vanburbian

vanburbian

ER

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All Content by vanburbian

  1. Admissions during change of shift

    vanburbian replied to brokenroads27's topic in General Nursing

    I work ED, and as others have emphasized, we have no control over when we get a bed assignment. My rooms get filled or not based on how many people are in the WR. If I have an empty room, you bet your...

  2. Extremely Offensive ER experience

    vanburbian replied to NickB's topic in Emergency

    Oy Vey...I AM an ER nurse, and in no way offended. OP went to first ER, refused recommended tx. OK, gets out, has F/U with PCP, neuro. Still had HA, but did not think to ask, in advance, for a back...

  3. ER Abuse

    vanburbian replied to Guest219794's topic in Emergency

    It IS illegal. They are not allowed to refuse to take back a medically stable patient. If they no longer want to have the patient stay with them, it is THEIR responsibility to find an alternative....

  4. Is this fallout from JCAHO? Recent ER visit...

    vanburbian replied to Malanya's topic in Emergency

    ativan & morphine are not too terribly uncommon in pt.'s presenting with resp distress. Depends on the doc. of course, but morphine is a good drug for some people with resp exacerbation/SOB, IMO....

  5. Need some advice on how to start an IV on pt with severe edema

    vanburbian replied to heparinized's topic in Infusion, Intravenous

    Exactly why I have a file on my laptop with pics of shirtless men-i.e David Beckham, etc., though this pic of Angelina Jolie is educational as well....

  6. Chronic Illness

    vanburbian replied to verivici's topic in General Nursing

    Oh I think OP may mean those who are "chronically ill" but disguised as narcotic seeking, disability collecting, bipolar youths in power chairs with dirty UA's... Or, as a wise poster noted...

  7. giving iv argumentin

    vanburbian replied to obonye's topic in Pediatric

    Oh...darn it Jim, I soooo totally forgot that piece of my job description. Well, that does it then. Solid proof I have now crossed over into the realm of "old hag dinosaur nurse who needs to...

  8. Chronic Illness

    vanburbian replied to verivici's topic in General Nursing

    "Cardiac

  9. giving iv argumentin

    vanburbian replied to obonye's topic in Pediatric

    For the love of God....I can see that English isn't the OP's first language (at least I certainly hope not) but they did have enough brain function to find a nursing forum and knew to question the...

  10. Excited to finally call myself an ER nurse

    vanburbian replied to JessiekRN's topic in Emergency

    Amen to that! I can not stress enough how accurate this is. I have been a nurse for 23 years, in many different specialties, but when I transitioned to ER, it was a whole 'nother ball game. Granted, I...

  11. How much should I get?

    vanburbian replied to Llam86's topic in Nursing Career

    A vitamin deficiency? Yeah...right. Is a licensed PHYSICIAN working at this clinic? Or is it a scam place who will infuse some concoction of hi dose Vit C for chelation in the hopes of curing...

  12. skin breakdown after total knee

    vanburbian replied to Tsatalstrana's topic in General Nursing

    total knees are up ambulating the day after surgery at latest. She can reposition herself as pain allows most likely, but you would have to ask her surgeon if she has any unusual restrictions. I don't...

  13. Pre-authorization position.

    vanburbian replied to Been there,done that's topic in Case Management

    I can add to posts above...I actually left a job doing exactly as above, pre authorizing services and also following patients who were already admitted, which is known generally as "concurrent"...

  14. Alas...bedbugs-precautions??

    vanburbian replied to vanburbian's topic in Emergency

    Currently, we close the room for a terminal clean, then housekeeping calls in some agency that brings whatever special equipment it is that they use, some sort of high powered heat device and a...

  15. Alas...bedbugs-precautions??

    vanburbian posted a topic in Emergency

    I know there are several threads on this already, but posting here for some fellow ER advice. When they come via EMS and we don't realize the pt is heavily infested, we have already had contact during...

  16. When adults whine....

    vanburbian replied to Anna Flaxis's topic in Emergency

    Stargazer isn't whining, she's venting. Big difference. The poster isn't referring to legitimately ill people, she is referring to people who come in and have enough energy and reserve to literally...

  17. How to bring in a nurses union in a non union state?

    vanburbian replied to sunshinepsychRN's topic in Collective Bargaining, Union

    I wish the hospital I was currently at would unionize. I worked union for the majority of my 23 years in nursing and I miss them terribly, for many reasons. Collective bargaining is the only real...

  18. Do you find this article insulting?

    vanburbian replied to cacentralvalley's topic in General Nursing

    Happy often irks the heck out of me, but he is 99.9% correct. He's wrong about the term "skilled" as it doesn't obviously denote the level of skill any nursing staff does or does not exhibit. As...

  19. Top three patient complaints?

    vanburbian replied to Anna Flaxis's topic in General Nursing

    Had a lady in with her sick mom last week come to the door of a room I was standing in, while we were intubating a "found down last known normal 2 days ago" to ask if I could find her an Iphone...

  20. What are these called?

    vanburbian replied to michael79's topic in General Nursing

    http://www.openabdomen.org/cases/study.cfm?casID=57

  21. Seriously? What are they telling you in school?

    vanburbian replied to Simply Complicated's topic in General Nursing

    They don't even know what they don't

  22. How do you decompress/debrief?

    vanburbian replied to cokeforbreakfast's topic in Emergency

    I listen to very loud, abrasive music on the drive home. Head banger stuff, rap, classical, whatever- it just has to be really loud, and I have the windows down halfway, with the heat on full in the...

  23. Copied documentation?

    vanburbian replied to mom4josh's topic in General Nursing

    Some EHR's actually use smart sets that are identical, except for very specific patient info, and share system wide or within units/specialty arenas. It can save time, and it can assist with charting...

  24. Hospital nursing question

    vanburbian replied to Nurzelady's topic in Nursing Career

    Depends on what you consider stressful. Codes? Forget ICU, ER, OR, Stepdown/PCU/tele floors. Not enough time, trying to get 18 things done and multi tasking while people are berating you for being too...

  25. Multi-shift problem discovered during hand-off.

    vanburbian replied to dudette10's topic in General Nursing

    Can you provide a detail or two, and maybe one of us can give you a suggestion to prevent future similar