vanburbian

vanburbian

ER

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All Content by vanburbian

  1. AWHONN/ACOG staffing guidelines in Las Vegas Hospitals

    vanburbian replied to Queen2u's topic in Ob/Gyn

    I had a patient in ER over the weekend who was visiting here from Las Vegas, he fell and dislocated his knee, it reduced easily but he also sustained a quad tendon tear, ortho advised "urgent" -within...

  2. New Nurse and I dont think dialysis is for me HELP!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    vanburbian replied to Cindy 17's topic in General Nursing

    Me too....thanks for pointing out my same thoughts and first

  3. Is ER a good travel specialty?

    vanburbian replied to futuretravelrn's topic in Emergency

    Wow, what ER do you work in??? Don't get me wrong, I love my own personal ER, and co workers. Don't know I would say it's "all" good, especially

  4. Please for the love of God.............

    vanburbian replied to TinyRNgrl's topic in Emergency

    ......about so many things.... Oh well.....everybody needs somebody, and some-days it's me. Happy to help. ETA: well, now that thread is merged, and title isn't "I don't give a hoot" any more, my...

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

    vanburbian replied to PinkRocksLikeMe's topic in General Nursing

    Oh for the love of gawd, anyone who still has issues with cowbell these days needs to get over it. It's far less harmful than a synthesizer... And, on a serious note-(for realz...real serious) I KNEW...

  6. New Nurse and I dont think dialysis is for me HELP!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    vanburbian replied to Cindy 17's topic in General Nursing

    Ummmm..."renal" is, in fact, quite common on med surg, and even many tele units. So, dialysis itself may not be a "challenge" for you, but in fact, it is a job where you should be using critical...

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

    vanburbian replied to PinkRocksLikeMe's topic in General Nursing

    Double kudos. This has been a darned PIA thorn in my side every single time I read a post here lately. Geez, learn to spell and know the difference between advice & advise. This will be the nurse...

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

    vanburbian replied to PinkRocksLikeMe's topic in General Nursing

    Should I buy those hand painted Sanitas? Do I "really" need another pair of clogs??? What do you guys think? I wear a size 9.5, and have 4 pairs already. I like them, but sometimes, after 12 hours, I...

  9. Nurse working for technical director Bias or jealousy?

    vanburbian replied to cardiomanager's topic in General Nursing

    Been there, done that, no longer there, won't do it again. Good

  10. Disposable Bedpans?

    vanburbian replied to scarlet87's topic in General Nursing

    They are actually quite firm, and hold up well, even under heavier patients. They are used only once, so once they have contact with fluid, they're disposed

  11. I&D vs. I&D

    vanburbian replied to kool-aide, RN's topic in General Nursing

    6 of one, half dozen of the other? They are opening some typically closed area up, and cleaning it. Irrigation is almost a given, as is some sort of "incision", debridement and or drainage would...

  12. Are you doing this at work?

    vanburbian replied to vivasmom's topic in Emergency

    I work in a very urban ER, and I do all of that except run my own ABG's, but we do draw our own ABG's and give nebs if RT otherwise busy, which they often are. We dip the urine as a POCT 1st, and...

  13. Number of patients you care for?

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

    ER- ratio is 4:1 days and

  14. Just started new job - not impressed.

    vanburbian replied to Mwende's topic in General Nursing

    One more PS....Preceptors vary in teaching and nursing style. Maybe another preceptor would be more proactive, and the thing is, once you're off orientation, you can do it the way you want. I do know...

  15. Patients on different floors ????

    vanburbian replied to JamesLPN's topic in General Nursing

    I did have another thought just now....in ED, we have nurses who float all over, and they simply do interventions prn, or cover lunches, help out as needed. Maybe if this 3rd nurse did not have a...

  16. Just started new job - not impressed.

    vanburbian replied to Mwende's topic in General Nursing

    Having been in similar shoes, I say give it a few months, learn how the process really works, and get to know the system before you give it up. In my experience, every new job I have ever started had...

  17. Patients on different floors ????

    vanburbian replied to JamesLPN's topic in General Nursing

    For CNA's I know a facility that does this, but for nursing, not so much unless they assure me and had a written policy indicating that while you were gone from your assigned patients on one floor,...

  18. Obvious violation of hippa

    vanburbian replied to nicenurselpn's topic in HIPAA Challenges

    Since this is a federal crime, why not call the FBI, and ask them to please pursue the case. You have her name and her FB ID. You could even try local LE. She has committed a crime, potentially...

  19. How do you pick your vein for an IV?

    vanburbian replied to Chandra Lancaster's topic in General Nursing

    LOL, I thought it was just me. I have a lot of trouble with AC as well, and not sure if it's because as a pre op and oncology nurse we learned to start at the bottom, or if because on the floor I...

  20. How do I get on the path of working as an RN in a different country. I was born in US

    vanburbian replied to cluv2nurse's topic in International Nursing

    You'll catch more flies with honey than vinegar. Hope that wasn't interpreted as a "stupid stuff" type of comment, or an argument. Then again, I don't really care if it

  21. mandatory reporting

    vanburbian replied to farmgirlie9's topic in General Nursing

    May not have a legal obligation to do so, but report it anyways. This is from last week in my community. The neighbors all really just thought it was either a normal teen-parent issue, or that they...

  22. All Those NPs with No Bedside Experience

    vanburbian replied to Ruby Vee's topic in General Nursing

    The OP didn't say "all". She clearly stated "some". I get it. I mean really, if you think about it, MD's have to do their share of bedside procedures and assessments before they're let loose. Why...

  23. Need Tips or Tricks on Remembering IV Stop Times

    vanburbian replied to mrscoozy's topic in General Nursing

    Medicare does require a start and stop time for payment. Your charts may be audited by a charge capture analyst who is entering the assumed stop time in order to bill for whatever infused, however,...

  24. Is it me or is hiring at Kaiser Permanente a joke?

    vanburbian replied to MsBlissful's topic in Nursing Career

    Not just Kaiser, I have had HR take anywhere from 2 to 8 weeks completing the entire background and reference checks, UDS arrangements, etc. Seems the bigger the organization, the longer it

  25. Medical Observation Unit

    vanburbian replied to everthesame's topic in Medical-Surgical

    Observation stays can be longer than 24 hours. Medicare has actually extended the time period to approximately 48 hours, and some managed care plans will pay Obs rate for 3 to 4 days. In order to be...