MAISY, RN-ER BSN, RN

ER/EHR Trainer

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All Content by MAISY, RN-ER

  1. MAISY, RN-ER

    More bonehead IM questions

    I use deltoids too, only for small amounts and tetorifice!
  2. MAISY, RN-ER

    More bonehead IM questions

    Always use vastus lateralus. It is the safest route for medication administration,and the patient doesn't end up sitting on it, or laying on it when they go to sleep at night. I won't let anyone...
  3. MAISY, RN-ER

    Again....lazy workers

    While it is admirable you care for patients comfort whether they are yours or not, your own patients do not have your availability when you are cleaning, or attending to the needs of the others....
  4. MAISY, RN-ER

    advice?

    Would depend on patient's condition: BP too low-dehydrated?, Electrolyte imbalance vomiting?, low blood sugar? Is the patient admitted? Being treated? Again, unfortunately it would depend on...
  5. MAISY, RN-ER

    I need an honest opinion:am I wrong here?

    I have to agree with the charge-although it stinks to lose your easier patients-I don't believe the charge RN should have any patient responsibility. If necessary, they should be the lightest. Our...
  6. MAISY, RN-ER

    advice?

    It all depends what condition the patient was in prior to fainting. In ER, if I was giving a shot (to otherwise healthy patient -tetorifice) I would assume vasalvagal response and lay down. Had a...
  7. MAISY, RN-ER

    no supplies for patient care

    I am not sure about not charting about why care is not being rendered. We were always told that if a patient's condition changes and there are concerns you chart who you informed and their response...
  8. MAISY, RN-ER

    I made an "Oopsie", need some pointers

    Is it a facility requirement that physician's orders accompany patient to the floor? If not, I am not sure what the problem is. In my facility we are only required to get orders for our observation...
  9. We had a similar problem with our pinning ceremony. Our gymnasium was being redone, our new theater was not completed, we needed to go out side to a local church and were limited to 4 tickets per...
  10. MAISY, RN-ER

    supplies to purchase!!

    I work ED and have the BAG. My coworkers make fun of me, but I am prepared! Penlight-doc's always asking me to borrow. Measuring tape, clamps, scissors, stethoscope, calipers and of course drug...
  11. MAISY, RN-ER

    5 Ps in Assessment Prior and Post Surgery

    We learned polyokio for skin temp-I like polar better. Could never remember the word and don't even think I spelled it right! Definitely a good thing to know! Maisy
  12. Many would not want to walk another's path. Everytime I get frustrated with a patient response I try to remember that. Years ago, my mom needed microsurgery on her ankle for pretty major damaged...
  13. MAISY, RN-ER

    National Health Care, Your Thoughts

    It's going to get much worse with the population living longer. Preventative care is a drop in the bucket compared to the last year of life in our elderly population which is like the Niagara. Why...
  14. MAISY, RN-ER

    Nurses: what's your Myers-Briggs classification??

    Enfp Here!
  15. MAISY, RN-ER

    My first interview was a disaster

    Happens all the time. If you are given a tour of any unit, regardless who is giving the tour, you must ask questions and go out of your way to appear interested. The HR front person, has no idea of...
  16. MAISY, RN-ER

    Scheduling lunch breaks in the ED

    :lol2:LUNCH? Sometimes we get a break-this summer was amazing! We actually had coverage. Our ER is 55+, when our later shift 11a to 12 comes in, if we are semi quiet those nurses break the...
  17. MAISY, RN-ER

    I'm a nursing student and can't get a hospital job!

    Go to local nursing fairs or job fairs. Call, Call, Call....you have to harrass HR departments, otherwise you are just one of many. Get referrals from those professors who think you are brilliant!...
  18. MAISY, RN-ER

    Contagious CNA showing up for work!!!!

    ;)Working shift work anywhere, regardless of your position is always the pre-requisite for management's attitude of "sucking it up". We have to call in 4 hours prior to a shift and then give our...
  19. MAISY, RN-ER

    Triage TX Anyone Have Any Good Ideas?

    Hi everyone, looking for some ideas to move people smoothly from the waiting room to their ER assignments more smoothly. Is anyone pre-treating their patients in the waiting room? Ordering tests,...
  20. MAISY, RN-ER

    Triage TX Anyone Have Any Good Ideas?

    Thanks for responding, we currently order xrays, ct, doppler for obvious dvt, ekg and labs (for inside). We were discussing situations like flank pain-urine dip-where would we put samples, can we ask...
  21. MAISY, RN-ER

    How to answer? LONG

    I don't think you need to answer that question at all. It appears that you don't qualify for that interview question based on your post. Everything you did or didn't do as per your post is part of...
  22. MAISY, RN-ER

    Patients on Medicaid

    This thread like so many has become polarized with the us and them mentality. So I put forth the questions that bug me every time I hear a comment about the poor, social services, and supporting our...
  23. MAISY, RN-ER

    IV Push Practice

    Almost forgot, sometimes meds require a long push over 2-4 minutes. We push a gram of Rocephin-it's 10mls-if the patient is old, fragile, bad veins, precarious iv I will hang as a piggyback in 50ml,...
  24. MAISY, RN-ER

    IV Push Practice

    Don't know of any websites, but when you are working in a facility they will have guidelines regarding iv push medications. Also, since I work in the ER I always refer to my med book-it's always...
  25. MAISY, RN-ER

    Professional courtesy from police at traffic stops

    Ultimately, if you are pulled over it is up to the police "person" to decide whether or not you will get a ticket. Over the years I have asked many why they choose certain people. Sometimes it is...