vanburbian

vanburbian

ER

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All Content by vanburbian

  1. Australian RN wants to work in USA

    vanburbian replied to suraksha's topic in International Nursing

    Are you an Australian citizen, or Nepalese? You will need a work visa first off, and you will need to inquire in the specific state you want to work in as to whether or not your educational degrees...

  2. New Grad-Hate my Job

    vanburbian replied to ajb96278's topic in General Nursing

    First off- why did he hire a new grad, knowing they'd need more than a few days orientation? He is responsible for that. Second- I get the sense that many "first" and indeed even just "new" jobs can...

  3. Thoughts on closing doors

    vanburbian replied to Soflo_RN's topic in General Nursing

    geez...psych/behavioral patients, even if on a medical floor- would never close the door and leave a sitter/tech in there alone with them. People have been killed in hospitals by patients. And come...

  4. CNA/NNU sends letter to Sutter CEO Pat Fry re: Lockout

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

    Sutter Management has always been a bit egotistical. Mr Fry just can't seem to keep his foot out of his mouth. In

  5. Funniest post op patient: Wish all were like her!

    vanburbian replied to Florence NightinFAIL's topic in General Nursing

    Wisdom teeth extractions and laughing gas, combined with some pre op valium and a percocet. I was declaring my undying love for the oral surgeon. I believe I even hugged him on my way out the door-...

  6. Nurse Competencies

    vanburbian replied to Stormy_RN's topic in General Nursing

    We use "E +" a program designed by Cornerstone On Demand. We have 5 hospitals, in 2 different states, and we do all of our training, competencies, etc on it. We can do it from home, or at work, via...

  7. Another Rant on Obesity and Children

    vanburbian replied to ChristineN's topic in General Nursing

    Poverty and obesity are linked, hand in hand. Education can help, to a certain extent, but in all honesty, parents who need to make 200 dollars stretch for 90 meals every month? Likely not buying a...

  8. Neurontin decreases the effectiveness of PO pain meds?

    vanburbian replied to TeleRN311's topic in Patient Medications

    12 hours post CABG to start Vicodin seems a tad early to me. I think IV pain relief for that caliber of surgery is warranted for ~24-maybe in some cases, even up to 36 hours, depending on previous...

  9. Nervous nurse's guide to ebb and flow enemas

    vanburbian replied to JeneraterRN's topic in General Nursing

    I've always known them as a Return Flow Enema (RFE). Wondering if the doc actually writes the order as Ebb & Flow? Interesting, regional

  10. Is this a HIPAA violation?

    vanburbian replied to studentCL2009's topic in HIPAA Challenges

    Could get her fired. Seen it before, and seeing it more and more often. Even if not a HIPAA violation, poor taste. If I went to an ER, I certainly would not expect my private details to be posted on...

  11. Can you be an er nurse with an assoc. Degree?

    vanburbian replied to ksm84's topic in Emergency

    Yes, you can. Sincerely, ED RN with Associates Degree

  12. SCHEDULING/WEEKENDS

    vanburbian replied to apriloglesby's topic in General Nursing

    Union and non, I have never seen any arrangement where weekends were divvied up based on seniority. Doesn't seem fair at all. Is this a LTC facility, or acute care, and how big is your facility? Do...

  13. WGU RN-BSN in 6 months??

    vanburbian replied to thecoolnurse's topic in Western Governors University

    They can't share your own score with you? That seems odd, to me anyway. Maybe that's the

  14. Job Predicament- Need Advice!

    vanburbian replied to ernbot's topic in General Nursing

    I totally agree with this. And, just to add my 2 cents.. What sort of manager thinks it's OK to walk out on a current position after 5 weeks when they know the expense that goes into hiring you and...

  15. Morphine vial dose...HELPP!!!!!

    vanburbian replied to Marie1205's topic in General Nursing

    System errors...can't be fixed when we're punished for bringing attention to them. And I know that feeling of doing the same thing so many times you "see through" the label, etc. But in an opiate...

  16. Morphine vial dose...HELPP!!!!!

    vanburbian replied to Marie1205's topic in General Nursing

    The pyxis won't ask you for a witness until you actually enter the waste amount. You need to correct this, because otherwise, it "could" look like you walked away with some amount of morphine....

  17. Morphine vial dose...HELPP!!!!!

    vanburbian replied to Marie1205's topic in General Nursing

    Never seen it myself, doesn't mean it's not out there somewhere though. Smallest I have seen is

  18. Case Management vs. Coordinator of Care

    vanburbian replied to PinkRNBSN's topic in Case Management

    No real difference overall. One may encompass more discharge planning, and one may have more QA/QI, program responsibilities, Utilization review, etc. Pretty much the same tasks and responsibilities...

  19. There but for the grace of....

    vanburbian replied to xtxrn's topic in General Nursing

    I worked oncology for 7 years, and have so many I recall, but 2 in particular as tragic. One, 36 yo female with metastatic breast cancer, did all the tx available, was hypercalcemic and ended up with...

  20. and everyone's... OK with this?

    vanburbian replied to tater.jake's topic in General Nursing

    So, I make close to top of scale where I work, this would be about where I'd be in Sioux City with my current years of experience. The only difference is, housing is 66% cheaper in Iowa. The wage...

  21. administering meds during emergencies without a standing PRN order

    vanburbian replied to patrickrlim's topic in General Nursing

    What does YOUR place of employments policy state? Mine could be different than

  22. information

    vanburbian replied to wandaj's topic in General Nursing

    Executive Health Resources?? We use them where I work. No clue what it's like to work for them

  23. Kindly disspell these rumors about Kaiser

    vanburbian replied to mikeworksRN's topic in California Nursing

    Worked for Kaiser for 13 years. 5 years and ins for life is a myth. Trafalgar spelled it out, generally a combo of age and years of service, with a minimum # required for years of service. Loved the...

  24. Whats the most money you made in a year? Fun thread

    vanburbian replied to Juwon's topic in General Nursing

    The more you make, the more they take. At a certain income point, you're almost going to work, taking care of people on medicare and medicaid, and paying for the privilege of doing

  25. Whats the most money you made in a year? Fun thread

    vanburbian replied to Juwon's topic in General Nursing

    98,980 in 2008, working 2 jobs, 56 hours a week. Did it to save down payment for house, and now I "almost" regret a few weeks of it because it put my income 3500 above the limit for the first time...