ern91

ern91 has 15 years experience and specializes in emergency and psych.

Latest Activity

1. What Is the Problem With These Nurses?

   ern91 replied to Sheri257's topic in General Nursing

   Find a different environment in which to work. Not all depts., hospitals,etc. will have this problem. It depends upon the management and what they promote/tolerate. I have worked where the behavior you describe was rampant and also where it was no...

2. Most RN's first borns?

   ern91 replied to lvs2nrs3535's topic in General Nursing

   First born,alcoholic father. Dysfunctional family, both sides with a side of mental illness thrown in.

3. med reconciliation in the ED

   ern91 posted a topic in Emergency

   How does your facility handle med rec? Our way is so time consuming and it doesn't seem to make sense to me. Maybe I'm being a bit naive with this next statement but here goes....... I can't believe JCHAO wants nurses to spend so much time on somet...

4. payment before care of nonemergent pts

   ern91 replied to ern91's topic in Emergency

   Well, if it was just a huge hiccup, they wouldn't have to pay. The doc (or other qualified person ) would so the screening, tell them it was a hiccup and then they could go home. No payment for the triage or the screening. This is provided it was tri...

5. payment before care of nonemergent pts

   ern91 replied to ern91's topic in Emergency

   When the panicky parent arrives with the child who has a non ugent or semi urgent condition, the parent is told it is not an emergency. thus relieving the parents fears, but also allowing them to pay and stay or go to the clinic in the am. This ,of c...

6. payment before care of nonemergent pts

   ern91 posted a topic in Emergency

   About 2 years ago, some hospitals in my city moved towards getting payment from non emergent pts before they received treatment in the ER. The pt would get triaged, then receive a "quick medical screening " from a qualified medical professional. This...

7. Who does the patient assignments on your unit?

   ern91 replied to SkateBetty's topic in General Nursing

   A secretary delegating an assignment to a nurse is a lawsuit waitng to happen. I'm sure your state board of nursing would have something to say about that. Speak to your director as soon as you can . It would help your case if you have a copy of your...

8. higher pay for BSN grads?

   ern91 replied to evans_c1's topic in ADN/BSN

   The hospitals in which I've worked hired all GNs at the same hrly rate. Raises were given based on the scores of annual performance evaluations. Management positions held by both ADN and BSN degreed nurses. Iv'e experienced horrible managers with so...

9. Shake Down at HCA

   ern91 replied to Cheyenne RN,BSHS's topic in Activism

   I Work At An Hca Facility In Houston. Haven't Seen Anything Like You Describe Yet. Maybe The Larger Facilities Are Getting Hit First. We Here Are All Hoping For Some Positive Changes But We All Know They Won't Be For The Nursing Staff. Never Is.

10. EKGs in triage

    ern91 replied to gmced's topic in Emergency

    we also do ekgs at triage. we have 3 bays with stretchers, etc. we also do the ekgs on anyone c/o cp. and i do mean anyone. even children and young adults with no h/o cardiac. we are an accredited cardiac facility and to meet the reqiurements, we get...

11. Plastic Surgery Nurses out there???

    ern91 replied to roosevelt127's topic in General Nursing

    Same here. Have wanted to work in this field for a long time. I think the only way toget info about available positions would be through networking but since I never hear of any positions, I figure people stay in those jobs for a long time.

12. Unsafe assignments in the ED

    ern91 replied to LeahJet's topic in Emergency

    We operate with a 5 level triage system. Levels 4 and 5 to the waitingrooom(semi urgent and nonurgent). Most level 3 (urgent) go to waiting room if there is no available bed. We also try to keep one major room open for any level 2's or 1's (emergent ...

13. Unsafe assignments in the ED

    ern91 replied to LeahJet's topic in Emergency

    1:4 here. If one of those is critical, drops to 1:3 or 1:2 for as long as necessary. Hallway patients aren"t allowed.

14. Never understood nursing

    ern91 replied to PACPhD's topic in General Nursing

    I've been reading this this thread and the replies for 2 days now and all I can say is the majority of the replies serves to indicate the OP'S negative experiences are true. Oh....exuse me... let me qualify that. In my opinion , the majority of the ...

15. Over 20 years at the hospital, left and not even a "thank you"????????

    ern91 replied to 27YearRN's topic in General Nursing

    Amen. So why is this so? Is it because hospitals are basically corporations? You always hear about the 20 yr executve who leaves a position with not so much as a backwards look at a loyal employee who gave blood,sweat,and tears for 20 yrs, probably p...