rachelgp

rachelgp specializes in ER, Occupational.

Latest Activity

1. Federal contract licensure requirements

   rachelgp posted a topic in NP

   Hi all, I'm negotiating an agreement for a federal contract that will involve traveling to multiple states (this is as a NP). The recruiter states since it is a federal contract, "Any state license is accepted," but I can't find any info on the...

2. New to CM--question about scope

   rachelgp replied to rachelgp's topic in Case Management

   Those were my exact concerns. Thanks for confirming that I'm not being unreasonable. My background is in ER and Occupational Nursing, and I've always had a Dr. that can give me orders or had standing orders signed off by a Dr. When I explained th...

3. New to CM--question about scope

   rachelgp posted a topic in Case Management

   Hi, I'm new to CM nursing, and this may be a stupid question, but I'm hoping some of you can help clear this up for me. I work as a w/c Nurse Case Manager, and my Claims Adjuster (who sees herself as my supervisor) wants me to give out wrist splints ...

4. Funny dreams about your job as a nurse

   rachelgp replied to mondkmondk's topic in Humor

   I once dreamed that I fell while going down the steps into my laundry room at home. My dream was very vivid (and a little graphic). I remember hearing and feeling my humerus snap and the only thing I could think was, "At least I hurt myself bad eno...

5. Funniest real orders you have seen in a chart?

   rachelgp replied to nilepoc's topic in Humor

   I would guess it has something to do with "Survival of the fittest?"

6. Funny things that pts say

   rachelgp replied to jRN4now's topic in Humor

   I was working in the ER and had a guy in his late 60's who had dislocated his hip. We had medicated him with Valium and he was in less pain, but a little "tipsy." Before leaving the room, I attached the call bell to his rail and told him how to use...

7. Learning thread (ER medicine)

   rachelgp replied to TraumaInTheSlot's topic in Emergency

   I've also seen orders for continuous Albuterol nebs to lower K+. Used Kayexolate, the insulin/dextrose/calcium chloride combo, and continuous albuterol nebs on a pt. with a K+ of 8.2. Seemed to work!

8. pregnant with large fibroid?

   rachelgp posted a topic in Ob/Gyn

   Anybody have an experience with pregnancies when the patient has a large fibroid? I just found out that I am pregnant, and at first it was thought that I had a molar, but it was confirmed on US that there is a healthy baby (9 weeks) along with a fib...

9. ER Nurse is Being a JERK to EMS...

   rachelgp replied to flashpoint's topic in Emergency

   Well, I am personally happy to see that so many of you are outraged at this. I was (and still am) a Paramedic while I was going through nursing school. I can't count the number of times I was called an "ambulance driver" or talked down to...I tried...

10. Disturbance During Lunch/Break

    rachelgp replied to pagandeva2000's topic in General Nursing

    Amen to all! Patients seem to think that since we're nurses, we "owe" them something. Not sure why, but that's really how I perceive it. We've actually had patients break into a code and state "I've been waiting 2 hours, when are you going to see ...

11. what the HECK is PBDS?

    rachelgp replied to texascowgirl's topic in Travel

    I have to agree with all ya'll. PBDS stinks. I had to take it about 2 weeks after I graduated, and didn't really know what it was all about at the time. I completely agree that it's insulting. Even as a new grad, I found it offensive. Plus, I do...

12. SW Missouri?

    rachelgp posted a topic in Travel

    I am an ER nurse, and my husband and I are considering a move to the Branson/Springfield area and I've been thinking about doing travel nursing at least for a while after we get there to get a feel of the different hospitals before I sign on permanen...

13. Roll Call - Introduce Yourselves, Texans!

    rachelgp replied to TheCommuter's topic in Texas

    OK, here's me: Born and raised in South Texas, graduated as a Paramedic in 2001, and as a nurse in Feb. 07. Working in the ER now, but starting to peek around and see what else is out there. I'm interested in PACU, OR, and flight nursing. I guess ...

14. What Patients do to make you mad!

    rachelgp replied to MichaelFloridaRN's topic in General Nursing

    I hate when patients walk through the ER door asking, "when do you serve dinner around here?" They drove by a ton of restaurants on the way here, but of course, they want something for free.

15. How do you, on a Med-Surg floor, get report from the ED?

    rachelgp replied to cdm.rn2006's topic in General Nursing

    I work in the ER and we use a sheet that has blanks for diagnosis, admitting dr, recent vitals, diet, pending labs, wounds, pending procedures, and room to write a little extra if needed. We actually send it by the tube system, and then call to make...