KKERRN

KKERRN

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All Content by KKERRN

  1. Rooming In-Are there any written hospital policies ??

    KKERRN posted a topic in Ob/Gyn

    Our hospital in Southwest Ohio is now urging nightshift to have parents Room in-but don't seem concerned about having policy with guidelines to be followed! What about the nurses liability??? I'm...

  2. Rooming In-Are there any written hospital policies ??

    KKERRN replied to KKERRN's topic in Ob/Gyn

    Arwen U: Thanks so much!! I will send for this book and put it to good use!! I appreciate such quick reply. I haven't used this site for awhile, but I have returned to Mother/Baby nursing this past...

  3. Is your charge & triage RN included in nurse/patient ratio grid?

    KKERRN posted a topic in Emergency

    Our charge and triage nurse is counted in the nurse/patient ratio. Ours is 1 nurse/4 patients. We have approx 40 beds and see approx 100 per day plus. Most nights 0300-0700 and 0700-0900 our charge...

  4. Press Gainey in the ER

    KKERRN replied to MrsWampthang's topic in Emergency

    I don't like it either. It seems only the unhappy ones reply. Our scores for the ER are low again this year! I don't feel it should be used in the

  5. etomidate

    KKERRN replied to TinyNurse's topic in Emergency

    We use it for conscious sedation to reduce dislocations mostly. We have policy and procedure to follow. We also use versed and sucs. Patient arouse better with the etomidate and seem to be discharged...

  6. Is your charge & triage RN included in nurse/patient ratio grid?

    KKERRN replied to KKERRN's topic in Emergency

    stevemartin, We all suffer through low times. You say things will get better. How do ya know it will get better?? I worked at a hospital that told us that for 3 years and then they

  7. Is your charge & triage RN included in nurse/patient ratio grid?

    KKERRN replied to KKERRN's topic in Emergency

    stevemartin, I'll have to ask how the administration determines our FTE's. I only know they use a 1 nurse to 4 patient ratio which include our charge nurse and triage nurse. Again, how can they count...

  8. Is your charge & triage RN included in nurse/patient ratio grid?

    KKERRN replied to KKERRN's topic in Emergency

    luv2nurseinER, Thanks for responding to my question. It seems the 1/4 ratio is a standard for ER's, but the charge and triage RN resposibilities differ. Glad to hear your have some Quiet time...we...

  9. Hot Pepper Anaphylaxis

    KKERRN replied to EastCoast's topic in Emergency

    We had a security officer spray someone unnecessarily...had to evacuate the ER and fire dept hooked up fans to blow the bad air out the doors!! What a night that

  10. Is your charge & triage RN included in nurse/patient ratio grid?

    KKERRN replied to KKERRN's topic in Emergency

    Thanks everyone for your responses! I can see staffing is terrible in ER's all over. This will help give me information to help fight the staffing battle and to stop counting our triage and charge...

  11. on call policies

    KKERRN replied to UKRN88's topic in Patient Safety Issues

    I work in ER and we must take on call 8hrs for our 6 week work schedule. We are given 4 hr slots to sign up our choice. We are paid $3/hr for being on call and paid premium pay if we are called in to...

  12. A nurses poem- for those who haven't read it yet

    KKERRN replied to leesonlpn's topic in Patient Safety Issues

    Your poem is beautiful and so true! I copied and posted at my break area also. You need to publish it.

  13. Is your charge & triage RN included in nurse/patient ratio grid?

    KKERRN replied to KKERRN's topic in Emergency

    renerian, Please tell me more about your ER. How many beds,rooms/zones, how many patients does one nurse usually care for? Our charge is called CTF, meaning charge to float. The other nurses depend on...

  14. Hot Pepper Anaphylaxis

    KKERRN replied to EastCoast's topic in Emergency

    Thanks for sharing your food for thought! This has happened in our ER...yet. How long did it take for bronchospasms to

  15. Medical documentation issue

    KKERRN replied to basha's topic in Emergency

    If you carry your own malpractice insurance....you need to contact them also. They may provide a lawyer for

  16. Is your charge & triage RN included in nurse/patient ratio grid?

    KKERRN replied to KKERRN's topic in Emergency

    Thanks for your replies. When we speak to upper management about what can be done to decrease the burn out/stressed out nurses and staff they appear to be truly concerned. The nurse director of ER...

  17. Migrane Headache Treatment in the ED

    KKERRN replied to keaston's topic in Emergency

    Just used Stadol 2 mg IV, Reglan 10 mg IV and Benadryl 25 mg IV this weekend and it also seemed to work quickly for this patient. Each of our docs seem to have their own remedy to try.

  18. Have you used code blue lavage/gavage?

    KKERRN posted a topic in Emergency

    We have been inserviced on the code blue system and everyone seems apprehensive to use it. Our ER docs let the RN choose the NG or code blue at this time...they just want it done. Any pros/cons or...

  19. Have you used code blue lavage/gavage?

    KKERRN replied to KKERRN's topic in Emergency

    JBudd, That was really fresh brew you removed!! We are using just charcoal on those they feel are over the 60 minute timeframe. I still haven't had the opportunity to use code blue. Thanks for sharing...

  20. Have you used code blue lavage/gavage?

    KKERRN replied to KKERRN's topic in Emergency

    gmx4dh, Thanks for your response. Our code blue tube is for oral use only. I like the garbage bag idea...we could just use a red hazmat bag and just tie it up and toss it in the haz mat box! Thanks,...

  21. Conscious Sedation Recoveries

    KKERRN replied to TexNurse's topic in Emergency

    We also recovery ours for one hour with VS q15minutes and then discharge from ER. We use conscious sedation alot for bone reductions and recovery is until pt awake and VS stable-usually 1-2 hours...

  22. Have you used code blue lavage/gavage?

    KKERRN replied to KKERRN's topic in Emergency

    traumaRUs, That makes sense not to lavage if over 60 minutes has passed. I will try to make that part of our protocol! We still haven't had another chance to use code blue on nights yet. Thanks,

  23. Have you used code blue lavage/gavage?

    KKERRN replied to KKERRN's topic in Emergency

    This code blue tube system is passed orally and comes with a special tube that has 2 syringes attached. One is for input,the other for output directly in it's own attached drainage bag. It is easier...

  24. Have you used code blue lavage/gavage?

    KKERRN replied to KKERRN's topic in Emergency

    nurseeverycare, The code blue is a brand name of a lavage oral gastric tube to use for patients that have over dosed. When our patient arrest/need immediate attention we also have our ER doctor's to...

  25. Have you used code blue lavage/gavage?

    KKERRN replied to KKERRN's topic in Emergency

    Bob, Thanks for the web site info. I printed info to take to work to share. We rarely get patients within 60 minutes of the overdose. It's amazing how many we get in for their repeat performance and...