MAISY, RN-ER BSN, RN

ER/EHR Trainer

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All Content by MAISY, RN-ER

  1. MAISY, RN-ER

    New admits at shift change

    MAISY, RN-ER replied to megananne7's topic in General Nursing

    Again, don't know where you guys work...but, no one goes unstable to the floor. Thought that was a rule everywhere! Even unit admits are escorted on drips, monitored, sometimes resident, RN and...
  2. MAISY, RN-ER

    New admits at shift change

    MAISY, RN-ER replied to megananne7's topic in General Nursing

    We actually have 1 hour coverage from oncoming shift to off going shift. That's why it is annoying on our end. We also change shifts at slightly different times. You'd think that would take care of...
  3. MAISY, RN-ER

    2 hour reassessments in Triage

    MAISY, RN-ER replied to Opinions matter's topic in Emergency

    That's when I say, thank goodness we took your labs-with an iv I can give you anything you may need during your stay. It's all in the delivery!:nuke:
  4. MAISY, RN-ER

    2 hour reassessments in Triage

    MAISY, RN-ER replied to Opinions matter's topic in Emergency

    We don't saline lock the patient-it is a straight blood draw. At the point labs are drawn, the patient's name and condition has been listed. The triage exam has been completed-and the nurse makes...
  5. MAISY, RN-ER

    New admits at shift change

    MAISY, RN-ER replied to megananne7's topic in General Nursing

    You'd love working our unit, I have never seen a patient leave the ER without all of the things you mentioned you'd have to stay late to do. It's all done by us before patients hit the floor! We...
  6. MAISY, RN-ER

    Tired of impaired nurses

    MAISY, RN-ER replied to epipusher's topic in General Nursing

    There are many avenues that nurses with drug problems can explore. I see no reason why they shouldn't be working. It's a sin to deny a nurse a job. Alcohol is a drug, yet alcoholics keep their...
  7. MAISY, RN-ER

    New admits at shift change

    MAISY, RN-ER replied to megananne7's topic in General Nursing

    Again, I am not sure holding is within the rights of those nurses. Many times it is not within our rights. Our charge will make us call the floor charge RN if nurse tells us to call back. They are...
  8. MAISY, RN-ER

    New admits at shift change

    MAISY, RN-ER replied to megananne7's topic in General Nursing

    YES, at least in my ER. Believe me, it drives us crazy too! All of a sudden we have beds! Then our charge and ER director starts pushing us to move them out! Sometimes we are told that the...
  9. MAISY, RN-ER

    2 hour reassessments in Triage

    MAISY, RN-ER replied to Opinions matter's topic in Emergency

    How many beds do you have that you can walk these people back? We have 55, plus our fast track area. This does not include hallway assignments. We don't always have space due to holds. We also don't...
  10. MAISY, RN-ER

    2 hour reassessments in Triage

    MAISY, RN-ER replied to Opinions matter's topic in Emergency

    I agree with you wholeheartedly! We don't do narcs in triage, too much liability! In your scenario, the person that looks like crap would be reassessed. You already have that person on your radar,...
  11. MAISY, RN-ER

    2 hour reassessments in Triage

    MAISY, RN-ER replied to Opinions matter's topic in Emergency

    You have all of that personnel and you don't reassess? That's hard to believe! Too many bad things can happen if patients are not reassessed! We see as many patients as you, and I will stop triaging...
  12. MAISY, RN-ER

    New RN already ready to quit!

    MAISY, RN-ER replied to RNroseshea's topic in General Nursing

    You shouldn't stay somewhere you feel uncomfortable and unprepared, but let me play devils advocate for a minute....is it possible she thinks her ways are the right ways? Has she had bad experiences...
  13. MAISY, RN-ER

    CNA jobs for those without diploma?

    MAISY, RN-ER replied to dancer_meggs's topic in General Nursing

    Surprising! I am not sure where you worked, did you work in a hospital? If so, I'd be curious where. No hospital would hire my daughter even though she already had an excellent resume-they all...
  14. MAISY, RN-ER

    CNA jobs for those without diploma?

    MAISY, RN-ER replied to dancer_meggs's topic in General Nursing

    Northern NJ will not hire unless 18yo-you need not have graduated, but the assumption is there. My daughter attempted during her senior year-was planning nursing school. Would have saved me some...
  15. MAISY, RN-ER

    2 hour reassessments in Triage

    MAISY, RN-ER replied to Opinions matter's topic in Emergency

    It's very scary to be out front during the busy times in the ER...as people come up to the 2 hour point I reassess all patients in the waiting room. In the event someone is in acute pain, appears to...
  16. MAISY, RN-ER

    Real dilemma...help please (long)

    MAISY, RN-ER replied to hollyberry678's topic in General Nursing

    It doesn't matter what was, from now on the new you is not going to put up with anyone's crap! Request your protagonist do her job, if she does not comply do what you'd do anyway-do it yourself BUT...
  17. MAISY, RN-ER

    Real dilemma...help please (long)

    MAISY, RN-ER replied to hollyberry678's topic in General Nursing

    I know you are venting and are looking for answers, however after reading your post I think you need to work on your assertiveness before you go anywhere or change any job. Until those problems are...
  18. MAISY, RN-ER

    BP cuffs and infection control

    MAISY, RN-ER replied to country mom's topic in Patient Safety Issues

    Agree, disgusting-use safety wipes to clean everything if I have time when I come on shift. Nothing is grosser than fluids on floor, accompanied by bp cuff, pulse ox and monitor leads YUCK! I...
  19. MAISY, RN-ER

    Using Propofol for conscious sedation

    MAISY, RN-ER replied to wtbcrna's topic in Patient Safety Issues

    Use it for dislocation and tubing/keeping patients sedated-NJ. Do not require anesthesiologist-but physician must have certification. Physician must push first dose-afterwards nurse may administer...
  20. MAISY, RN-ER

    LPN's Aren't Allowed to Work in NJ?

    MAISY, RN-ER replied to MQ Edna's topic in New Jersey Nursing

    There are tons of long term care and doctor office positions. There are some "grandfathered" LPNs at my facility...but they do not hire new. Part of this has to do with magetization and public...
  21. MAISY, RN-ER

    Phone advice? Do you give it?

    MAISY, RN-ER replied to TooterIA's topic in Emergency

    We don't give medical advice over the phone for new calls. I basically ask them what's going on, then say if they are concerned enough to call they should be evaluated. The only time I may go over a...
  22. MAISY, RN-ER

    do you chart vent settings?

    MAISY, RN-ER replied to bigreddog1934's topic in Emergency

    If we tube-during whole flow start to finish actions noted with vitals-I always include ordered initial settings and request that our respiratory update me if anything is changed. You can't imagine...
  23. MAISY, RN-ER

    Questions from a Struggling ER New Grad

    MAISY, RN-ER replied to NurseLene's topic in Emergency

    12 week orientation-definately not enough! Had 20 weeks in our ER and that was barely enough! Not many new grads stay....it's a hard place to start, but with the right preceptors you can learn to be...
  24. MAISY, RN-ER

    Death?

    MAISY, RN-ER replied to Annieee's topic in General Nursing

    I have to post this.... Before I was a licensed nurse, I had an externship in Oncology for 3 1/2 months. It was during the summer and I had one more semester before graduating. I learned more about...
  25. MAISY, RN-ER

    Visitors are OUT OF CONTROL!!!

    MAISY, RN-ER replied to paperdreams's topic in General Nursing

    Quiet, unassuming, helpful, wanted-they can stay. Loud, in my way or the patients, PITA, or interfering-OUT THEY GO! I go out of my way to be nice to visitors and encourage close family members to...