Uptoherern

Uptoherern RN

Emergency Room

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All Content by Uptoherern

  1. JCAHO in the ER

    Uptoherern replied to StillBelieveRN's topic in Emergency

    they wanted logs on restraints, concsious sedation, etc. caused a huge freakout w/mgmt. They were big on DNU

  2. ED Physicians with overkill

    Uptoherern replied to ThisEDRNRocks's topic in Emergency

    A few weeks ago, I put a patient in fast track with obvious Bell's Palsey. In and out, right? Nope. Head ct.

  3. Scripting Nurses?

    Uptoherern replied to Cindylufus's topic in General Nursing

    yesterday, SNAFU.....3 persons in leather restraints, almost 20 ambos in 12 hours (14 bed unit). Fast track not open..... firemen all over unit, restrained person SCREAMING "come on! come on!" for...

  4. slave labor

    Uptoherern replied to Uptoherern's topic in Emergency

    As for why we don't get breaks, I am certain that it is due to such tight staffing. Sometimes taking care of 4 patients feels like you are taking care of 24. We are supposed to cover each other for...

  5. slave labor

    Uptoherern replied to Uptoherern's topic in Emergency

    I think what I'd like to do is to go work with teeituptom...... I always thought that the national labor board regulated breaks for employees, but when I researched it, found that they do not. Some...

  6. About productive hours per patient day?

    Uptoherern replied to rrroyer's topic in Nurse Management

    what about staffing in er? do you use HPPD for your

  7. Wrote up for being negative?!?!

    Uptoherern replied to RNLisa's topic in General Nursing

    also had a co-worker brought in to HR and given a "talking to" about being "negative". excellent nurse, knowledgable, long time nurse, wonderful resource nurse. What was he so "negative" about?...

  8. Rules for the ER (long)

    Uptoherern replied to EDValerieRN's topic in Emergency

    why, oh why, do we have to put up with you for 3 days in a row? etoh >500, good samaritans calling 911 cuz your ass is face down in a puddle.... you come in incontinent of b/b...... you scream and...

  9. How do you run K+??

    Uptoherern replied to mariedoreen's topic in General Nursing

    good grief..........so complicated! Your main doesn't have to be on a pump unless required by your facility. K needs to be on a pump. I would piggyback it into the port closest to the main iv bag....

  10. # of triage nurses

    Uptoherern posted a topic in Emergency

    a question.........the er where I work generally sees 80-100 people per day, but can go much higher in the busier winter months. (130). How many triage nurses do you have for this type of pt. load?...

  11. Hospital Reputations in Phoenix

    Uptoherern replied to Sunlover's topic in Arizona Nursing

    what about scareyville? heard they have new mgmnt. in

  12. What Would You Change??

    Uptoherern replied to Back2School@40's topic in Emergency

    mandatory 12 hour (no lunch break) shifts for all management people who have a nursing degree. I think they need to do this at least 1-2 times per

  13. # of triage nurses

    Uptoherern replied to Uptoherern's topic in Emergency

    arizona. my understanding is that this is a law enacted by the state. So I suppose you'd have to find out from the state of

  14. # of triage nurses

    Uptoherern replied to Uptoherern's topic in Emergency

    geez, how did you train your PA's to triage pts? I don't think our group would ever go for

  15. # of triage nurses

    Uptoherern replied to Uptoherern's topic in Emergency

    exactly the same in my er. If I am charge, then I have a full assignment. It is no fun to be running around trying to take care of your pts., and keep an eye on the entire ER as well. (for 75cents...

  16. What would make you happy?...employee satisfaction

    Uptoherern replied to natsfanrn's topic in General Nursing

    geez. How about giving us the tools to DO our job? Like IV poles that actually roll, IV pumps that don't die when they get unplugged. Transfer carts that one person can use, instead of two people...

  17. # of triage nurses

    Uptoherern replied to Uptoherern's topic in Emergency

    BTw, float nurse! who has float nurses????????? If I am charge, I take a full assignment or I take Charge & triage. No win. no

  18. # of triage nurses

    Uptoherern replied to Uptoherern's topic in Emergency

    when you triage pts. in fast track, who does the triage? I am usually trying to triage as fast as I can, so can't see it being ME who triages them in fast track.The nurse is fast track is usually an...

  19. payment before care of nonemergent pts

    Uptoherern replied to ern91's topic in Emergency

    They (the notorious "theys") have implemented this in our er also. It is called an MSO (medical screen only). Children can not be "MSO'd". Basically, a pt. is triaged and then seen by the provider....

  20. Getting "Called Off"

    Uptoherern replied to peds4now's topic in General Nursing

    one of the only professions in the universe where this

  21. Rules for the ER (long)

    Uptoherern replied to EDValerieRN's topic in Emergency

    if you are a brand new er doc, and you announce to no-one-in-particular that you want a rectal temp on the guy in bed 8 (who by the way had a normal po temp) just because it is the "most...

  22. Rules for the ER (long)

    Uptoherern replied to EDValerieRN's topic in Emergency

    1. If the dr. tells you it looks like you have an STD, don't yell at US! 2. If the dr. tells you you aren't going to get (insert blank) don't proceed to "nurse!" at everyone that walks by your room...

  23. Rules for the ER (long)

    Uptoherern replied to EDValerieRN's topic in Emergency

    have to resurrect this thread: 1. If you were brought to the er because you were drunk, and now upon discharge cannot find your a. cellphone, b. wallet, c. pants; I can assure you I did not take...

  24. Rules for the ER (long)

    Uptoherern replied to EDValerieRN's topic in Emergency

    Professionalism at point of contact. Merciless mocking only later..............................................(I stole that) Bill Cosby: A word to the wise ain't necessary, it's the stupid ones who...

  25. ER: The dumping place

    Uptoherern replied to Happy-ER-RN's topic in Emergency

    It is not only the state that is paying........it is you & I, in the form of