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Search Results Type: Posts; User: RN-Cardiac

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  1. Is anyone using Cerner in their ER?
    We are two weeks in and it really is horrible software for a large Level I Trauma center. I can see where it might be okay in a small ER,.....we have had staff quit over it and are now using paper...
    Apr 17
    Forum: Emergency Nursing
  2. The Infamous Cab-ulance
    I really think that if a person comes by way of ambulance and is not in need of the "back door entry", they should be made to wait just like the people who walk into the waiting room. Wouldn't it be...
    Apr 16
    Forum: Emergency Nursing
  3. Is there a legal way to do this...
    The problem here was that the patient was using a different name. I was completely within policy to divulge the name the patient used, which of course was not helpful to law enforcement.
    Apr 8
    Forum: HIPAA and Nursing Challenges
  4. Walk me through your ER
    68 bed Level I Trauma Center,...today GSW to the head, 12F ejected from MVC, 2 acute MI's (intubated one of them), 3 Class I strokes,...all arrived withing 45 minutes of each other,.............my...
    Mar 21
    Forum: Emergency Nursing
  5. Medical terminology according to patients
    Perhaps it is regional,....I'm in the midwest, CABG is open heart as opposed to closed,...the chest is open,...there is also an open chole vs lap chole, open appy etc.
    Mar 16
    Forum: Nurse Colleague / Patient Relations
  6. Venipuncture - gauze vs cotton ball
    I agree with the others, I think it's absurd, BUT our policy is to use a sterile 2X2 after venipuncture or dc'ing an IV. You have to follow policy!
    Mar 13
    Forum: Nursing Issues On Patient Safety
  7. Would you hold Metformin fot a BS level of 149
    Unless there is more to this story,...I wouldn't have held it,....I wouldn't have even asked my supervisor. If my supervisor insisted I would have charted "held per Nurse Nancy floor supervisor".
    Mar 8
    Forum: Nursing Issues On Patient Safety
  8. CEN as a New Grad
    The CEN,.or any other professional certification, is supposed to demonstrate your expertise in your field of specialty. A new grad with a certification is in no way an expert in any...
    Feb 18
    Forum: Emergency Nursing
  9. Question for a new student
    Stay out of it,..study hard and never be THAT nurse.
    Feb 18
    Forum: HIPAA and Nursing Challenges
  10. Is anyone using Cerner in their ER?
    The hospital where I work has used Cerner for inpatient charting for years, we are now getting ready to use it in the ER. From what I've seen so far it really isn't designed for ER use and looks...
    Feb 18
    Forum: Emergency Nursing
  11. What time do you leave work?
    I work ER, 7a-7p,..I am required to clock in at 0630, we have a "huddle" before every shift to discuss anything new etc. Night shift is the same,...I am rarely late getting out. Our huddle is...
    Feb 16
    Forum: General Nursing Discussion
  12. Practicing "nursing" w/o a license...?
    I'm not familiar with the laws of your state, however I worked as an MA before nursing school. I worked for a family practice physician and was trained on the job. I gave injections, took xrays,...
    Feb 15
    Forum: General Nursing Discussion
  13. Is there a legal way to do this...
    Just so you all understand,...this man was arrested, just outside of the hospital. I have no idea how or why,..I was just trying to find a legal way to do what any of us would agree needed to be...
    Feb 9
    Forum: HIPAA and Nursing Challenges
  14. Is there a legal way to do this...
    Yes Bucky,..that is exactly what was happening!! He was a known felon, they knew who he was, they just couldn't catch up with him!
    Feb 9
    Forum: HIPAA and Nursing Challenges
  15. Is there a legal way to do this...
    Thank you for the informative link! It looks like, if we could get something in writing,.....there should be a better way to do this. While I agree with the sentiment that this guy deserves to be...
    Feb 7
    Forum: HIPAA and Nursing Challenges
  16. Is there a legal way to do this...
    Well,...this good little nurse asked the manager, and spoke with security and was told that unless this patient had a gunshot wound we could not report that he was in our hospital. Now,.if someone...
    Feb 7
    Forum: HIPAA and Nursing Challenges
  17. Is there a legal way to do this...
    Hope there is a HIPAA expert out there! Here is the scenario,..very public, rape, murder of a 4 yr old in your town. The police have DNA that identifies the subject, his name and photo is on...
    Feb 7
    Forum: HIPAA and Nursing Challenges
  18. Allergies and running codes
    I'm an ER nurse and I frequently don't even have a name on my codes, much less a history or list of allergies!! I agree with all the previous posts, you code a pt because they're dead,..give the...
    Feb 3
    Forum: Nursing and Patient Medications
  19. I'm grateful for you crusty old bats
    I'll take the "old bat",..but crusty?? Not usually :no:
    Jan 29
    Forum: General Nursing Discussion
  20. Pull until full triage
    I work in a 68 bed Level I trauma ED,.we do something similar, if we have several open beds we do bedside triage. It appears to have decreased some of our times. Honestly, I work 7a-7p and usually...
    Jan 27
    Forum: Emergency Nursing
  21. How long was your orientation
    Our new grads get 20 weeks with a preceptor. New to the department, experienced nurses get 2-6 weeks depending on where they came from and what they need.
    Jan 27
    Forum: Emergency Nursing
  22. Nurse to patient ratio in ED
    I work in a 68 bed Level I trauma ED, we have 3-4 rooms depending on the time of day. We have a fairly new ED and our department has done extensive monitoring on the flow times through the ED. It...
    Jan 27
    Forum: Emergency Nursing
  23. The Infamous Cab-ulance
    I agree the system is broken! We have two hospitals about 4 miles apart and often have pts leave one ER, go across the street call and ambulance and have them take them to the next ER. This abuse...
    Jan 27
    Forum: Emergency Nursing
  24. Shift Work in Nurses
    Done! Good luck.
    Jan 12
    Forum: General Nursing Discussion
  25. 8 month old baby dies because iv line could not be accessed
    How does a child die, in a hospital, because no one could get an IV started? Really? I/O, central line,....how could you not get access??
    Jan 5
    Forum: General Nursing Discussion


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