DC Collins

DC Collins ASN

ED

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All Content by DC Collins

  1. Mandated Nurse-Patient Ratios

    DC Collins replied to Nurse Beth's topic in General Nursing

    If nurses support this kind of legislation, it MUST include the ED. People ask how this can be done if an emergency comes in, especially when the worst emergencies sometimes involve more than one...

  2. Not getting any patients assigned at end of preceptorship

    DC Collins replied to Presto's topic in Emergency

    Yes, it sounds to me like you are getting as much of a full patient load as you can, without access to the chart (which I don't understand). DC

  3. What's your patient load?

    DC Collins replied to germsjackson's topic in Emergency

    After thinking about it, I am not sure any of these numbers have a lot of meaning. While, as I posted above, our 'standard' is three, often with a fourth 'hallway appropriate' patient, we are expected...

  4. What's your patient load?

    DC Collins replied to germsjackson's topic in Emergency

    Teams of two RNs, each has a 'standard' of three rooms, but often get one additional 'hallway bed'. While we keep our own pts, if one of us is swamped and the other isn't, we 'inherit' anywhere from a...

  5. Nights in the ER??

    DC Collins replied to scrubsandasmile's topic in Emergency

    I knew someone else who had it prescribed for sleep, so I asked my doc. Doc said ok. DC

  6. Should Healthcare Be Funded As A Basic Human Right?

    DC Collins replied to jayp's topic in Activism, Healthcare

    Because, anecdotally, that has not been the norm, though such things do happen. I was referring, however (while failing to mention it), to more emergent things like cancer screenings when other...

  7. Should Healthcare Be Funded As A Basic Human Right?

    DC Collins replied to jayp's topic in Activism, Healthcare

    There is something to be said for working up good relationships with family and friends and community. People in the US are some of the most generous people on the planet. Asking for help is great!...

  8. Should Healthcare Be Funded As A Basic Human Right?

    DC Collins replied to jayp's topic in Activism, Healthcare

    I don't find waiting 16 hours in an ED (socialized) a better system. And we do have one of the most advanced / more equipment per capita systems in the world. Waiting several months for a CT because...

  9. Hygiene

    DC Collins replied to Spidey's mom's topic in School

    How old are the kids? If the school has an athletics program, encourage the kids to join = free showers? DC

  10. Should Healthcare Be Funded As A Basic Human Right?

    DC Collins replied to jayp's topic in Activism, Healthcare

    1) In other words, they feel it is okay to keep stealing from others because it is easier to do so than not. Anyone else doing this would go to jail. 2) But good point! Let's make the costs outweigh...

  11. Should Healthcare Be Funded As A Basic Human Right?

    DC Collins replied to jayp's topic in Activism, Healthcare

    The key word highlighted above is "shouldn't". Is it smart to help your neighbor? Is it smart to encourage someone who is trying to make it? Yes to both. But "shouldn't" implies authority to *force*...

  12. Is this a Med Error? I have been kicked from clinical. Help

    DC Collins replied to nursing?s's topic in General Students

    The problem is, if I understand it correctly, that *you* saw the MAR. If you have a co-signer, the co-signer *must* always see the MAR (or orders, or whatever you are working from) as well. They are...

  13. TNCC/ENPC for a new grad?

    DC Collins replied to SummitRN's topic in Emergency

    2 DC

  14. Experienced RN, New to ER

    DC Collins replied to ChristineN's topic in Emergency

    As said above, your time-management skills will be useful. But if you get a chance, watch an ED nurse do a quick *focused* assessment. And watch one d/c a pt. Even better is if you can shadow (ask the...

  15. Can a new grad work in the ER?

    DC Collins replied to Lucidity's topic in Emergency

    I was a fresh hire into the ED 2 years ago. Did I struggle a little? Sure. But we have had m/s nurses transfer in, some who have both done better than I did and some who struggled a lot more. ED is an...

  16. Just a question to understand the ER better

    DC Collins replied to sheilahdee's topic in Emergency

    Hear, hear! DC

  17. New to ER and getting CEN?

    DC Collins replied to bbie17's topic in Emergency

    maverickemt is correct. EDs do hire fresh graduates (like I was), and with ACLS and TNCC you are already ahead of the game. Add in 5 years as an nurse. As long as there are openings, you should have...

  18. New to ER and getting CEN?

    DC Collins replied to bbie17's topic in Emergency

    CEN is hard even for experienced ED nurses for one main reason. Each ED has its own policies, procedures, and most important, favorite drug list. I am studying for CEN now at 2 years experience and I...

  19. New to ER and getting CEN?

    DC Collins replied to bbie17's topic in Emergency

    I agree with starting with TNCC. Its a little easier but good prep for CEN. DC

  20. TNCC/ENPC for a new grad?

    DC Collins replied to SummitRN's topic in Emergency

    *If* you have the time and money, go for it. Would it be Easier with some experience? Sure. But it should help the employment prospects if you have them out of the way. DC

  21. Calling Code Blue in ED

    DC Collins replied to becca001's topic in Emergency

    Love it! DC

  22. Medication tidbits an ER nurse should always know

    DC Collins replied to RNstdntSVSU's topic in Emergency

  23. Medication tidbits an ER nurse should always know

    DC Collins replied to RNstdntSVSU's topic in Emergency

    Can't deny any of that. But, pts don't always tell you everything, and, until you know those things above are Not happening... DC

  24. Central line protocols

    DC Collins replied to brainkandy87's topic in Emergency

    A lot depends on the size and type of hospital. In our case, our group has 5 hospitals in our particular region. While they all do elective surgeries, the central, larger hospital does most of the...

  25. Just a question to understand the ER better

    DC Collins replied to sheilahdee's topic in Emergency

    I don't deny your points have merit. But the reality is that the ED is 'the best of our resources'. Just knowing someone is having a-fib with rvr doesn't mean there is a resource available the minute...