CMERN

I am an ER nurse and I completely appreciate our Paramedics,our Emt's and I feel that patients benefit from good relations between ,paramedic and nurse and doctor. We all deal with high stress and high acuity. Respect and teamwork make for a more tolerable shift. I say to the NURSE with the TUDE....spend one shift in a paramedics shoes ..you might change that TUDE!!!!

As pertaining to MA NOT being a stepping stone to R.N....well you CAN make it any thing you want... As far as that goes. MA's do not have the anatomy and Pathology training that R.N.s have. Ma's arent trained with patient care as a primary focus. Mybest medical terminology teaching was obtained through M.A. program TO each his own..

For the H/A...pt....I would have told Doctor it aint an AMA...Its a refused procedure "document it". ... non-compliant even...I would tell DR. if ya want ME to medicate then the pt is going to stay and be monitored..IF YOU want to medicate..then write a script/ or give it your self.....If pt is leaving by choice at any point against your plan of care THEY ARE AMA>>> BYE okok ok im thru yappin:)

When our doctors have a patient as mentioned above well...they document pt refused Tx or procedure...the patient can then be continually monitored or recieve other options in treatment...IF..a patient signs OUT AMA...he/she is out....Bye see ya.....Had one just the other night...came for chest pain after EKG...refused all other tx (blood work etc.) Said she wasnt staying for the Cardiologist to come consult and said ahe wnated to go home....Fine ...Made her sign AMA..did Dc vitals...Explained risk... dr. documented for her to seek care from a cardiologist..documented his wishes too..all on the ama sheet ..and made her a copy...and said GOOD BYE...(tried to cover all butts) call it creative AMA but....no way I would have went back in and given her any meds to GO!!!

NurseKaren is correct..I my self.was first a certified M.A. in 1994...I to wanted to "get in to the medical field" but was a single mom who couldn't afford time or money enough to go to college for my R.N., My R.N. was my ultimate goal. My experiences as a CMA were valuable..I never called my self a nurse until I was a NURSE!...If at all possible go for your R.N....If not possible use the CMA as a stepping stone. But physicians are the ones who developed the program and IT was done to undercut R.N.'s and was what the physician could use as his "cheaper" help... think it through make a SMART decision and good luck with whichever you persue.... :)

Use Insulin Syringe......Id rather waste time than WASTE a life...DOC

:rotfl: :rotfl:..sorry it just hit me funny.....:chair:

I would not trust a FAX report as the primary way to send up a report to floor ...it might be good to send once room assignment recieved..to floor..but i think it might cause more confusion if not routed correctly and unfair if the floor is unaware that the report is coming

Hey ...where I work we call X 2 to try and give report..we notify the E.R. charge R.N. if floor says bed not in room or room dirty,..E.R.Charge R.N. puts stat on room... we call to verify if room is in deed "ready" and we roll 'em up. with the written report in hand .1st page of chart and if we get to floor with no one insight we walk and find floor charge nurse and hand over chart....we get aback up and we have HOLDS in E.R. but gee things have greatly improoved since we implemented our 1, 2, 3 your goin up rule. :)

HUH?

Bagladyrn:chuckle :roll I love it I will ahve to remeber that one...

I agree with Heather..at the most stressful time with any situation I encounter on a shift..I try to look at it as "hey, this patient and I are in this thing together", Look them in the eye communicate and empathy will take over. When all else fails.(same song different verse) Its like my daddy always said..:cool:"This too will pass".

