rnwaller

Latest Activity

1. Long Term Acute Care

   rnwaller replied to Skwidward's topic in Long Term Acute Care

   Hi Everybody, We need to distinguish here between an LTAC (Long Term Acute Care HOSPITAL) and LTC ie. long term care or a SNF - Skilled Nursing Facility/Nursing Home LTAC is a hospital (and licensed...

2. Caring for Jehovah's witnesses

   rnwaller replied to cu-n-hvn's topic in Patient Safety Issues

   I continue to monitor the patient (which would include transfusion reaction) just as if I hung any other medication. That is, in essence, a nurses job. Keep up the great work

3. How to approach my manager??

   rnwaller replied to miko014's topic in General Nursing

   I am hopeful that you have enough repore with your manager that this discussion should not be a big deal. In my opinion, no need to tell your personal story, just express an interest in moving to day...

4. How To Become an Emergency Nurse

   rnwaller replied to happy_bunny_101's topic in Emergency

   Thanks for choosing ER Nursing (although this could change) 1. Ask your guidance counseler to 'shadow' and ER nurse. 2. Sign up to get your nursing degree - I highly recommend a BSN program while...

5. Advise on how to deal "bossy" colleagues?

   rnwaller replied to uniquenurse's topic in Patient, Colleague Relations

   I am concerned with the posts I see here. I seem to be reading a lot of one person 'against' another. I agree there are some bullish/bossy people out there - but my guess is they are fewer in...

6. Caring for Jehovah's witnesses

   rnwaller replied to cu-n-hvn's topic in Patient Safety Issues

   I am agreeing with Liverpool Jane, as an RN and a JW I try to avoid hanging blood. In the US it is always two nurses who hang blood (so I am never doing it 'solo'), and after the blood is hanging it...

7. Caring for Jehovah's witnesses

   rnwaller replied to cu-n-hvn's topic in Patient Safety Issues

   Hello again, You mention this patient had chronic anemia. Is she getting the full follow up? Does she have a hematologist, is she getting Epogen? Iron? May be this is all true but I do sometimes...

8. feeling like a taskmaster

   rnwaller posted a topic in Emergency

   I have been working ED for 9 years now. Lately, I am feeling like a taskmaster - I start the IV, give the meds, dip the urine, give the contrast etc .... What I don't seem to have is any...

9. All White Uniform Dress Code?!!

   rnwaller replied to keludtke's topic in General Nursing

   My hospital is just looking at uniforms and I expect a decision this year about a single scrub color. I too have been at a facility that went all white. I agree with several posts - looks good but...

10. Triage TX Anyone Have Any Good Ideas?

    rnwaller replied to MAISY, RN-ER's topic in Emergency

    Your already on the right track. The system we used was two (or three) triage nurses. One continued traige and one started workups, including sending labs, ekg etc. (an ED tech can also be helpful)...

11. Is your facility warning staff for overtime, for missing lunch breaks or other?

    rnwaller replied to Brian's topic in General Nursing

    You sound very stressed at your current position. I hope you can clear up these change of shift procedures or you may need to move on. Think about suggesting some solutions, get a group involved in...

12. Stupidest reason to go to ER

    rnwaller replied to DachRN's topic in Emergency

    re: pregnancy test Answer - Please call your PCP on Monday for your test results. The result is not an Emergency! I have actually been able to do this

13. Triage TX Anyone Have Any Good Ideas?

    rnwaller replied to MAISY, RN-ER's topic in Emergency

    Maisy, You did not say how busy an ER you where in or if its a one or two nurse triage system. I spent a year on committee of this very question. Some quick answers. We initiate standing orders in...

14. Scheduling lunch breaks in the ED

    rnwaller replied to Elle2's topic in Emergency

    ED and Breaks, tough words in the same sentence. Scheduling - not a part of the ED language. I have just returned to a regular ED job after a few years of traveling. My experience is a system where...

15. Is your facility warning staff for overtime, for missing lunch breaks or other?

    rnwaller replied to Brian's topic in General Nursing

    If your relief has not arrived, report off to oncoming charge RN, if he/she cannot accept report then have your OT sheet in hand and let him/her know gently but firmly that you expect to be paid if...