KNARE

KNARE has 28 years experience and specializes in ED.

Latest Activity

1. Scheduling in the ED

   KNARE replied to TJobs's topic in Emergency

   I am in charge of the scheduling for our ED. 4 requests for shifts off are allowed/month. I do not "hold" staff to their week ends, as long as the shifts are covered I allow them to request week end...

2. Relationship-based care...

   KNARE replied to regularRN's topic in General Nursing

   Our ED is in the "Wave 2" phase of RBC. So far it's involved a GREAT deal of staff time and outside reading (and we've just begun) Not sure how this is going to work in the ED, especially with the...

3. Signed State DNR form no good????

   KNARE replied to llltapp's topic in Emergency

   Actually I know a Paramedic who has DNR tatoo'd on her chest just above her cleavage!!! Wonder if it will be honored.... We have all of the same issues as stated above. Our ED physicians are much...

4. your hospitals triage system

   KNARE replied to TeresaEDRN06's topic in Emergency

   We operate much like ERJodiRN's facility does. The difference is we have a doctor in triage from 12n-10pm. We use the ESI triage system. The triage team is 1 RN, 1 Medic, 1 ED tech and the MD. We...

5. Self Harm Questions in Triage

   KNARE posted a topic in Emergency

   Joint Commission visited a few wks ago. We have an electronic chart and the "Self Harm" questions are on approx. 20 Chief Complaints -- (Overdose, Depression, ETOH intox, Altered Mental Status, etc....

6. Question regarding AMI Core Measure

   KNARE replied to sleepy48's topic in Emergency

   Our chest pain protocol follows the AMI Core Measures and includes all the usual lab work, PCXR, ASA, 1st EKG with in 10 min. upon arrival and a repeat EKG in 1 hour. If a definative "Clinical...

7. Drawing Labs without an order

   KNARE replied to umnurs's topic in Emergency

   We have a physician in Triage for 12 hrs. daily during our busiest times. This has cut down the number of times we need to line and lab. We also have protocols and order sets. I sure hope our...

8. ER Nursing, Is it considered critical care?

   KNARE replied to NicNac's topic in Emergency

   Unfortunately several of our nurses had to transfer from the ED to ICU to obtain "critical care experience" The programs they had applied for did not recognize all their years of ED experience....

9. MD/NP in triage?

   KNARE replied to Dixielee's topic in Emergency

   We have a MD in triage from 12n to 2200 daily. The triage doc sees all pts. and enters orders. ESI Level 5 are discharged from Triage. Our MLP us used in the "FastTrack" area. We also...

10. "Customer Service" --Rant!

    KNARE replied to JustaGypsy's topic in Emergency

    I can't believe so many of us have the exact same experiences!!!! I would love to know why Administrator feels this behavior by pts. is acceptable and it is expected that we take it!!!! As I've said...

11. We can't go on divert!

    KNARE replied to RNcDreams's topic in Emergency

    I feel everyone else's pain. Diversion in our area is a voluntary county wide program that our hospital does NOT participate in. As others have said, every aspect of the ED backs up, sometimes 3/4...

12. Is it a HIPPA violation?

    KNARE replied to DixieNurse2244's topic in HIPAA Challenges

    How sad!! This is absolutely a HIPPA violation. (In addition to being a staff nurse I am also responsible for our EMR. Whe requested I run reports to monitor for inappropriate viewings of charts.)...

13. a dumb question

    KNARE replied to Uptoherern's topic in Emergency

    I agree with asking which medication could be stopped for a short time while the blood was infused. Also, we use the EZY I/O in our ED in extreme emergency

14. how does your triage work?

    KNARE replied to add-rn's topic in Emergency

    We see 50,000 pts. We have a "greeter", physician, 2 medics (or 1 medic & 1 LPN) and an ED tech in Triage. Labs, EKG's, IV's, CT Scans, venous duplex studies, etc. are done in Triage. Meds are...

15. Stupidest reason to go to ER

    KNARE replied to DachRN's topic in Emergency

    Had a pt. who came to the ED because her Lasix was making her urinate too much. Also had a pt. who wanted the ants removed from his brain. He said he was sleeping on the floor and was sure several...