Highly recommend you purchase your own copy of the ASPAN standards. It is too easy for managers to try to bend the standards when they are being pressured by OR to just take a patient. The standards...
My daughter is a college professor at a fairly liberal university. She has told me of a few instances where males were paid more than her even though she has better qualifications, teaches more...
azhiker96 replied to JUSTYSMOM's topic in Emergency
And a new guy moved into first place for ridiculous. Chief complaint was "I missed work today and need an excuse that I was at the ED. I thought about saying I had a cold but then you'd have to swab...
Hyperdraumademia is evident on inspection. I treat room temperature BP until it’s BP compatible with life. Most of our drunks and ODs end up MTF, metabolize to
azhiker96 replied to JUSTYSMOM's topic in Emergency
Healthy 30 something male came in complaining that he had felt light headed at work 8 hours prior to entering our doors. He also had his discharge paperwork from the ED he had visited before coming to...
I think all ERs should have a triage RN. When I work triage we occasionally have bypassed registration or sent a family member there while taking a pt to critical care. Most times we get an initial...
The shutdown is not without long term negative effects. Rural hospitals are hurting. This one in southern Arizona is the only hospital between Tucson and Nogales and might shut down....
I have refused a new admit in PACU three times because it would create an unsafe staffing. I could have been fired but taking the patient would have put the patient and my license at risk. It also...
azhiker96 replied to MickeyMarieRN's topic in General Nursing
Good experience. I've seen patients go apneic from 2 mg of Morphine and had pt's ask for Benadryl after a 6mg Dilaudid push. Individual patients respond differently. I would second the comment about a...
azhiker96 replied to Lorie Brown RN, MN, JD's topic in Nursing Career
Depending on how hard your supervisor pushes this issue I'd also consider calling the compliance hotline or filing a Midas report. You should never be asked to document medications or treatments you...
I don't think disability discrimination comes into it. People with chronic pain can legally take narcotics with a prescription. However, BONs and employers don't allow nurses to work while under the...
We give the meds the patient needs. I know pharmacy reviews the orders as quickly as they can but for the good of the patient I don't wait for that to occur. We have an EMR but also the ability to...
I think metal detectors and armed security is a good evidence based solution. That has been in use for several decades at many inner city schools. It was implemented in the US in response to gang...