Joe B1

Joe B1

ED

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All Content by Joe B1

  1. The ridiculousness of basing reimbursement on customer satisfaction

    Joe B1 replied to wooh's topic in General Nursing

    The fact that Payment of funds for services provided is being based on something so entirely subjective is obviously a political decision, not one based on any logical reason. I think it should be...

  2. Groin Prep for Cardiac Cath

    Joe B1 replied to sguthland's topic in Emergency

    I've been asked to prep the groin exactly once in 21 years and fortunately I had the time to do it because the cath lab team was running late and I was caught up with all the i's and t's done. I...

  3. Best ER Nurse quotes

    Joe B1 replied to JennyAS's topic in Emergency

    From an ER doc entering the room on an EMS code blue pt: "Yep, he sure is dead." After which he turned and calmly walked out of the

  4. We no longer triage

    Joe B1 replied to Guest219794's topic in Emergency

    I can't say I'm wild about that sort of process. It's been tried a few places I've worked and it works about as long as it takes to fill up all your beds. There also ends up being a lot of musical...

  5. Drug-Seekers

    Joe B1 replied to inteRN's topic in Emergency

    I'm not saying that I'm giving up, I'm saying that we need strategies for how to deal with the inevitable. I think that as long as you have people with control over access to drugs that people want,...

  6. Help for this new grad in the ED??

    Joe B1 replied to QueensNurseNY's topic in Emergency

    Hi QueensNurseNC and welcome to ER nursing! It looks like you're coming into this with the right attitude and putting your head into the science of ER nursing. I'll agree with what many of the other...

  7. Good Personalities for ER Nursing?

    Joe B1 replied to JMomBaby's topic in Emergency

    I've seen all kinds of personalities in the ED. You'll just have to always keep in mind that the ED is a fluid environment and your priorities can often shift on a moment by moment

  8. Drug-Seekers

    Joe B1 replied to inteRN's topic in Emergency

    NurseGloria, I don't blame the victims, but the truth is they're not all victims. Education can help to an extent. Prohibition has never been effective and usually results in illegal trafficking,...

  9. Drug-Seekers

    Joe B1 replied to inteRN's topic in Emergency

    I've been dealing with this problem for over 20 years in different ED's and it only seems to worsen by the year. I'm beginning to think that it's not a problem we have but a predicament we're in....

  10. Good Press Ganey for ER. Possible??

    Joe B1 replied to 5n2_is4u's topic in Emergency

    Why is it so hard to understand? They don't want to understand it. There are too many salaries that depend on these exercises in futility. It's make-work for the executive class. Business where it...

  11. Good Press Ganey for ER. Possible??

    Joe B1 replied to 5n2_is4u's topic in Emergency

    I tell you something else. I think pt satisfaction surveys are a total waste of time. One facility I worked at surveyed 1% of the people we saw every month and, not surprisingly, the scores were...

  12. Good Press Ganey for ER. Possible??

    Joe B1 replied to 5n2_is4u's topic in Emergency

    I've worked in several ERs now and I believe that good Press Gainey Scores are a result of: --The staff doing their best to keep pt's and families informed and comfortable --The length of stay and...

  13. New Triage system

    Joe B1 replied to teeituptom's topic in Emergency

    Love the triage system and agree with it completely. I also love the buttons. I used to have one that said, "I smile because I have no idea what's going on" but they made me stop wearing it. If we...

  14. Songs to play in the Waiting Room

    Joe B1 replied to S.T.A.C.E.Y's topic in Emergency

    I've been into AC/DC a bit lately and think that "Highway to Hell" would be good for the waiting room. "Thunderstruck" might be good during a code.

  15. Nicknames you give patients?

    Joe B1 replied to andhow5's topic in Emergency

    We had one guy I called Minnesota Fats because he was demented and playing "pocket pool" everytime you went in the room. One of the other nurses called him "Mr. Happypants". When a pt is seriously...

  16. Family present during code of patient

    Joe B1 replied to sharonhayes's topic in Emergency

    I've been in a few codes where family members where present. It has never been a blanket policy allowing family in codes in any place I've worked, but rather a case-by-case basis. The few that we've...

  17. Nurses taking patient's off backboards without doctor clearnce?

    Joe B1 replied to the big nurse's topic in Emergency

    I've worked at one facility, a level 2 trauma center, where there was a backboard protocol in which we were allowed to remove the pt from the board in the case that there was no back pain with no...

  18. Why the stupid reasons to come to the ER?

    Joe B1 replied to snowfreeze's topic in Emergency

    My point about encouraging people to come to the ED for the slightest problem was actually about that last cya statement we always make during our discharge instructions or telephone advice call. I'm...

  19. Stupidest reason to go to ER

    Joe B1 replied to DachRN's topic in Emergency

    1) 19 y/o female calls ambulance to bring her in for a broken fingernail. Became irate when we wouldn't "Fix it!!" It wasn't even broken to the subungual area. 2) 18 y/o male calls ambulance to come...

  20. Why the stupid reasons to come to the ER?

    Joe B1 replied to snowfreeze's topic in Emergency

    Let's not forget that we encourage people to come to the ED and return to the ED for the slightest problem. We have to do so we don't get sued, even in a patient that is highly unlikely to need to...

  21. Disturbing incident in triage .....

    Joe B1 replied to DiannaK's topic in Emergency

    It's profoundly disturbing that a three year old is diagnosed as bipolar. I see that as an agenda on the part of the parents to avoid their responsibility or on the part of the psychiatrist for...

  22. Emergency Room Charge Nurse

    Joe B1 replied to Fiesta Red's topic in Emergency

    I had been a nurse for 2 yrs when I started charge and ended up doing it for 6 yrs on 11p-7a shift. I only got an extra 25 cents/hr then, but it's been a few years ago. It actually is the second...

  23. Press Gainey AARRGGHH

    Joe B1 replied to susi_q's topic in Emergency

    I worked for a year in a facility that wanted us to script (Emergency Dept, BTW). It made us sound like Stepford Nurses. The worse part was the fact that we were using the exact language of the...

  24. Just accepted, what to expect being a guy?

    Joe B1 replied to deftonez188's topic in Men in Nursing

    I'll have to agree with a lot of what has been said here. When I went through nursing school (18-20 years ago) I didn't have any real problems with being male. My instructors and classmates were...

  25. ER disclaimer

    Joe B1 replied to Jen2's topic in Emergency

    I don't think they hate you. They just love themselves more (heh, heh!) I also despise triage. What's really interesting is the long list of complaints and the "Oh yeah, I'm also having chest...