My youngest sister has marfans syndrome. During her childhood she would become fatigued during exercise, my mother labeled it as "laziness" signed my sister up for Basketball , swimming, bike riding, track.....my sister was extremely thin, long boned, and odd looking child with big blue eyes.... My sister was seemed sickly alot. A chiropractor female friend of my dads was so worried about her that the friend insisted my dad take her to a pediatrician . By this time my sister was 13, my parents were divorced (hence a retarded, continuing argument between mom and dad over insurance an dhealthcare cost) Any ways she was diagnosed... It is a cartiligenous defect,and more so a collegen defect, in that the parts of our joints, eyes,skin, heart valves etc... that can expand with exertion and return to normal size..(the aorta) do NOT for these people.. strenuos exercise is DANGEROUS for them... as they age because of the aorta they become short of breath,tired alot, and are always at risk for aortic anneurysm. My sister when diagnosed went under the care of an excellent Pediatric Cardiologist who followed her health into adulthood,and referred her to an excellent adult cardiologist.. Sis married, GOT PREGNANT to all our horror.( on purpose)at age 25. WEnt into V-tach at eight months..had a c-section... a healthy child. At age 30 she became so fatigued just with walking to the car... her cardiologist had followed her aorta size every 6 months.. (the aorta had enlarged) at age 30 she had aortic valve replacement..... She now has a 7 year old child, a wonderful husband teaches school, is envolved in her families life...and has more energy than ever before and very few boughts of colds and sickness..Clinically she was and is a prime example of MARFANS.....Mom thought she was lazy.... MOM is blessed now with a more healthy daughter and wonderful grandson. I have 4 children and am researching the genetics of Marfans....

SOOOOO!!!!!! SECOND TIME AROUND GOT MORE POST THAN 1ST TIME.....

We Do the Same as CanoeHead...I put the room # in on some line so that as soon as the true registration is in I can go back (if time allows)and return med then charge out to the patients true registrated name/#. If time does not allow. Merging will be done by pharm/billing.

LOL....

Do you work 7a to 7p, or have you had added stress plus the flu-thing with out adequate sleep?...I find after a stressful 12 hour shift and decreased sleep..when I am exhausted. I have generalized itching ....like a dry skin itching.. my take on it is it is my hystamine levels have increased and relaesed in reaction to the stress. I find that increase water intake, 1 asprin, and 6-8 hours uninterupted sleep cure the itch sensation every time.. :)

I am me..I have had white and black friends and co workers. I live by the "golden rule" treat others as I wish to be treated, but am not angered when the same treatment is not given in return. why? because we are all human and humans have oh so a diverse way of treating one another. I find that its a persons choice if they use my color to judge me..I cant change my color and cant change their mind. So I carry on, I be me and as a nurse strive to adhere to my professions standards. Ever tried to make a rock mad?...or hurt a rocks feelings...or make a rock cry...or belittle a rock? a rock is a rock is a rock....

Awsome!!!...spooky :uhoh21: all we need is a campfire and some marshmellows

o!!!wonderful Narcan..its half life is shorter than the meds used to put the patient under:chair:....well, actually Ive never used narcan in C.S. unless the pts in trouble.... Used it for Heroin O.D,s tho....Whew...one MAD MAN does wake up....makes me WANNA Conscious sedate 'em....... :roll

Guess I forgot to add (way back in the post) If we have consciuos sedation...for fx,shoulders, etc. we the R.N. are responsible for one on one. That being so we have to notify charge, and team leader so that our other 4 patients are covered and cared for whilr the attending nurse completes C.S. one on one.. ...and as you know if you get one C.S.,,, the ball is rolling and you'll probly end up sedating half the county before the shift is over...is there a name for THAT phenomenom????... ( other than sh*t magnet? :chuckle:

In our E.R. the GI doctor comes in brings his own nurse, GI nurse admins the conc. sed. meds., doc does procedure and leaves. GI nurse hangs round for about 30 minutes, hands over paper work to E.R. nurse. E.R. nurse finishes following con.sed. recovery protocol. with Q 15 check. then hour checks till pt passes 8 recovery points then pt is dc'd per protocol..works well with us. Have had no problems wih patients and the GI doc's and Nurse are most considerate and helpfull. three cheers for us on this one at least..:balloons: :biggringi

I am new nurse.... Have worked 7a-7p from my day of hire..As a tech, (with same hospital) got 30 minutes break each shift. As an R.N. have worked passed year, 96% of all combined shifts in "level 1" (high stress) and 90% of all those shifts I got no 30 minute break. Most times the charge Nurse never even asked me...did she ask others nurses..."have you had lunch"? Yes.. she did... I have learned assertiveness,and have improved my "get a break percentage". I honestly know of no other career where you work your brain and buns to exhaustion for 12 hours rarely getting even 30 minutes recoop time..Lawyers sure would not. We nurses work hard.........BIG SMOOCH and HUG to ALL... ( hey make it quick room 12's call lights blaring):blushkiss :kiss