mamalle

mamalle

ER, Outpatient PACU and School Nursing

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All Content by mamalle

  1. Doctors Enter Their Own Orders??

    yep- all of our ER doctors have to order everything into the computer: labs, xrays, meds, wound care, etc. we do not do it unless its in there. we all wear beepers that beep us when we have orders and...
  2. telephone nursing

    there is a thread here somewhere since I recall asking about a company that I interviewed with. I had thought it might be right for me but the hours and money wasnt the greatest. she did mention a 2...
  3. What unit has the most codes?

    in our hospital its usually the Tele floor with ICU being a close second due to being a trauma facility- of course a ER would have the most codes though if you figured it
  4. refusing to take report

    do you not have to have PALS working with pediatric patients in the hospital? I too agree that something bad is going to happen. I work with some individuals that think taking care of kids are no big...
  5. started having problems last year with Insomnia... I had thought it was maybe a premenopausal- stress thing. It got to the point that I had about 3 hours of sleep one night and had to be at work at...
  6. GI/ endoscopy clinic nurse

    we do alot of GI procedure where I work and I do not find it physically demanding. we normally have two doctors working and they normally come out every 30'. ( I work in pacu). its a huge % of our...
  7. Computerized ED charting

    nope- the doctors all have to put in their own orders with medhost.That did not go over very well at all. its a great concept but too scattered for my taste. it goes from left to right and so many...
  8. You know it's a bad night when......

    when you walk up to the ambulance bay and its got the good old crime scene tape around it with a vehicle that was used for the drop off "my friends been
  9. Computerized ED charting

    Im not thrilled with our system- medhost. it just doesnt flow together and takes forever to go back in chart when you have a critical patient. we also have to fill in how long the IV has been...
  10. Best ways to deal with the stress?

    talk to my husband who is also in the medical field and exercise.. running is the best stress reliever for
  11. can i work from home?

    maybe telephone
  12. I second the ACS- we are doctor owned also and it has been a great job for me. We all work well together and the patients are so appreciative. The pay is lower but so is your stress level working in...
  13. Computerized Charting

    we have medhost in the ER I work in and I agree it doesnt belong in the ER- if you have a critical patient- it takes forever to go back and chart. along with the fact- you have so many different...
  14. Is it permissible for a registered nurse to pull together information from the medical record in order to dictate a discharge summary that will later be reviewed and validated by the attending...
  15. POST OP NAUSEA -which drug do you like?

    we only use demoral for post op shivers. I dont think they even make Tigan supp anymore.. zofran is our #1 choice where I work and if there is a issue with a patient- they premedicate in preop....
  16. I work outpatient pacu. my background is ER. I have acls, pals and cpr. Its pretty much low stress but not as much money as the hospital. I have a flexible manager and it has been a great job for me....
  17. Why Do Nurses Allow Understaffing?

    seriously what are we to do? do you think we like to run understaffed and we enjoy saying at the end of our shift" thank god I didnt kill anyone today?" nursing isnt the same and as much we like to...
  18. allowing parents in OR?

    we dont at the outpatient center that I work in. the kiddos get po versed mixed with tylenol in preop. we will be going through the same thing next month when dd has a T&A done. I was talking to...
  19. How much more is RN salary without bennies?

    I work per diem ER and my hourly rate is 33.43. I also have a 401K that the hospital matches at 3%. I have never been cancelled and work when I want to work. I originally started 3p-3a and got 36...
  20. Amiodarone and Cardizem drip??

    we just had a 31 weeker 22 y/o with SVT rate of 175 sustained-sent down by OB for sob/cp. we tried adenocard unsuccessfully- then went to cardizem bolus and brought the heartrate down, so we started a...
  21. Sopranos Finale - How well was nursing portrayed?

    god that was the last thing I was thinking of... wow is all I have to say- leaves alot up to your imagination on what
  22. ER nurses...what shoes??

    I actually work with a nurse that fell right over her flippin' crocs flat on her face. she just came back from having rotator cuff surgery. I would never wear them. For about the last 3 years I have...
  23. turning non-emergent pts away

    we just started doing something with our Tenet run ER. MSE exams triage nurse evaluates pt- determines it is not a medically necessity. pt goes into a different room and waits for either the ER doc or...
  24. Most interesting Micro-organism!!

    My husband grew nontuberculous mycobacteria in his Olecranon. He took a simple fall off of his mountain bike in the woods and had a puncture wound that turned into a cellulititis of his elbow. They...
  25. Tb incident today

    In our ER- its up to the visitors to decide whether they want to go in or not- its their choice and decision to make. we still put the signs up on the doors and leave masks outside of the room. If...