vanburbian

vanburbian

ER

Member

  • Content

    228

  • Visitors

    7,950

  • Followers

    0

  • Likes

    9

All Content by vanburbian

  1. Stuck on Heart Failure questions

    vanburbian replied to studentjdml11's topic in Nursing Student Assistance

    Do your own homework. Sincerely, Mean Crusty Old

  2. The one nurse that everyone loves...and hates

    vanburbian replied to KalipsoRed21's topic in General Nursing

    I was almost wondering if I wrote this post...similar story. Started in ER in September after 9 years away from direct patient care. Granted, worked 13 years at bedside prior, but those 9 years in CM...

  3. What "qualifies" a patient to be admitted to ICU

    vanburbian replied to jules11's topic in MICU, SICU

    Criteria for reimbursement in ICU is variable, I used to do UR, and fought hard with many MD's about un necessary ICU admissions that I knew we would not be able to charge ICU rates for. Oddly, an...

  4. Medication shortages?

    vanburbian replied to Tarabara's topic in General Nursing

    IV ativan, reglan, compazine, zofran and toradol, etomidate and valium; Midazolam, lorazepam, epinephrine vials, atropine vials, bupivacaine vials... a whole lotta vials on backorder. We still have...

  5. The Mockery of Nursing

    vanburbian replied to Old.Timer's topic in Patient, Colleague Relations

    I have an MSN in Rhetoric, and am fast tracking to my MSN/APN online at a very prestigious university because I really can't tolerate skin to skin or nose to poo contact. But I need some advises...

  6. How to describe what I do

    vanburbian replied to Aeterna's topic in Job Search, Interview, Resume

    Medical- seems to encompass all of those diagnoses. Do you monitor on

  7. Take a deep breath and carry on

    vanburbian replied to NurseOnAMotorcycle's topic in General Nursing

    Had the same thought this AM as I was trying to leave and had a reluctant relief nurse delaying taking report. Why put up with this? Can I become a dog walker this late in life?? Went to sleep, now...

  8. Work ethic, what's your take on it all

    vanburbian replied to cardiacrocks's topic in Nursing Professionalism

    Exactly. I used to be one of those who showed up while not feeling well, but after seeing how I, and other loyal staff members could be treated so poorly by management? No more. My "sick time" is...

  9. I feel so embarrased and feel like harrased...

    vanburbian replied to neeke816's topic in Patient, Colleague Relations

    Maybe nursing isn't for you, after all. I viewed your profile, to see if you were brand new to acute care, in an attempt to get a handle on why this would be an issue for you. I was curious as to...

  10. Best thing you saw come in on New Year's Eve

    vanburbian replied to mybrowneyedgirl's topic in Emergency

    Like a tiny piece of chipped off semi dirtyish sugar

  11. Best thing you saw come in on New Year's Eve

    vanburbian replied to mybrowneyedgirl's topic in Emergency

    A passed out hypothermic drunk w/ BAL .472, HIV +, with projectile GI bleed vomiting, who finally became semi alert 4 hours into the stay and had to be manhandled every 15 seconds back to bed while...

  12. Newgrad planning on moving to OR...?

    vanburbian replied to CBelieuNewGrad's topic in Oregon Nursing

    All of the Portland metro area hospitals have actually just instituted a hiring freeze, and some (Legacy) are actually proceeding with layoffs by mid February, so, no- Oregon is NOT the place to come...

  13. If I see one more post titled....

    vanburbian replied to PinkRocksLikeMe's topic in General Nursing

    I hate anything with NCLEX and fail...cuz I have to walk away before I type a reply I may

  14. Pay discrepancies? Security makes more then ER tech?

    vanburbian replied to mamaxmaria's topic in General Nursing

    Scary to think an ED RN can't be trusted or taught how to place EKG leads properly, but they are supposed to interpret that rhythm. And treat it. And monitor it on a screen.... Something is clearly...

  15. How to order blood culture?

    vanburbian replied to LilMissAlwaysCurious's topic in General Nursing

    I take a "set" to mean 2 bottles, not 2 sites. It is called a "set" because it is both aerobic and anaerobic, i.e. 2 bottles, from each site. Why 10 minutes apart, no clue. In reality, in ER, they...

  16. How to order blood culture?

    vanburbian replied to LilMissAlwaysCurious's topic in General Nursing

    our default order reads similar- BC X 2 q 10 minutes. We all "know" what it means is 2 sets of blood cultures, a set is obviously 2 bottles (aerobic/anaerobic) and the time frame is 10 minutes, so one...

  17. Older New Grad RNs Job Discrimination

    vanburbian replied to kathliz's topic in General Nursing

    I was hired into ER (not a new grad, but was away from bedside nursing for 9 years) by a manager who told me she preferred to add more people with a more mature point of view, as she had too many...

  18. Peripheral Line Not for ABT?

    vanburbian replied to FutureRN_NP's topic in Patient Medications

    We give Vanco in a peripheral IV all the time in ER. If it's a tenuous site, like a LOL, or a small vein/gauge, we just run it a tad slower and warm pack if

  19. How'd You Get Your ER Job?

    vanburbian replied to commonsense's topic in Emergency

    I went back to ER after being away form bedside nursing for 9 years- and I am 51. It was, and still is, hard. Keep in mind however, ER is a lot of "med surg", in a way. You just generally don't...

  20. penis

    vanburbian replied to jessica2012's topic in International Nursing

    Hmmm..OP just joined this month. I agree with talaxandra, unless it is pertinent to the report or care I need to provide, I don't care. I've seen so many damn peni (is that the plural for member?)...

  21. clear liquid

    vanburbian replied to mrnewman's topic in Nursing Student Assistance

    Exactly the way I was taught too....hold it up to the light, if you can see thru it, it is considered a "clear"

  22. When is a patient your patient?

    vanburbian replied to shannonFNP's topic in Emergency

    This is how it is where I work, and I HATE it. I do the triage on approximately 80% of all my patients. So, at times, I am triaging 4 new pt.'s within 20 minutes, trying to start lines and get labs,...

  23. Blood Administration / Electronic Scanning & Charting

    vanburbian replied to njinformaticsrn's topic in Emergency

    For whatever reason, with EPIC, the scanners have a hard time reading the blood product labels, and because there are so many labels, it was initially unclear which ones needed to be scanned and in...

  24. Blood Administration / Electronic Scanning & Charting

    vanburbian replied to njinformaticsrn's topic in Emergency

    EPIC here as well, scanning can be a real PIA

  25. Thinking of leaving management to return to bedside nursing

    vanburbian replied to bboopRN4's topic in General Nursing

    I just finished doing something similar. Went back to bedside, ER, after working in Case Management/Utilization Review for the last 8 years. Had 10 weeks of orientation, clinical interspersed with...