MAISY, RN-ER BSN, RN

ER/EHR Trainer

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All Content by MAISY, RN-ER

  1. MAISY, RN-ER

    ER Nursing, Is it considered critical care?

    Case in point, ACT 1: yesterday fellow nurse has ICU hold patient who is incontinent....THE ER WAS ROCKING! It was crazy, no breaks, call outs, short staff, I was in our regular medical and had 6...
  2. MAISY, RN-ER

    ER Nursing, Is it considered critical care?

    Thus the reason why nurses will never be a strong voice....you don't see doctors arguing about who is more critical care saavy! Anyway, I suppose if I had 1-2 patients I could handle 15 drips....yet,...
  3. MAISY, RN-ER

    ER Nursing, Is it considered critical care?

    All I can say is read the threads dealing with ER and the floors. I have heard many disparaging remarks from nurses regarding the ER and its staff. It's really a shame, I try to make patient care...
  4. MAISY, RN-ER

    "English Only" Rule at Work?

    Thank you for posting...I read the proposed bill....it's only just been introduced...it would be nice if nurses had some grant money to work with...too bad it's not a little more for graduate/doctoral...
  5. MAISY, RN-ER

    "English Only" Rule at Work?

    You are 100% correct regarding business and paying what the market will bear....hospitals are a business...however, with the current "Disney-like trend" towards customer service...ancillary staff and...
  6. MAISY, RN-ER

    "English Only" Rule at Work?

    I would say as the "visitor/worker" to the country, I'd speak what everyone was speaking. Obviously, I would have to speak "Tagalog" well enough to be hired and function appropriately as a nurse in...
  7. MAISY, RN-ER

    ER Nursing, Is it considered critical care?

    Unfortunately, each program has requirements and groundrules set by, THE POWERS THAT BE....THOSE WITH LETTERS BEHIND THEIR NAMES.....ALWAYS SCARY! Truthfully, expectations, requirements and ideas of...
  8. MAISY, RN-ER

    Nurse fired for calling police

    this is a totally different scenario-one that my school and my hospital addressed during my orientation. definately a firing offense.
  9. MAISY, RN-ER

    ER Nursing, Is it considered critical care?

    Well, unless ICU/CCU is performing direct admits, patients start somewhere, perhaps in the ED? Since these same patients are vented/(come in on vents), central line insertions, stabilized, and all...
  10. MAISY, RN-ER

    Nurse fired for calling police

    I have considered why hospitals have been able keep nurses down, it may have something to do with military training. When Woody posted about following orders....it hit me, hospitals are institutions...
  11. MAISY, RN-ER

    New Grad & No one will hire me

    You are 100% right about early job searches. I was hired before my NCLEX date as were many of my classmates, we even had nurses fail and retest and keep their jobs. I guess you could work as a...
  12. MAISY, RN-ER

    Nurse fired for calling police

    Personally I think someone should've notified the newspapers. The whole thing was BULL! jmo
  13. MAISY, RN-ER

    New Grad & No one will hire me

    Saint Barnabas medical center has openings in its many locations. As the second largest employer in the state of NJ you may be able to find a position, but you must apply on line and you must be a...
  14. MAISY, RN-ER

    18-gauge vs. 20-gauge

    ER Nurse and these are the recommendations we are going with. There is no reason to damage veins, it's the smallest necessary to get the job done. If all you can establish is a 24g it's time for an...
  15. I agree wholeheartedly! But remember...IF YOU DIDN'T CHART IT, YOU DIDN'T DO IT! Stinks but that's the world we live in....maybe we will have voice activated charting soon.
  16. Oh I know what we all forgot, the appearance/disappearance of wounds. Good God! Even in the ER we hold patients and it drives me crazy! Some mention of site, appearance, and exudate would be nice....
  17. Sorry if I wasn't clear... No, basically giving scenarios....it's quite a picture to paint for a potential jury....patient with sky high FS or Hi BP eating chips, disregarding physician orders for...
  18. MAISY, RN-ER

    unfair treatment

    I would first advise your daughter to sent the physician a registered letter advising the physician of the office staff's shenanigans what was said, and done. I would also contact your state labor...
  19. Paint the picture you see...if you had to go to court, don't you want to get the whole picture? i.e. HTN/chf/DM patient BP/BG(DKA borderline) skyhigh, eating chips, drinking fluids, eating candy,...
  20. MAISY, RN-ER

    Dad's trip to ED

    I am so sorry you had this experience, my heart goes out to you and your children. I don't consider monitoring a sick patient as basic, but necessary....there are no words to express my sorrow for...
  21. MAISY, RN-ER

    Dad's trip to ED

    I would've sent this to your hospital administration...even though I work ER, meals are orders like any other and can be delivered anywhere....the problem we have is that water jugs, and other things...
  22. MAISY, RN-ER

    Dad's trip to ED

    I am not sure if they withheld fluids due to his heart rate, and rhythm...was he blocked? Obviously he required pacing, perhaps they didn't want to overload his vascular system. It may have been too...
  23. MAISY, RN-ER

    Not my job, but I got involved!

    So, can't go into detail....just in case BUT, got INVOLVED and it wasn't my job! Had an emergency come to a specialty department and was IGNORED...went ahead and triaged....advised the necessary...
  24. MAISY, RN-ER

    New admits at shift change

    Don't know about your place, but our ICU residents change things constantly and drive us nuts! There are many patients that would've been telemetry, but no bed...stay with us...upgraded after bad...
  25. MAISY, RN-ER

    New admits at shift change

    Unstable patient shouldn't be transferred at all let alone at shift change! The ER nurses I know would never do such a thing. Only ICU/CCU patients are transferred with possible instability...and...