vanburbian

vanburbian

ER

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All Content by vanburbian

  1. Does nursing satisfy your needs?

    Yes, and switched from CM to ER. Haven't done bedside nursing for 9 years, so it was/is a challenge, but makes me feel like I am not stuck, never bored, and never under utilized. I think some of us...
  2. Viremia and Septic Shock

    Seriously? Google is your
  3. is it just me, or has standard of care sunk?

    Uggghh.... So many issues, I won't even start. Mostly already noted in previous comments. Between rules, regulations, non user friendly EHR's that take more time to document than to treat the patient,...
  4. A new grad with 14 pt.'s,. and some on vents? I'd be so outta there.....My pod's are either 3 to 4 pt. units, and we may have one in the hall. We have one tech, but we do everything ourselves, as the...
  5. for assessing a senior's competency?

    Almost always a neuropsych eval, and an Occupational and/or Speech therapist evaluate cognitive function. Then, the state gets involved and /or the courts, depending on who is asking for the eval, and...
  6. The same as are available for any other LICENSED REGISTERED NURSE, depending on the organization doing the hiring, some who prefer BSN, some who don't care. Public Health generally requires a BSN, so...
  7. Kaiser nurses? Anyone out there?

    What is the position? And where are you located? I worked for Kaiser in the Northwest, and loved it. They had clinic and acute care inpatient, as well as some home health, and case management roles,...
  8. gave my notice, may need to cut it short

    If you're ill, for whatever reason, and need medical (dental) attention/treatment, then call
  9. Wikipedia Entry For The "Nursing Shortage"

    "While the number of U.S. trained licensed nurses has increased each year, the projected nursing demand growth rate from 2008–2018, as reported by the U.S. Bureau of Labor Statistics[16] is...
  10. ER Wasted

    look at short stay/day surgery, ambulatory surgery units. The flow is very much like an ER, people come in, and go out same day, you do a brief history, check meds, allergies, VS, start an IV, maybe...
  11. Happy Emergency Nurses Week!

    Worked yesterday, slammed with very sick people ALL day. Been edging up the past 10 days or so. Busy season seems to have come earlier than usual this year... We had food today, but I didn't get any...
  12. Facilities switching to 8 hour shifts

    I recall the trend to switch to 12's also, we had to do a lengthy trial, and since I worked Ortho/trauma unit then, the thinking was 12's would be too labor intensive. It took a lot of convincing, but...
  13. RN teacher failing students to "weed" them out?

    From what I've seen lately, it seems perhaps some of the instructors need to do a little more work in the garden. And, no, not directed at OP. I had the chance to sit in on an AM report a few weeks...
  14. How'd You Get Your ER Job?

    Yes, I would have to highly advise against just showing up and plopping a resume into the hands of the ED Manager. For one thing, hospitals are investing so much these days in training nurses that...
  15. Cyclical vomiting syndrome

    Common in young, mild to moderately non compliant diabetics too. See several of these people a week. Sometimes a gastric stimulator implant may help, but it takes a motivated
  16. Night shift question

    Confirm- many places have you on the schedule for a specific day, but because majority of hours are worked on a Tuesday, for example, it's scheduled as that Tuesday, but you show up on Monday at 2300...
  17. Knocked off my feet

    Really? This is starting to smell (between your post here, and the one you replied to with said post) a tad narcissistic. You're both saying that these incompetent, jealous nursing instructors are so...
  18. Knocked off my feet

    You failed a clinical course- can you not retake it? Or were you expelled from the school/program entirely? I don't recall, but it seems when I went to school, a very long time ago, someone was...
  19. Difference between Cor & Code?

    never heard the term "COR", so no
  20. Looking for EHR Checklist

    PS- If you are purchasing, or have already, a specific EHR software program/package, that is generally included in the package, with the ability for each hospital/provider to fine tune the needs...
  21. Looking for EHR Checklist

    My guess is that if someone already has one made, it's proprietary, and they are not likely able to share that with you. CMS regulations can guide you as far as knowing what specific nursing...
  22. Nurses using EKGs

    This looks very similar to the EKG model we use in our ER, at all 5 of our sister hospitals actually. The cardiac monitors are Phillips....
  23. Nurses using EKGs

    No, that's the portable EKG machine, sorry I don't recall which brand. The 12 lead EKG portables- we have them out in the hall, unplug them and bring into room when new pt gets bedded. The actual...
  24. "Honestly it happened to a friend". Advice?

    Wow, I am confused: you're asking if your work colleague should report to her supervisor something her supervisor told another
  25. Nurses using EKGs

    The clips don't always stay, we actually just switched from an alligator type clip to one where we have to deliberately hold it in place on the electrode with one hand while clamping it with the...