MAISY, RN-ER BSN, RN

ER/EHR Trainer

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All Content by MAISY, RN-ER

  1. MAISY, RN-ER

    Patient advocacy & legal liability

    If anyone has the legal information, I'd be interested in knowing the answer. I feel you did the right thing. It's what I would do too! I truly believe that we have to take the information we read...
  2. MAISY, RN-ER

    Frustration - I am sure you can relate

    Unfortunately patients and their families don't like the word "no". You did the right thing. You know if someone else had gotten that patient and allowed them to walk, and they fell "it would've...
  3. MAISY, RN-ER

    A little insight....... (long sorry)

    You did the right thing, hope you documented patient refusal of IM and your response to physician re: administering meds against a patient's will and to do it himself. I would also write that the...
  4. MAISY, RN-ER

    HELP I'm falling apart!!!

    Sorry you are having a tough time. ER is a tough place to start, I know..where I started. Your priorities are to your sickest patients, and you must be able to say "the heck with the discharge, CP...
  5. MAISY, RN-ER

    no more techs for us....

    4:1 patient ratio in 55+bed ER. Tech assigned to approx 10 beds-as ekg tech too! Never enough technicians! Don't know about you guys, but we have been holding patients quite a bit, so patients with...
  6. MAISY, RN-ER

    How many of you work 3 days /12 hrs shifts?

    Work 3-13 hour days. One weekend per month. Have one four day stretch and two 3 days stretches during my monthly pattern. Recently found out that all are not so lucky. Patterns vary..know what you are...
  7. MAISY, RN-ER

    A Comparison BSN Versus ADN Faculty Role

    Our Associate program was rigorous and difficult to complete, however, our local hospitals know that the graduates have been put through the ringer and truly want to be nurses. They are in demand and...
  8. MAISY, RN-ER

    help written a rebuttal

    I agree with Suesquatch, what you've written is the truth. Enough for a rebuttal, but have someone proofread your final copy. Get representation, and make sure this gets into your personnel file...
  9. MAISY, RN-ER

    Frequent Flyers in the ED

    Migraine sufferers always get meds including iv fluids and iv reglan. Definately seems to work. We've stopped giving iv meds to frequent fliers-(including adult SC), they get PO meds only. Just had...
  10. MAISY, RN-ER

    IMI maximum volume

    Maybe muscles are bigger in Idaho! 5ML UGH!!!
  11. MAISY, RN-ER

    IMI maximum volume

    I always learned 3ml was the maximum in a large muscle and no more than 1ml in deltoid. I believe this is the norm.
  12. MAISY, RN-ER

    Risk of D&C

    I am not a ob/gyn nurse either, but I would imagine the biggies would be risk for perforation, and risk for infection. Like the last poster said, a regular D&C is blind anything can happen....
  13. MAISY, RN-ER

    Unwise Thinking

    Always better to be safe than sorry, you did the right thing! I would want to work with you! Those other two need to be beaten! How lazy can you get?
  14. MAISY, RN-ER

    Hospital Administrator Fired for doing jury duty!

    Disgusting! Sent an email to hospital letting them know it too! Hope she sues them good!
  15. MAISY, RN-ER

    Obesity - Implications For Nursing

    If someone is enterprising, it's a million dollar opportunity. Job Opportunity: Design a low cost, zero gravity, hospital room to care for our patients. No more bedsores, no more turning, am care...
  16. MAISY, RN-ER

    Walkie Talkies on Your Unit?

    Vocera...horrible, horrible, horrible. They do not work. Log in as Mary Smith, get....did you want to log on as Barbara Jones? Voice recognition, lack of signal, noncompliance and a million other...
  17. MAISY, RN-ER

    Can Your Nurses Stop a Surgeon

    Great article, thanks for sharing. I think it is our responsibility as patient advocates to do whatever is necessary to ensure their safety. I've held meds, discharges, and have made residents suit...
  18. MAISY, RN-ER

    Does your hospital give DC instructions to AMA patients

    We have many leave that are on observation: Chestpain, abdominal, tia obs. Once results start coming back negative they get ancy...don't want to wait anymore. This is especially true of those in ER...
  19. MAISY, RN-ER

    Do you think this will improve staffing?

    I think this will only cause us all to have to work harder. These are the following medicare rule parameters being instituted in 2008. Injuries resulting from a fall in the hospital. Reactions...
  20. MAISY, RN-ER

    What Killed Baby Lucas?

    Thanks for sharing that story...so sad.
  21. MAISY, RN-ER

    Will you work during a Pandemic?

    No PPE? No Workee! If healthcare workers drop-who'll care for them? The truth is...if there is a pandemic....many, many will die! I will assume mass casualty triage parameters will be used....
  22. MAISY, RN-ER

    St. Barnabas Livingston - NEW GRADS

    Definately $28.33 in ER in summer 2006-I can't say for this past year. It's possible union negotiations of last November changed the entry rate, but I would doubt it. I will ask our new grads tomorrow...
  23. MAISY, RN-ER

    acls certification

    We had six months to get certified, but classes were offered on site in our hospital. If I remember correctly, I had certification in the first 3 months. You should definately not be transporting...
  24. MAISY, RN-ER

    blanket/iv fluid warmer

    We have a warmer for fluids and hot air blankets, but they are used for frozen emergency blood, hypothermia cases, or as ordered by MD. Regular IV boluses are room temperature in our ER.
  25. MAISY, RN-ER

    Using BP cuff to access certain veins?

    I'm on tomorrow, I will check our monitors to see if we have that button. Do you find the cuff works better than a tourniquet. If so, why?