Emergency RN

Emergency RN

ED, CTSurg, IVTeam, Oncology

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All Content by Emergency RN

  1. ER dropping the ball?

    To make a long story short: ED = confusion, down and dirty, stabilize and get 'em up alive, move on to the next victim. ICU = figure out what's REALLY going on, fine tune, start the road to recovery MED-SURG = heal, educate, rehabilitate, release. ...
  2. Vein Illuminator

    Don't waste your money. After having put in in excess of 100,000 IV's, I can readily tell you that those vein "illuminators" are just get rich quick schemes for a variety of medically knowledgeable people. The bottom line fact I've discovered over th...
  3. PATIENT posting pictures on Facebook

    At MunoRN, IIRC, if said property owner told you to stop taking pictures (or signs advising that photography is not allowed) while you're on his property, and one disregards him and continues to do so, then its considered trespassed because one viola...
  4. Constant Vein Blowing?

    Having worked for years on an IV Team, I'm reluctant to favor one particular site repeatedly over many venipunctures. In drug abusers' parlance, we refer to this as creating tracks, as such veins become useless over time from scarring. The vein doesn...
  5. PATIENT posting pictures on Facebook

    Photography for personal and or commercial purpose, and property rights, can often overlap, however their legalities are different. This is aside from any patient privacy issues, which is another ball of wax. Simply put, in general, no one has the ri...
  6. Fraudulent visits - yes I brought it up!

    One has to realize that if egregious behavior is so egregious that it defies the imagination as to why it is being overlooked, there exists the distinct possibility that the parties tasked with oversight are actually co-conspirators. In other words, ...
  7. Lenox Hill Hospital, an institution with more than a century of history, is staffed by the great nurses of the New York Professional Nurses Union (NYPNU). After Lenox Hill was taken over by North Shore - Long Island Jewish Health System NYPNU has fou...
  8. NYC's Lenox Hill Hospital Nurses Mull Strike Action

    Just learned that NYPNU and NS-LIJ may have reached a tentative agreement; it looks like the strike may have been averted. Regardless, it shows how important it is for nursing to stand strong and stand together in order to preserve not only employmen...
  9. East Coast RN's-did you stay or go?

    Live in Queens, NYC; apartment is at least 3 blocks outside from zones B and C. Zone A was the mandatory evac. Had prepped extra supplies, water and food at home to last 2 weeks. One month MRE's in reserve in the closet. Car fully fueled in the indoo...
  10. Nursing Unions: Pros and Cons

    As I read through this thread, one of the more hilarious observations that I've made over the years (having worked both union and non union sites) is that there is a general misconception that unions will somehow protect the lazy from being fired. So...
  11. Nurse Dracula overqualified

    Speaking of which, I would certainly question his ability at maintaining asepsis, LOL...
  12. Any stethoscope recommendations???

    This whole thread sort of reminds me of how audiophiles choose stereo systems. Some only want to have "the best" that money can buy because only then, would they be able to distinguish the high quality of the music that they listen to. Frankly, I'm o...
  13. Sexual Harrashment towards Men in the nursing profession!

    in cases of inappropriate conduct or behavior between employees, it really doesn't matter if the activity was directed to one personally or not, as the simple presence of such already constitutes a hostile work environment as defined by federal statu...
  14. Not many Black/African American nurses working in the ICU's

    IMHO, this is an extremely complex and vexing question that defies easy pat explanations. Having said that, the first point I want to make is that people of color and minorities in general (talking within the US; disclaimer is I'm also a minority) h...
  15. DWI and taking the NCLEX..

    i agree with the points that emjeanrn stated; namely getting charged with dwi/dui and getting convicted of dwi/dui are two very different legal positions. in the us, jurisprudence leans in the direction of presumption of innocence. however, how a sch...
  16. background failed for banner!

    Moral Turpitude You're probably a lot wiser now and wouldn't be party to any more hit and runs. However, things like this can haunt you for a very long time. But don't lose hope. Another recruiter may not have the same strict perception about moral ...
  17. infection and normal WBC

    from wiki: body temperature less than 36°c or greater than 38°c heart rate greater than 90 beats per minute tachypnea (high respiratory rate), with greater than 20 breaths per minute; or, an arterial partial pressure of carbon dioxide less than 4.3 ...
  18. What is the most interesting case you've seen in the ER?

    Suspected Serotonin Syndrome; came in walking talking c/o back ache, VS stable with mild tachycardia; later comatose, Fever 105.8 rectal, Finger Stick 10, and she was dead within five hours.
  19. And the Physical Training (PT) continues...

    Love those PT stories as they certainly bring back memories. I remember we used to do rifle PT (with the older M14s) and then do our daily two mile runs with them. But then, I was a young buck at 19 'n change. If I had to do it now, I'd probably have...
  20. HIPAA.... violation or not....

    As others mentioned, disclosure of just a name is NOT a HIPAA violation. As a matter of fact, hospitals usually confirm the names of patients in their institutions, and give a condition (guarded vs stable), along with their room number if you want it...
  21. 8-hour shifts save money?

    Going to 8's from 12's increases the commuting time and costs of the employee by 66%.
  22. Deleting nurses notes

    altering medical records is a crime. regardless of the forensic recovery potential and ability (which is really legally moot here), destroying or changing medical records, especially if any sort of payment (insurance) or quality of professional prac...
  23. Finding Medical Practice Laws Pre-Mission Trip

    IMHO, I think what you're looking for is a state (here specifically meaning sovereign nation, not provincial government) sanctioned authorization to do so, and waiver from liability of as an unlicensed foreign national practicing nursing while you're...
  24. Does it matter where you got your BSN from?

    A nursing school's singular mission of importance is to prepare the nurse candidate in passing the state boards. Pick the one that does that job best, to ensure that you get a license. Otherwise, everything else doesn't really matter. Good luck
  25. ER Abuse

    In terms of nursing homes versus ED's, to solve the problem would be quite easy; except it would also be politically impossible. The simple solution is to merge hospitals with nursing homes. However, this creates a huge political minefield as owners ...