ern91

ern91

emergency and psych

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All Content by ern91

  1. Male Nurses/female Patients

    I'm interested in knowing if anyone has the issue of male nurses refusing to perform certain nursing functions simply because they are male. Having worked in a large teaching hospital and smaller community hospitals, there seems to be a huge differen...
  2. med reconciliation in the ED

    How does your facility handle med rec? Our way is so time consuming and it doesn't seem to make sense to me. Maybe I'm being a bit naive with this next statement but here goes....... I can't believe JCHAO wants nurses to spend so much time on somet...
  3. What Is the Problem With These Nurses?

    Find a different environment in which to work. Not all depts., hospitals,etc. will have this problem. It depends upon the management and what they promote/tolerate. I have worked where the behavior you describe was rampant and also where it was no...
  4. Most RN's first borns?

    First born,alcoholic father. Dysfunctional family, both sides with a side of mental illness thrown in.
  5. About 2 years ago, some hospitals in my city moved towards getting payment from non emergent pts before they received treatment in the ER. The pt would get triaged, then receive a "quick medical screening " from a qualified medical professional. This...
  6. payment before care of nonemergent pts

    Well, if it was just a huge hiccup, they wouldn't have to pay. The doc (or other qualified person ) would so the screening, tell them it was a hiccup and then they could go home. No payment for the triage or the screening. This is provided it was tri...
  7. payment before care of nonemergent pts

    When the panicky parent arrives with the child who has a non ugent or semi urgent condition, the parent is told it is not an emergency. thus relieving the parents fears, but also allowing them to pay and stay or go to the clinic in the am. This ,of c...
  8. Who does the patient assignments on your unit?

    A secretary delegating an assignment to a nurse is a lawsuit waitng to happen. I'm sure your state board of nursing would have something to say about that. Speak to your director as soon as you can . It would help your case if you have a copy of your...
  9. higher pay for BSN grads?

    The hospitals in which I've worked hired all GNs at the same hrly rate. Raises were given based on the scores of annual performance evaluations. Management positions held by both ADN and BSN degreed nurses. Iv'e experienced horrible managers with so...
  10. Shake Down at HCA

    I Work At An Hca Facility In Houston. Haven't Seen Anything Like You Describe Yet. Maybe The Larger Facilities Are Getting Hit First. We Here Are All Hoping For Some Positive Changes But We All Know They Won't Be For The Nursing Staff. Never Is.
  11. EKGs in triage

    we also do ekgs at triage. we have 3 bays with stretchers, etc. we also do the ekgs on anyone c/o cp. and i do mean anyone. even children and young adults with no h/o cardiac. we are an accredited cardiac facility and to meet the reqiurements, we get...
  12. Plastic Surgery Nurses out there???

    Same here. Have wanted to work in this field for a long time. I think the only way toget info about available positions would be through networking but since I never hear of any positions, I figure people stay in those jobs for a long time.
  13. Unsafe assignments in the ED

    We operate with a 5 level triage system. Levels 4 and 5 to the waitingrooom(semi urgent and nonurgent). Most level 3 (urgent) go to waiting room if there is no available bed. We also try to keep one major room open for any level 2's or 1's (emergent ...
  14. Unsafe assignments in the ED

    1:4 here. If one of those is critical, drops to 1:3 or 1:2 for as long as necessary. Hallway patients aren"t allowed.
  15. Never understood nursing

    I've been reading this this thread and the replies for 2 days now and all I can say is the majority of the replies serves to indicate the OP'S negative experiences are true. Oh....exuse me... let me qualify that. In my opinion , the majority of the ...
  16. Amen. So why is this so? Is it because hospitals are basically corporations? You always hear about the 20 yr executve who leaves a position with not so much as a backwards look at a loyal employee who gave blood,sweat,and tears for 20 yrs, probably p...
  17. A bad relationship.....despite all the abuse, you keep going back for more.
  18. You know you work nights when.......

    You have cheese enchiladas and a margaritas for breakfast.
  19. How to stay positive in nursing.

    ]I too have been a nurse 15 years and find the same attitude you have found littlecheese. ]as a matter of fact, I have that attitude. There are sooooo many reasons. Hospitals are ]corporations, society is more litigious than ever, our government be...
  20. ER nurses advice

    After 14 years at a Level 1 trauma center in a major medical center I went to a "slower paced"community hospital. At the trauma center was the team approach. Up to 50 pts with 4 nurses and 2 cnas.Sometimes there was an extra nurse who did the admissi...
  21. Help What Is A Nurse To Do?

    my sentiments exactly. it won't get any better
  22. Nurses vs. Paramedics

    This is great!!!! And just where do the Paramedics rush to? Where the nurses are!! Seriously though, it's all about understanding exactly what each profession brings to the health care table and why. I've known people in both fields that are outsta...
  23. Hca

    was wondering how HCA employed nurses feel about their employer
  24. Male Nurses/female Patients

    I should also add that I have never heard of or seen a female nurse refusing to care for a male patient in regard to catheterization, bathing, or any other exam of a personal nature.
  25. Male Nurses/female Patients

    I really can't say if i would or would not feel comfortable performing tasks as a male nurse, as i have never been one. What I can say is that I never even entertained the idea that I might not have to perform certain nursing duties because of my gen...