Forum: Emergency Nursing
  12. Are there doctors on duty in the ER?
    i have posted this before: i have read posts in this thread about the 'entitlement mentality' of people today. and all i can think of to ask is: "hmmm, wonder who raised them to be this way..."...
    Apr 19, '12
    Forum: Emergency Nursing
  13. What do you hate seeing the MOST in the ER!?
    Drunks. Drunks. Drunks. God, I will deal with ALL the drug seeking frequent fliers if I don't have to deal with drunks. I will deal with the polysubstance ODs if I don't have to deal with...
    Apr 19, '12
    Forum: Emergency Nursing
  14. Haldol and Ativan cocktail IV
    I've had pts. who ended up being intubated because nothing short of deep sedation+paralytics (because Haldol, Ativan, Versed, Dilaudid, Benadryl, Fentanyl AND Zyprexa did nothing!) would control...
    Apr 19, '12
    Forum: Psychiatric Nursing
  15. Advice - I'll need a meal tray too
    I don't feed families. Period. "I'm sorry but meals here are for patients only." It used to really chap my hide - especially because I'd be running my butt off with no lunch break etc... Used...
    Apr 4, '12
    Forum: Emergency Nursing
  16. POCT- Troponin
    We discontinued the I-stat many months ago. The Docs never really trusted it. Now we rely on lab. On the really critical patients - no labs --- just presenting symptoms, Vital Signs and EKG! :-)...
    Apr 4, '12
    Forum: Emergency Nursing
  17. Fast Food Medicine.
    Sometimes the issue IS fixable. Lack of beds, for example. Or how empty beds get assigned... And since management is ALL about "informing patients" - well, "informed patients" is what they get......
    Apr 4, '12
    Forum: Emergency Nursing
  18. when patients go off the floor...
    Uhhh, nobody with an IV/hep-lock is allowed outside. Anyone who is intoxicated (be it drugs or alcohol) isn't allowed outside - period. This is especially true of our psych patients. I'm not...
    Mar 29, '12
    Forum: General Nursing Discussion
  19. Am I cut out for the ED?
    Somedays I'm not sure I'm 'cut out for the ED'... and I've been doing ED nursing for a while now [ED = Emergency Department. It's a Department, not a Room. Just sayin' ;)] And on other days I...
    Jan 14, '12
    Forum: Emergency Nursing
  20. What is the most interesting case you've seen in the ER?
    No idea. Sorry. She was sent to L&D right away. It wouldn't surprise me if both Mom and baby made it ok... cheers,
    Jan 14, '12
    Forum: Emergency Nursing
  21. What's with all the gravedigging lately?
    It also tends to happen each time a board has a upgrade/change implemented. Some old timers come back. Some new members are attracted to the site. etc. I've seen this happen at other boards too....
    Jan 14, '12
    Forum: Site Feedback
  22. Sometimes it's hard to tell a drug seeker from a patient in pain.
    "Sometimes it's hard to tell a drug seeker from a patient in pain". Ummm, not really. Especially if you work where I work. The 95th visit in less than 22 months for "migraines"? The 55th visit...
    Jan 4, '12
    Forum: General Nursing Discussion
  23. When your the patient, do you tell the nursing staff your a nurse?
    Uhhh, I don't like to let on that I'm a nurse. The one time I ended up in the ER because of my SVT, I didn't say a word - either to the paramedics (didn't have to - he knew me but had the good...
    Jan 4, '12
    Forum: General Nursing Discussion
  24. Best thing you saw come in on New Year's Eve
    Other than the boat load of annoying drunks... .... kid with multiple stab wounds. :madface: Stable... but the ED staff was mad as heck that someone could do such a thing to a kid... - Roy
    Jan 4, '12
    Forum: Emergency Nursing
  25. What is the most interesting case you've seen in the ER?
    * Middle-age person complaining of bilat-ankle pain. Zero cardiovascular complaints (SoB, n/v, CP) Had been mowing lawn on a hot, humid day. Was tachycardic on initial presentation with diaphoresis....
    Jan 4, '12
    Forum: Emergency Nursing


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