jimminy

jimminy

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All Content by jimminy

  1. tar removal

    Any suggestions for removal of tar on a severe burn victim, without doing further damage?
  2. tar removal

    Any suggestions for tar removal on a severly burned patient, without doing further damage?
  3. Are all floor nurses rude to ER nurses?

    OBHEATHERNurse "You guys in ER & L&D are the only one's (I think) that have pt's that walk in off the street. You guys don't really have anywhere to steer your frustration of another new patient. But unfortunately, you get the brunt of it. " ...
  4. Violence in your ER - what do you do???

    jmcclellanprofrn, Texas does allow concealed guns, but only with training and passing a test. Trust me, the criminals don't take this test and they are in every city, town, and suburb.. The metal detecters are necessary to keep out the criminal pa...
  5. Deescalating aggression

    Ours is called SAMA (Satori Alternatives to Manage Aggression). Satori stands for "clear understanding". It is a four day program that has been condensed into one 8 hour session. It involves all aspects of aggression, including recognizing, de-escal...
  6. You've got a what up/in your what???

    propane torch in rectum!! No, it wasn't lit, but he did go to or.
  7. Activities for nurses week?

    Sounds good. The reason we don't always stand up and be counted is because we are too **** tired after shifts from hell. Our poor bodys would have to be held up by sticks and someone would have to open and shut our mouths for us to talk.:chuckle
  8. Patch Adams

    We had one in our area (retired now). He was the most gentle, compassionate, loving doctor I have ever met. There was none of the "God complex" at all. No matter who you talked to, they knew this doctor, and would always smile when his name was men...
  9. lol! I admire anyone that works the floors. Some of the hardest patients inthe EC to take care of are the admitted holds (no beds). They are the most demanding and "helpless". Then the families decide they know better how to take care of their fam...
  10. Taco Bell is hiring

    I think all nurses should rotate to all the different areas during orientation and again once a year. This way we would see alll sides of the coin and know that every specialty has it's problems, concerns, and frustrations. I know from experience t...
  11. Do you hold patients in the ED?

    no, you do not sound crazy! We were so bad the other night. The house supervisor came down and said the same thing about the floor being just as crazy. She said they did not have enough staff upstairs. I'm afraid I lost it a little. All trauma roo...
  12. Do you hold patients in the ED?

    CEN35 Oops, I forgot to mention that we heard the unofficial scuttlebutt after one of the "administrators" spent three hours with us....................they are going to leave the EC alone for now!!ROTGLOL! Of course they haven't offered to approv...
  13. Do you hold patients in the ED?

    CEN35 Wouldn't they just die, probably after just three hours also!!! We have all (all er nurses) gotten used to working so short staffed at such a high acuity level, that even if they staffed us a little better it would be short staffed according t...
  14. who fills out the incident report?

    michelle, At our hospital, the one that finds the problem fills out the incident report, informs the head nurse and the doctor. The doctor has to fill out a portion that states what he did, then the head nurse fills out an investigation report and...
  15. Do you hold patients in the ED?

    Wow, I think this applies to every hospital around. I'm hoping a situation last week will help. We have been "reorganized" by a consultant company and things could not be worse. We have been telling administration and the consultants to come spend a ...
  16. How long will it take? Some say 2 years??

    JMP - give it some time. I feel the best thing right now to fit it later is to be available. We depend heavily on teamwork in the ec and icu. When a new patient comes in, be the first to help get the patient set up. Don't ask if you can help, the ...
  17. does anyone have a policy?

    We also triage in three tiers, Emergent - go to the shock rooms or shock room halls. Urgent are taken to the holding area and must be evaluated within an hour. (the holding nurse does a quick foc used assesment again just to make sure this patient ...
  18. spooky spooky spooky

    OOOOH, makes my hair stand on end. Sometimes our nights are so bad, freaky codes coming in,, patients more irate than usual. We open the viewing room to "air out the spirits". Believe it or not, things actually calm down ( or a least they appear ...
  19. Baylor Anyone

    Our facility is a teaching hospital for Baylor. I'm not sure if this is the same as the Baylor program. Our surgical residents work 24on, 24off for a month. The surgical chief works the same, except for 3 months. The Baylor medicine docs work 12 o...
  20. Lunch breaks

    We work 12hour shifts. We get one unpaid lunch break and two 15 min. breaks when there is time. For the most part we try to relieve each other without interruptions. We seldom get the full lunch. Our fifteen min. breaks we take in little four to fiv...
  21. Premier Consultant Comp

    Has anyone dealt with Premier Consultant Comp? Our hospital has hired this company to "suggest changes" to help the hospital. Right now, they have started remodeling. However, they have suggested layoffs in all areas. We have 3 hospitals and 17 cl...
  22. EMS Abuse

    We had an ambulance pull up on the dock with 3 kids and a mother in it. Mom had called EMS for "abdominal pain". When they got out, Mom denied treatment on the dock, then proceeded to walk across the street to the zoo!! Free ride to zoo
  23. Miracle Stories

    Had a 29 yof brought in with 27 stab wounds. We intubated, cracked her chest, did all the standard procedures for this type of injury. We tried everything, finallly called the code. Now we know dead and this poor girl was WAY dead plus some. We qui...
  24. Midnights vs Day shift

    I also work 7p-7a at a trauma center. I have found that the day shift and night shift are absolutely two different breeds. Each has their own set of problems related to their shift. Days busiest times are from 1400 to 1900, nights is from 1900 to 0...
  25. Team Nursing with Paramedics........

    I work at a level one trauma center that is also a teaching hospital so we have many different levels of experience there. I can tell you honestly, having experienced paramedics to help out is WONDERFUL! We have so many new nurses that are still le...