RNinED

RNinED specializes in ICU,MCU,HOMEHEALTH.

Latest Activity

1. Medical Screening Exam at triage by RN

   RNinED replied to RNinED's topic in Emergency

   OK, I CAN NOT FIND ANYTHING FROM CA. BRN THAT SAYS OK FOR RN TO PERFORM MSE AT TRIAGE. I DID FIND AND PRINTED OUT OREGON'S STATMENT AND IT REQUIRES THAT THE HOSPITAL PROVIDE A GREAT FRAMEWORK FROM ALGORYTHMS TO SPECIFIC TRAINING FOR EACH RN REQUIRED ...

2. Medical Screening Exam at triage by RN

   RNinED replied to RNinED's topic in Emergency

   Thankyou, I will look up california's BRN for their rules. I don't think we would be doing anything more than we already are but the charges for the tests..labs, xrays and the visit could be applied to the pt even if they AMA. as it is now, if the MD...

3. Scheduling lunch breaks in the ED

   RNinED replied to Elle2's topic in Emergency

   The facility is mandated by law to pay a large amount of money for missed lunches as well as a fine to state or federal agencies for each incident. My facility choses not to pay that fine and does every thing in it's power to get us our 30 minute lun...

4. Medical Screening Exam at triage by RN

   RNinED posted a topic in Emergency

   Do you do the official EMTALA required MSE at your triage. We are getting ready to change from normal triage then MD medical screening exams to MSE done by the triage RN. That is, if our manager gets his way. I think there must be some formal traini...

5. At what point of care does the patient become your responsibility????

   RNinED replied to loricatus's topic in Emergency

   Whoa, after reading your post all I can think is...I LOVE MY JOB, I LOVE WORKING IN CA. WITH 4:1 ratios and I love working in a rural hospital where the nurses are, overall, treated with utmost respect by the admin. I think it must make a difference ...

6. no new grad program in our ed

   RNinED replied to RNinED's topic in Emergency

   Thankyou for writing, I know I sounded off a bit. Did you go through a "new grad" program when you started or just orientation to the unit and facility with check off lists etc.? I wonder how often it occurs that new grads are hired without a program...

7. no new grad program in our ed

   RNinED posted a topic in Emergency

   Hello, I Have Read Several Threads From New Grads In The Ed And I Am Very Excited To Be Getting Fresh New Blood In The Specialty. Having Said That, I Worry About My Ed Hiring A New Grad Since We Have No New Grad Progam Designed To Move Them Through T...

8. ER-101...Route/Meds/Terms

   RNinED replied to shill's topic in Emergency

   Thankyou for the list and no ofense taken for anything I already knew. This would have been so helpful 3 yrs ago when I started in my little ED. I had never needed to give flouroscein until then, though I had several yrs on monitored care/ ICU and b...

9. Triage sucks!!! Any tips??

   RNinED replied to BrnEyedGirl's topic in Emergency

   WOW! I hope you are just venting. With the changes in health care laws/regulations, there is less tolerance for the above attitudes. I am not a bleeding heart and certainly do not like the state our healthcare is in but the fact remains many poor wo...

10. Am I stepping on senior nurses toes?

    RNinED replied to b eyes's topic in Emergency

    However the more experienced opinion was that the packets were useless and unwelcome. The very experienced nurses have not all realized the changes to the ED numbers and clientel with higher acuities requires streamlined processes so new resources...

11. how to manage the waiting room?

    RNinED replied to gonzo1's topic in Emergency

    A little education goes a long way. The patients I explain it all to (possible wait, recheck vs, more serious c/o first...) seem to deal with the ED process much better. Can't a ED tech (CNA or EMT-1) do repeat vs and report abnormals to the triage ...

12. Hey ER, what takes so long???

    RNinED replied to RunningWithScissors's topic in Emergency

    I have seen our ER docs clean house about the same time daily because they don't want to pass those cases on to the next DR. And yes they are usually the soft calls and those we tried to treat in ED with wahtever that didn't work. OUr next big thing ...

13. Er Staffing

    RNinED replied to NicoleRN07's topic in Emergency

    I work in a small 7 bed ER where we see about 50-60 pts /day and we are also struggling with covering the busiest times by adjusting two 10hr shifts. one will come in at 10am and the next at 1300. We do not have a charge nurse and who ever does triag...

14. IV drugs RN's can give?

    RNinED replied to bill4745's topic in Emergency

    I am glad that concious sedation and propofol came up here. Today my ED Dr wanted me to push propofol for a closed reduction of hip dislocation that had occured less than 30 min prior to arrival. I related to the MD that we did not use propofol in th...

15. giving report at end of shift

    RNinED posted a topic in Emergency

    What is it with nurses who think it is ok to take report with their back turned to you or while they walk back and forth "keep talking. I'm listening". It is rude not to mention unsafe for pts. since pertinent info may be missed. If I can give shor...