MAISY, RN-ER BSN, RN

ER/EHR Trainer

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All Content by MAISY, RN-ER

  1. MAISY, RN-ER

    CRNA Threat

    What cracks me up is that I believe nurses initiated anesthesiology in the OR-I just don't understand why this has become such a big problem. As for PAs-there are good ones and bad ones; however I...
  2. MAISY, RN-ER

    I feel guilty in canceling my extra shift...

    I have been a boss and I have been a worker.....when you are the chief everything is your responsibility, when you are the indian it's just your practice for the day. It matters to everyone when...
  3. MAISY, RN-ER

    What do you fear most on the job?

    Working in our Pediatric ER and missing a critical kid ending in disability or worse as the outcome.....not a peds nurse. Working main ER as charge....with our ton of new grads.....everything my...
  4. MAISY, RN-ER

    I feel guilty in canceling my extra shift...

    You can't staff with OT....it's not right, and it's not fair. Facilities need to staff for safety....PERIOD! HOWEVER, As a nurse who works in a similar circumstance....I would rather you didn't sign...
  5. MAISY, RN-ER

    A question about Adenosine

    Adenosine is administered quickly with concurrent 10-20ml flush-we use needleless system with pigtail so that flush is less than 2 inches away...raise arm...period of asystole then hopefully...
  6. MAISY, RN-ER

    Not giving PRN's even though they are ordered?

    Like the others I agree you shouldn't be trying to fix a "drug" problem unless that is what a patient is there to do! PRN meds are ordered as needed for a reason....if a patient frequently uses these...
  7. MAISY, RN-ER

    "Fired for NO Reason"

    Right person in the right job....a hospice nurse may not be suited for the ER and visa versa.....we all have our niches..... Bad workers are just
  8. MAISY, RN-ER

    Question about staff ratios?

    Everything everyone has said and more.....while nurses may have had more patients many years ago, technology has allowed people to survive with so many co-morbidities that just the accompanying...
  9. MAISY, RN-ER

    How often do you take a vacation?

    At least 4 weeks a year; California in April, Florida in August, on my way to San Antonio today:D! Beach on the weekends I don't work and so on and so forth. Mini trips to NYC, and local...
  10. MAISY, RN-ER

    Intramuscular injection technique tips

    I give tons of injections, right needle for the size of deltoid is important. I will assume the dart method does not draw back? I landmark, ask the patient to relax their muscle then enter, draw...
  11. MAISY, RN-ER

    very badly behaved ped client

    To her parents she is precious, regardless of her actions. I am sure they are happy to have her active and with the energy to be contrary. Imagine how active toddlers are, now imagine one who has...
  12. MAISY, RN-ER

    Your dumbest financial mistakes

    Never say, "never". What is it they say about God laughing at our plans? Also noted you are in Florida, if the timeshare you own is by the beach you will always be able to rent it. If Disney area, at...
  13. MAISY, RN-ER

    Your dumbest financial mistakes

    Co signing my kids college loans....now they are considered as part of my debt ratio! ugh Oh and being guarentor on my son's apartment-all of his late rental payments show up on my credit...
  14. MAISY, RN-ER

    not looking "put together"

    Oh Wooh!!!! Love
  15. MAISY, RN-ER

    AV fistula for IV access for sickle cell pt

    We are not allowed to access fistulas in our ER, you must be HD certified. I can't believe they performed that operation on a Sickler! A port I understand, a fistula?
  16. MAISY, RN-ER

    So confused, help!

    I would imagine the state you live in would dictate whether LPNs were getting hired or not. In NJ very few acute facilities hire LPNs; if your ideas for work include critical care or specials. It...
  17. Really? Where is that? I can't even
  18. MAISY, RN-ER

    inserting foley, some tips please

    Oh Leslie.... In the heavy males whose member performs the disappearing shaft-you must push down on fat to make it pop up! Thus the male fat pad:) sort of like a mons but not:D
  19. MAISY, RN-ER

    Good Samaritan laws for off duty New Jersey RN's.

    I am not sure giving Benadryl is a good idea, only because it may be considered diagnosing and dispensing medication. There is a doctor somewhere who would push the issue. I have been told offering...
  20. MAISY, RN-ER

    inserting foley, some tips please

    Foley tips In elderly women, angle upwards-everything droops with age. Always use a light. Ask people to bear down to pee. Trendelenberg (if the patient can tolerate it) works for heavy or fleshy...
  21. MAISY, RN-ER

    Port a Cath for IV fluids

    If you have a port, we wouldn't consider using anything else for a patient's stay. Every needlestick is a potential portal of entry for infection. There is absolutely no reason not to use it.....I...
  22. I work with a 5th grade teacher who is an RN and has a Masters in Education; I am quoting him when he states nursing is "the hardest job" he ever worked. Teaching does not pay what it should, but...
  23. MAISY, RN-ER

    Who is to blame

    Perhaps you should send this thread anonymously to your DON and RN and LPN1. That firing is
  24. MAISY, RN-ER

    Who is to blame

    While I agree that the RN takes the position knowingly that she is in "charge", I also have to say that if LPNs are wearing the moniker of nurse; then documentation is all of their responsibility. No...
  25. MAISY, RN-ER

    Who is to blame

    I used to have issues with floor nurses and their attitudes when I said I didn't have admitting orders for a patient.....after seeing how delayed physician calls and the crap that pharmacy gets away...