BrnEyedGirl BSN, MSN, RN, APRN

Cardiac, ER

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All Content by BrnEyedGirl

  1. BrnEyedGirl

    Help with Pharmacy issues paper

    multi10,..I really said that a bit tongue in cheek,...the lawyers are only doing what our laws allow and demand they do. In researching for my paper I have realized that I have a great deal of...
  2. BrnEyedGirl

    Reactions to being a NP

    I was thinking the same thing trauma!! I'm just starting the NP program and three of my now former coworkers graduated from the program in May,..they aren't making much more than an experienced...
  3. BrnEyedGirl

    Help with Pharmacy issues paper

    Thank you Heather,...Part of me agrees with you,.I would love to see more patient responsibility in all of healthcare,..however part of me also thinks that we as healthcare providers are in some part...
  4. I live in a town that has two nursing schools that are associated with two different hospitals, and a large state University that offers a BSN program. In my experience with precepting new grads, the...
  5. BrnEyedGirl

    Constant Vein Blowing?

    Is he dry? Perhaps you should suggest lots of water prior to the
  6. BrnEyedGirl

    Expiration date on RN license

    I'm in Missouri,...ours expire every two years in April,..however my card no longer has an expiration date on it,..they used to,...but the card I received in 2012 has no exp date and they haven't'...
  7. BrnEyedGirl

    Pt. belongings in the ER

    Happens all the time in my ED,...we roughly inventory everything and place it with security or in a bag at the bedside if it is nothing real valuable. We try to always document where the belongings...
  8. BrnEyedGirl

    Hypothermia for Heart Attack Victims

    We use the cool guard,...but I'm in a larger level I trauma ED,...like someone else stated there is always ice bags and a temp
  9. The only crimes I'm mandated to report to the police, are child abuse, elderly abuse, abuse of the disabled, gunshot wounds and dog bites. I don't understand why your hospital feels the need to do...
  10. BrnEyedGirl

    Has this happened to you???

    We have a few frequent flyer crazies as well. Our security is always present, and they carry
  11. I'm in Missouri, we hire new grads from every class. This time we have 17! They start a 20 week preceptorship. The last group started with 15, 10 are still there after the first 20 weeks. I work in...
  12. BrnEyedGirl

    Am I risking my license?

    I don't see a problem with this either. I work in a level I ED, the nurses have a huge part in creating the protocols we use everyday! As GrnTea mentioned, they aren't orders until the docs sign...
  13. BrnEyedGirl

    Helping accident victoms

    I have heard nurses talk about being sued for bad outcomes after providing first aid on the roadside, but I've never known of a real case, I too would like to see a link,...I'll do some research. I...
  14. BrnEyedGirl

    Cosigning Conundrum

    I'm curious where you work that still does paper charting? I was also taught to have a cosigner for high risk meds. Our computer won't let you chart the med without a cosigner period. Our Omnicell...
  15. Of course! So should a plumber, a banker, a house wife, a preacher, a taxi driver, a pizza delivery
  16. I work in a large Level I Trauma ED. We have had several nurses who take breaks to pump. The only time it becomes an issue is when someone takes advantage and spends 45 min plus to pump every three...
  17. BrnEyedGirl

    When a staff member comes in as a patient

    In my state we can't even report the DUI! If the pt comes in with law enforcement we can draw labs if the patient agrees, otherwise it is against the law to report drug or alcohol use to authorities...
  18. BrnEyedGirl

    Is this even allowed?

    Getting "informed consent", the actual signature, is really just witnessing that the patient signed the form stating that the physician has explained the procedure, the risks and benefits and that the...
  19. BrnEyedGirl

    Dealing with triage

    I've been known to say things like,...."Obviously I'm not allowed to share a patients personal health information with others in the waiting room, but we have had a couple of babies in tonight who had...
  20. BrnEyedGirl

    RN to MD

    I work with 2 physicians who were nurses
  21. BrnEyedGirl

    Whats rolled through your doors new years

    My day sucked!! On a bright side, I dc'd a GSW to the head,...that's a first,..hope he realizes just how lucky he
  22. BrnEyedGirl

    ER GN advice

    Congratulations!! School is done and you already have a job!!! The ED can be tough for a new grad. Listen, watch and always be willing to help where you can and know when to step back and just...
  23. BrnEyedGirl

    What's your patient load?

    68 bed Level I Trauma ED,..4:1 and when we are staffed well we break down to 3:1 with a
  24. BrnEyedGirl

    Transfusing blood in an emergency situation

    I work in a 68 bed Level I Trauma ED,..We keep uncrossed blood in the department and use the Level I infuser when needed. We can hang 2 units at a time per Level I and if I remember correctly we can...
  25. BrnEyedGirl

    Stressed out... Need advice.

    You should go to Vet school! Love, Mom