Traumamama02

Traumamama02

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All Content by Traumamama02

  1. Accused of Time Card Fraud

    Traumamama02 replied to Nurse Beth's topic in Career Advice Column

    I guess I did this to myself, but I don’t see how or why when we are over ratio and worked to exhaustion that this was a priority for discipline... how about teaching, guiding , giving tools for...

  2. Afraid my manger is going to retaliate against me

    Traumamama02 replied to Nurse Beth's topic in Career Advice Column

    suppose I do rub people the wrong way, would that excuse the manager behavior to deny my request for help and risk putting a patient’s safety at risk ? Patient care is the bottom line with every...

  3. Afraid my manger is going to retaliate against me

    Traumamama02 replied to Nurse Beth's topic in Career Advice Column

    I’ll clarify a few things now that I’m not as emotional. Clearly I did elaborate as to how my ICU’s are delineated. There are 4 trauma, neuro, cardiac and med surg. There are core staff in...

  4. Verbal order-Denied by resident

    Traumamama02 posted a topic in Emergency

    Wednesday morning I came into work and took report on a patient in airborne isolation r/o TB, a laundry list of co-morbidities, mild respiratory distress, vitals not to bad in the moment but I'm sure...

  5. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    you nailed it...I'm one of those who are just in awe over crappy behavior....it blows my mind; i can't fathom the audacity, thus I am having a difficult time maintaining my composure when the subject...

  6. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    you need to be cloned! you're the only one that gets

  7. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    i should have used quotes that the attending said to RT, "stop sx so we can get an accurate bp before we hang the propofol..." its hard to get everything out in regards to facial expressions noding...

  8. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    I agree... worked hard, with positive attitude and motivated with an open mind for 10 years... numerous kudos and peer nominations plus admin chosen awards ... not floating but for Christ's sake.. I'm...

  9. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    I love you Ruby

  10. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    I kid you not , most all that happened .ive never restrained a pt before intubation unless they were flailing but this was the case until I was delayed on starting the prop bc of half ass order...

  11. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    The bottom line is the integrity of the resident ... he has none and he's dishonest. And I hope that in sharing my experience that anyone can take home a learned experience from mine .. "use your...

  12. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    I did take was was easy and in front of me bc I had orders to do so.. you should know not to leave the or bedside with an at risk airway as the only Rn in the iso room...to get a detailed titration...

  13. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    The attending trumps the resident and we discuss used starting the prop to get him over to the crit care are of the Er safely then transitioning to the combo. The receiving Rn didn't follow through.....

  14. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    Exactly... bridging ...get the pt under control. give them a bolus, a little bit of vasoactive medication is not uncommon in critical care patient who are sick

  15. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    He practiced nursing before medical school. And with that said why would he give me starting dose of 30 mcg if he and the attending were so focused on the blood pressure and potentially having...

  16. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    No they don't have access, he asked a floating RN to access the pt profile and get the gtt. She has already written and submitted this information to our director and for quality

  17. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    I got a clarification order (for start dose and max.. the titration is pharm protocol) right before induction so I'd know how to proceed once the tube was conformed and they leave .. turns out...

  18. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    Got the print out from the Pyxis btw

  19. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    I did enter it as a late entry and charted the time it was initiated ... the attending quote was " stop sx he pt so we can get an accurate bp before the propofol.. I didn't mind getting pulled away...

  20. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    The final sedation was suppose to be bridged over to versed and fentanyl..I didn't want to bag an agitated pt across the hall who, in my opinion, should have never left isolation for r/o TB. But I...

  21. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    Side note : I mention noting about ICU.. this is all in the ER with my colleagues... And I do appreciate the comments and opinions...thank you

  22. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    I transferred the patient to the trauma nurse.. I was assigned to basic er pts... the critical pts go to a designated area.. and he attending knew we were starting the propofol.. we talked about...

  23. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    This all transpired in 20 min, I was charting the RSI events and expected resident to enter detailed gtt titration orders. I was interrupted to talk to my director about the accusations that clearly...

  24. Verbal order-Denied by resident

    Traumamama02 replied to Traumamama02's topic in Emergency

    How would you handle being accused and written up for allegedly hanging a propofol drip on a patient s/p intubation without an order when the resident hands you a primed bottle and says 'here ya go...

  25. ICU to ER nurse = HELP ME PLEASE

    Traumamama02 replied to JustKeepSmiling's topic in Emergency

    Same! Been in the ED for a year now and I've been giving myself and the unit as a whole chance after chance and picked myself up time after time, but I finally filed a transfer request yesterday to...