MAISY, RN-ER BSN, RN

ER/EHR Trainer

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All Content by MAISY, RN-ER

  1. MAISY, RN-ER

    Who is to blame

    Basically, the OP states that the RN and LPN 1 assessed the patient and sent her to the hospital-bottom line is that it is their responsibility to report. If this information was endorsed back to...
  2. MAISY, RN-ER

    Oxycontin - I didn't know how to answer this for pt.

    That is a good point with regards to the economy and medication usage...I am seeing this alot during our triage with patients taking 1/2 tabs daily. However, 20mg Percocet ER makes me think that this...
  3. MAISY, RN-ER

    Oxycontin - I didn't know how to answer this for pt.

    Agree with all the others, he should have orders for breakthrough pain for a small dose, but the long acting is to cover pain throughout the time period till the next pill. He won't be getting 20mg...
  4. MAISY, RN-ER

    Who is to blame

    So what was the
  5. MAISY, RN-ER

    change is here.

    So sorry this has happened to you, but I believe employers will continue to bump, and take advantage of nurses who are older, LPNs, have limited opportunities, and have history of injuries. More than...
  6. MAISY, RN-ER

    Who is to blame

    Unfortunately, if it wasn't charted and if it was documented that LPN 2 was aware of entire situation-ultimately someone is going to take the blame...it was LPN 2's patient...... HOWEVER...as I work...
  7. MAISY, RN-ER

    Ever Refuse a MD order?

    So sorry this has been your experience, as far as I am concerned safety not egos are the name of the game. There is never anything wrong with questioning an order and discussing why something is...
  8. MAISY, RN-ER

    Ever Refuse a MD order?

    All the time....in a teaching hospital you'd better be one step ahead of the residents and the personal physicians that come to treat their patients. Never treat on a K+ on an istat-make sure it...
  9. MAISY, RN-ER

    Back to Traditional Nursing Uniforms?

    Psych, legal nurse consultants, management ugh, education, intake coordinators, NPs with lab coat, can't think of any others
  10. MAISY, RN-ER

    Dilaudid IV Push

    Hell No! There is no way this should be happening! Where is your facilities legal department? Good way to lose a hard-earned nursing license....let the PA do it...they are under the doctor's...
  11. MAISY, RN-ER

    Fluid restrictions vs Patient rights

    :DThis thread has been truly interesting....advocate for and against? A question was posed about patient's rights....does a patient have a right to schedule surgery then break NPO status because...
  12. MAISY, RN-ER

    Back to Traditional Nursing Uniforms?

    I would never wear white. We just went to all navy.....patient's have been asking where all our colorful, cheerful colors went....have been told it's depressing, unimaginative, and now patients don't...
  13. MAISY, RN-ER

    Nurses can't draw blood, its always hemolyzed

    While I agree that drawing blood from a large bore needle causes turbulance, we often don't use our first tube and those are ones I rarely have a problem with hemolyzation! How can the coag tube be...
  14. MAISY, RN-ER

    RACISM BY PATIENTS???

    My sister is very Irish looking as is her son; my BIL is from Columbia and of course his surname is Latin. When my sister was living in West Virginia my BIL decided to coach the local recreation...
  15. MAISY, RN-ER

    RACISM BY PATIENTS???

    Recently had an interesting occurrence in the ER; very elderly white woman with dementia screaming at her 6'5"+ft inch black male nurse "BOY"! when he wouldn't allow her to walk around the hallways...
  16. MAISY, RN-ER

    "Fired for NO Reason"

    well said....maybe they are there....i guess i am old enough not to care! i think that may be the difference between being younger, rather than older upon entering nursing. i have been around and i...
  17. MAISY, RN-ER

    "Fired for NO Reason"

    While I agree women can be viscious, I don't believe it is only nursing in which this occurs. They are trained throughout school to be evil and by evil mothers as they grow up! But as someone who...
  18. MAISY, RN-ER

    will I be sued?

    I agree with making a phone call-report is verbal anyway...what difference does it make if it takes place in person or 20 minutes later from your cellphone in the car. As long as the informations is...
  19. MAISY, RN-ER

    The Public's Doubts About "Western Medicine"

    Oh I forgot I have a good story: Working in the ER, young AA male comes in ashen, diaphoretic, shaking and just looking horrible in traditional garb. Take one look at him and first question I ask...
  20. MAISY, RN-ER

    The Public's Doubts About "Western Medicine"

    Western medicine follows the scientific method and through that method "normally" does what it says it will do....that being said....diseases we suffer....myriads of cardiac, diabetes, htn and a...
  21. MAISY, RN-ER

    is there something wrong with using the word combative?

    Sorry, but if a patient is likely to injure someone they are combative and staff needs to be aware so that no one is injured. You must always be on your guard and be prepared. In the ER if a...
  22. MAISY, RN-ER

    Nursing doing bedside swallow studies...

    Every nurse in my ED is expected to complete a swallow evaluation in the event of ANY patient presenting with a neuro complaint-from CVA to numbness in fingers. This was initiated to comply with...
  23. MAISY, RN-ER

    is there something wrong with using the word combative?

    I call it as I see it in my charting-a resistant patient is not the same as a combative patient. Resistant gives you the idea that the person can be reasoned with-combative is just that and truly...
  24. MAISY, RN-ER

    Workers Comp

    That's a violation of federal law-fmla now gives you leave not only for yourself but for a family member with medical conditions for 12 weeks annually. No questions asked-of course you must fill out...
  25. MAISY, RN-ER

    Question about equal pay for equal work...

    While I agree that it isn't fair or right, if the male negotiated during hire he would get a better pay rate. I work at a union hospital; however, when I was hired I refused nights, asked for...