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Search Results Type: Posts; User: Altra

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  1. Help! stay or go?
    As noted by several here, 10 ER patients of mixed acuity is dangerous ... but it is known to be the norm in NYC EDs. What is not the norm is the way that OP describes trauma staffing. That is...
    Oct 24
    Forum: Emergency Nursing
  2. Knitting during class: ok or not?
    You're going to have to choose to be 100% engaged in your lectures -- or not. Whether you can acclimate to the typical lecture/classroom environment -- or not.
    Oct 23
    Forum: General Nursing Student
  3. Therapeutic abortion clinic
    Therapeutic abortion is the term for elective abortion. Given the regulatory environment, the ongoing legal uncertainties, the prospect of protest activities and even the risk of violence, it is...
    Oct 23
    Forum: General Nursing Discussion
  4. Help from the nursing community for a recent medical graduate.
    Life is not always a linear path. Keep pursuing residency opportunities in all areas of the country and maybe consider a specialty that you haven't considered as yet. There have been unmatched...
    Oct 23
    Forum: General Nursing Discussion
  5. NETY - not a myth
    Love, love, LOVE GomerBlog.
    Oct 23
    Forum: Nurse Colleague / Patient Relations
  6. Esme Needs Your Prayers and Well Wishes
    Prayers and well wishes coming your way, Esme. Hope to see you here at AN soon!
    Oct 23
    Forum: General Nursing Discussion
  7. Nurse manager who yells at people
    Can't recommend replicating this approach: it is rife with liability for the individuals who did the recording and the organization itself.
    Oct 21
    Forum: Nurse Colleague / Patient Relations
  8. shotgun knowledge from emergency geniuses
    If you are working in an ED that sees trauma patients (and so performs FAST exams) and is on board with current Surviving Sepsis guidelines, you probably have a nurse educator, or at least some...
    Oct 20
    Forum: Emergency Nursing
  9. Dallas Presbyterian Nurse Interview
    I watched the whole interview. It brought tears to my eyes. Prayers said, Briana.
    Oct 17
    Forum: Disasters: Preparing & Responding
  10. VRE
    VRE
    CDC - VRE in Healthcare Settings - HAI CDC recommendations in link above. What does your facility policy state?
    Oct 16
    Forum: General Nursing Discussion
  11. Does anybody else feel guilty about calling off?
    This says it all. Guilt? No. The underlying "not fair to coworkers" mentality stems from an exaggerated sense of responsibility for staffing a unit, or a wishy-washy lack of healthy boundaries...
    Oct 16
    Forum: Nurse Colleague / Patient Relations
  12. Do you go to work with vomiting/diarrhea?
    Vomiting and/or diarrhea? That's a firm no.
    Oct 13
    Forum: General Nursing Discussion
  13. Suicide by antibotics ?
    Even if the patient survives with any intact neuro status, he has probably blown out his kidneys. If I were going to appropriate meds prescribed for another species, I wouldn't pick one with a...
    Oct 13
    Forum: Nurse Colleague / Patient Relations
  14. Does the company you keep work in health care??
    It is definitely true that most of my family and much of the rest of my social circle will never, ever in a million years understand my work in the ER in da hood. I don't talk about it much with...
    Oct 10
    Forum: General Nursing Discussion
  15. ER nurses not calling report anymore...
    I regret that I can only *like* this post once.
    Oct 10
    Forum: Nursing Issues On Patient Safety
  16. Nurses Who Don't Want to be Nurses
    No complaining around the OP ... noted. Oh, OP ... when you become employed as a nurse, make sure you don't stay at a job too long, or ever, ever let off a bit of frustration ... you could find...
    Oct 9
    Forum: Nurse Colleague / Patient Relations
  17. grandchildren signing consent
    That the family member is a hospital employee has no relevance. Nor is there any HIPAA issue -- a family member named by the patient as a contact person was appropriately contacted in the course of...
    Oct 9
    Forum: Nursing Issues On Patient Safety
  18. Thomas Eric Duncan and Hipaa
    Once your family starts being publicly photographed with a recognizable figure such as Jesse Jackson ... you've pretty much lost any claims to privacy.
    Oct 9
    Forum: Nursing Issues On Patient Safety
  19. Emergency room RN minimums in Texas
    If your facility has recently been surveyed, you should have a contact for further questions/clarification. Send them written communication, email or actual letter, requesting direction regarding...
    Oct 9
    Forum: Emergency Nursing
  20. Bladder Cocktails?
    Well, I just learned something new ... I had never heard of this. OP - I hope that there was some discussion/clarification/education about this order from the physician, before you performed an...
    Oct 9
    Forum: Emergency Nursing
  21. Emergency room RN minimums in Texas
    I think what other posters are getting at, OP, is that the basis of any regulation that a certain minimum of nurses must be staffed is usually an underlying principle of nurse:patient ratio. ...
    Oct 9
    Forum: Emergency Nursing
  22. "Two-yearitis"
    This is very much a real phenomenon, in my experience. In the ER it is those around the 2-year mark who are usually most disgusted with anyone who walks in the door not on the verge of death, most...
    Oct 9
    Forum: General Nursing Discussion
  23. Let's check everything!
    This would push me over the edge.
    Oct 6
    Forum: Emergency Nursing
  24. Sepsis
    Agree with MunoRN's post above: treatment is not necessarily a linear path from BP ---> fluid ---> pressors. Good info here: Surviving Sepsis Campaign | Guidelines, and in many widely used...
    Oct 5
    Forum: Emergency Nursing
  25. Charge Charting: Correcting charts after discharge for billing
    It's interesting that you view charting "for billing" as somehow secondary and not a crucial part of the job. And interesting that you don't feel that that charting certain things, like infusion...
    Oct 5
    Forum: Emergency Nursing


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