KNARE

KNARE

ED

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About KNARE

KNARE has 28 years experience and specializes in ED.


Married, 4 girls, 2 boys

Latest Activity

  1. Scheduling in the ED

    I am in charge of the scheduling for our ED. 4 requests for shifts off are allowed/month. I do not "hold" staff to their week ends, as long as the shifts are covered I allow them to request week end shifts off. We do not have a week end program. ...
  2. Relationship-based care...

    Our ED is in the "Wave 2" phase of RBC. So far it's involved a GREAT deal of staff time and outside reading (and we've just begun) Not sure how this is going to work in the ED, especially with the constant push to decrease the dept. LOS. Does anyon...
  3. Signed State DNR form no good????

    Actually I know a Paramedic who has DNR tatoo'd on her chest just above her cleavage!!! Wonder if it will be honored.... We have all of the same issues as stated above. Our ED physicians are much better regarding honoring the state DRN form. We ha...
  4. your hospitals triage system

    We operate much like ERJodiRN's facility does. The difference is we have a doctor in triage from 12n-10pm. We use the ESI triage system. The triage team is 1 RN, 1 Medic, 1 ED tech and the MD. We do EKG's, draw blood,aerosols, send pts. to ultras...
  5. Self Harm Questions in Triage

    Joint Commission visited a few wks ago. We have an electronic chart and the "Self Harm" questions are on approx. 20 Chief Complaints -- (Overdose, Depression, ETOH intox, Altered Mental Status, etc. etc.) JC advised us that each pt. who presents to...
  6. Question regarding AMI Core Measure

    Our chest pain protocol follows the AMI Core Measures and includes all the usual lab work, PCXR, ASA, 1st EKG with in 10 min. upon arrival and a repeat EKG in 1 hour. If a definative "Clinical Impression" has not been made, we have a Clinical Decisi...
  7. Drawing Labs without an order

    We have a physician in Triage for 12 hrs. daily during our busiest times. This has cut down the number of times we need to line and lab. We also have protocols and order sets. I sure hope our physicians would back us up. We save them enough!!!!
  8. ER Nursing, Is it considered critical care?

    Unfortunately several of our nurses had to transfer from the ED to ICU to obtain "critical care experience" The programs they had applied for did not recognize all their years of ED experience. (Nurse Anesthetist) None of us in the ED agreed with t...
  9. MD/NP in triage?

    We have a MD in triage from 12n to 2200 daily. The triage doc sees all pts. and enters orders. ESI Level 5 are discharged from Triage. Our MLP us used in the "FastTrack" area. We also occassionally have problems when the "doc in the back" wants ...
  10. Computerized charting in the ED

    I am the Application Administrator for HealthMatics ED which is owned by the same company as EmSTAT. "HMED" has an awesome tracking board and is VERY easy to customize to meet your hospital's work flow. The support from the vendor is outstanding!!!...
  11. "Customer Service" --Rant!

    I can't believe so many of us have the exact same experiences!!!! I would love to know why Administrator feels this behavior by pts. is acceptable and it is expected that we take it!!!! As I've said before in the Press Ganey posts, our raises are d...
  12. We can't go on divert!

    I feel everyone else's pain. Diversion in our area is a voluntary county wide program that our hospital does NOT participate in. As others have said, every aspect of the ED backs up, sometimes 3/4 of our pts. are admits being "held" in the ED. The...
  13. Is it a HIPPA violation?

    How sad!! This is absolutely a HIPPA violation. (In addition to being a staff nurse I am also responsible for our EMR. Whe requested I run reports to monitor for inappropriate viewings of charts.) Our nurses / staff know not to go into any chart ...
  14. a dumb question

    I agree with asking which medication could be stopped for a short time while the blood was infused. Also, we use the EZY I/O in our ED in extreme emergency situations.
  15. how does your triage work?

    We see 50,000 pts. We have a "greeter", physician, 2 medics (or 1 medic & 1 LPN) and an ED tech in Triage. Labs, EKG's, IV's, CT Scans, venous duplex studies, etc. are done in Triage. Meds are ordered by the Triage MD but only given if there is...