hogan4736

hogan4736 BSN, RN

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  1. Range orders

    hogan4736 replied to hogan4736's topic in General Nursing

    Pain meds are frequently BID, or as I've seen on occasion "A.T.C." around the clock... Let me be clear. I would give 1/2 the pain med per pt request. An order should still be

  2. Range orders

    hogan4736 replied to hogan4736's topic in General Nursing

    You can't have it both ways... In every scenario, you have to call the doc... Please don't expect docs to glean info from your charting... Won't happen Check your policy Check w/ your

  3. My MI by me

    hogan4736 replied to teeituptom's topic in Emergency

    And the FIVE 325 mg ASA??? overkill Glad you are okay

  4. Obesity

    hogan4736 replied to MM2007's topic in General Nursing

    In kids: Less physical education requirements than 30 years ago - It's either optional, or only once/week... when I was a kid -

  5. nursing and benefits????

    hogan4736 replied to hushpupgrl's topic in General Nursing

    chips? what is

  6. nursing and benefits????

    hogan4736 replied to hushpupgrl's topic in General Nursing

    state insurance? is that like

  7. Interview tips - PLEASE!

    hogan4736 replied to NurseCherlove's topic in General Nursing

    Be yourself. Take charge of the interview...Ask them more (pertinent) questions than they ask you (How do you handle ______? What's your nurse to pt ratio?) Confidence is key. Don't...

  8. Tips for a newbie on dealing with mean doctors?

    hogan4736 replied to thomask's topic in General Nursing

    thanks for the kind words mccmaeve... truthfully, it's a skill that's (for me) learned in the ED...Having an open dialogue w/ the physicians, I learned to go to them w/ clear, quick, succinct...

  9. Faxed Reports- Does it decrease length of stays in the ED

    hogan4736 replied to MDRRAJ's topic in Emergency

    We implemented it to circumvent the floor nurse, who is busy, from answering her phone during her dressing change, and the charge nurse, who is busy fixing everyones "issues" Why address real problems...

  10. Tips for a newbie on dealing with mean doctors?

    hogan4736 replied to thomask's topic in General Nursing

    nice...the only things i would add, is already have the ekg done (chest pain protocol), place the pt on a tele monitor, and already have the pt on oxygen (both are nursing judgement - docs appreciate...

  11. Tips for a newbie on dealing with mean doctors?

    hogan4736 replied to thomask's topic in General Nursing

    I disagree w/ starting your call off w/ an apology...It makes us sound sheepish and puts us at a disadvantage...It's their job to be on call 24/7...Not MY problem you decided to go to med school...Get...

  12. Please Explain......

    hogan4736 replied to doggybour's topic in General Nursing

    you are getting ripped off... I made 16/ hour in

  13. Roundey-roundey we go........the transfer merry-go-round

    hogan4736 replied to TazziRN's topic in General Nursing

    actually P, the patient is the one in the

  14. Youngest age of a nurse

    hogan4736 replied to daisey_may's topic in General Nursing

    I have a 2nd semester student that is a mid 18 year old...she graduated HS at 16, and will be an RN at 19... When I was 19...........Let's not discuss

  15. Roundey-roundey we go........the transfer merry-go-round

    hogan4736 replied to TazziRN's topic in General Nursing

    I was just defending the need for all parties to try and make these direct admits...It's better for the pt... Unfortunately, at that neuro hospital to which I was referring, neuro and NS RARELY...

  16. Roundey-roundey we go........the transfer merry-go-round

    hogan4736 replied to TazziRN's topic in General Nursing

    As recently having been a night ER sup at a large urban neuro facility, I don't think that a pt, with a history of a neuro problem, and a current admittable diagnosis, belongs in my ED... Sorry Taz,...

  17. Promethazine IV Question

    hogan4736 replied to PMercier's topic in Patient Safety Issues

    good question... I believe, since it's outside of the ordered dose, that you would be prescribing... Our CNO revealed to us (the house sups) that when she was a staff nurse, if she had a range order:...

  18. Non-Nurses calling themselves a Nurse

    hogan4736 replied to sarajasmine's topic in General Nursing

    Our hospital is taking nominations for "Nursing excellence awards" those eligible: nurses CNAs

  19. Ummmm..are they ALLOWED to do that?

    hogan4736 replied to NurseJacqui's topic in Emergency

    grandee, i am with you...as a nurse, we should always have the pt's best interest in mind...an a house sup, we have other "variables" thrown into that equation...but the pt always remains at the top...

  20. Ummmm..are they ALLOWED to do that?

    hogan4736 replied to NurseJacqui's topic in Emergency

    I see what you mean Angie... I would not want my MS nurse titrating dopamine... What I am referring to is, in a code situation, ANY nurse can push epi, regardless of ACLS

  21. Ummmm..are they ALLOWED to do that?

    hogan4736 replied to NurseJacqui's topic in Emergency

    I respectfully disagree (See Braselow Tape) In a code situation, with several ACLS RNs around (I am in a small hospital - I am okay w/ ANY RN pushing epi), there is plenty of help... Things I have...

  22. Pet Nurse??

    hogan4736 replied to Fuzzy's topic in General Nursing

    once again, tom is the voice of

  23. Ummmm..are they ALLOWED to do that?

    hogan4736 replied to NurseJacqui's topic in Emergency

    I am also a house sup in a small rural hospital, and you are doing the wrong thing by placing the pt in the ER...do your tele floor and PACU not have crash carts, and do you not have ACLS?? No OR/PACU...

  24. Ummmm..are they ALLOWED to do that?

    hogan4736 replied to NurseJacqui's topic in Emergency

    you most certainly can transfer d/t lack of bedspace...if you have documented overcapacity...even the big city hospitals to it... you can also transfer d/t equipment failure (i.e. vents) we are a...

  25. Ummmm..are they ALLOWED to do that?

    hogan4736 replied to NurseJacqui's topic in Emergency

    I agree wooh... The distinction is clear... I'm looking for definitives here, when likely, none exist... Would EMTALA see a difference between coding an inpatient that had been sent back to the ER,...