bill4745

bill4745 RN

ICU, ER

Member

  • Content

    874

  • Visitors

    10,874

  • Followers

    0

  • Likes

    5

All Content by bill4745

  1. I want this job, BUT......

    bill4745 replied to raindrop's topic in General Nursing

    If your stress level drops because of the new job, would that enable you to do one agency shift a week in a hospital or nursing home? As a former business owner, anything she cleared is taxable....

  2. Residents say the funniest things

    bill4745 replied to dspring's topic in Emergency

    "Colace 100mg PO

  3. Have you ever worn a pedometer at work?

    bill4745 replied to Hellllllo Nurse's topic in General Nursing

    My typical 12 hour ER shift is 6-8

  4. Do you think this will improve staffing?

    bill4745 replied to ShayRN's topic in General Nursing

    You were obviously absent from nursing school the day this lecture was

  5. Useless Information

    bill4745 replied to UM Review RN's topic in General Nursing

    Blood type is almost useless-we would rarely transfuse without a type and

  6. Do you have a problem with staffing shortage?

    bill4745 replied to Asemena's topic in General Nursing

    I don't think there is a hospital in the entire universe that doesn't have staffing problems. And I don't think there is an administrator with normal

  7. IV compatability again

    bill4745 replied to raindrop's topic in General Nursing

    Also, please remember that IV chemical compatibility and drug interactions are two very different things. This sounds simple but I've known experienced nurses who looked in a drug book for...

  8. first pedi code

    bill4745 replied to laurainri's topic in Emergency

    It will never get better. I agree with Dawn30 - if it gets better, you need a new job. After a pedi code in my ER, there are a lot of seasoned docs, techs and nurses crying and hugging. There are...

  9. Considering a career in nursing, but scared of the neg comments

    bill4745 replied to philosophical's topic in General Nursing

    The complainers are more verbal. I love my job. Give it some thought. Maybe you could shadow some nurses for a few

  10. Working Two Jobs...

    bill4745 replied to punkstar's topic in General Nursing

    Most hospitals require a year F/T for a position like that. How about O/T at yout F/T

  11. RN medicated my patient without documenting!

    bill4745 replied to poppy07's topic in General Nursing

    The error here is totally with your preceptor, not you. You should have been told immediately after the med was given or it should have been

  12. Help me think of a name for my LOL business

    bill4745 replied to FireStarterRN's topic in General Nursing

    Cute!

  13. touched inappropriately by patient

    bill4745 replied to newohiorn's topic in General Nursing

    Remember, you have the right to press criminal charges against a AO3x pt. We do this in the ER. Some people think they can get away with anything if they are even slightly "out of it". It helps to...

  14. Infection Control

    bill4745 replied to Pepper The Cat's topic in General Nursing

    For every pt we know is contaminated, I wonder how many are that we don't know? And wouldn't it be interesting to anonymously culture the nares of nurses, RTs, PTs, MDs, etc. in a hospital? I...

  15. Health Insurance

    bill4745 replied to robpritc's topic in General Nursing

    No, the insurance is not

  16. Using BP cuff to access certain veins?

    bill4745 replied to mcknis's topic in General Nursing

    We have HP monitors. Yes, it works better on "tough" veins. Why? I

  17. Using BP cuff to access certain veins?

    bill4745 replied to mcknis's topic in General Nursing

    It works quite well. Our ER monitors actually have a "Venipuncture" button, which holds the cuff at a steady 60mm of pressure. Just be careful you don't pump a manual cuff too high. Check with your...

  18. Other nurses taking over your patients without asking?

    bill4745 replied to txRN07's topic in General Nursing

    I would welcome anyone helping me with an unstable pt, just as I take over one of theirs if I need to. The pt comes first; my feelings are

  19. All Ye Shall Benefit...

    bill4745 replied to punkstar's topic in Emergency

    5 Lead vs. 12 Lead EKG analysis/monitoring... Also, drug OD. When in doubt, monitor. Leave 12 lead on (if you can keep the machine) for unstable tachy, evolving MI, etc. PO/IV contrast....

  20. What would you do to get ahead in the Line at the ER?

    bill4745 replied to maybe1day's topic in Emergency

    We had a guy call 911 from our waiting room to get an ambulance to bring him in. He had been waiting 3 hours with "abd pain". The greeter said he spent his 3 hours watching TV, talking to other pts,...

  21. Stupid things you've been called out of a pt's room for?

    bill4745 replied to DebRN06's topic in General Nursing

    Sent ER pt to floor. 2 hours later, floor nurse insisits I be called out of cardiac arrest to speak to me: This pt has pneumonia, and a white count. Yes, I know. Did you give antbiotics in the ER? No,...

  22. What's the dumbest thing you ever got called on the carpet for?

    bill4745 replied to AngelfireRN's topic in General Nursing

    Wrong

  23. ER after Nursing School

    bill4745 replied to Dbb82's topic in General Nursing

    I strongly suggest at least 6 months M/S or Tele/Stepdown. We loose a lot of new grads who would have made great ER nurses if they had "gotten their feet wet" before coming to the

  24. I'm getting a student!

    bill4745 replied to UM Review RN's topic in General Nursing

    I ask the student what they want to accomplish-do they simply want to observe what we do in the ER? Do they want to do procedures? I usually ask questions of them to get them to think about something...

  25. Beginning of the shift.............

    bill4745 replied to InmyblooD's topic in Emergency

    Are we talking ER here? We normally focus on the pt's main problem - for a healthy young pt with a twisted ankle, I would not be listening to bowel sounds or lungs unless I had a reason to. On the...