TRAMA1RN

TRAMA1RN

ER

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All Content by TRAMA1RN

  1. ER Waiting Times

    TRAMA1RN replied to pmose01's topic in Emergency

    In the past year I have gone from an ER that has 50-55,000 visits annually not a level 1 trauma center to a Level 1 trauma center and now to a rural access ER. Wait times could be improved with...

  2. RN doing conscious sedation non-intubated patient

    TRAMA1RN replied to Surgerygirl's topic in Patient Safety Issues

    In PA nurses can push propofol for moderate sedation! You must check with your Board of Nursing for nay questions on your scope of practice. Each and every state has different guidelines. Moderate...

  3. Greedy Govt

    TRAMA1RN replied to Api1rn's topic in General Nursing

    I must agree with my father-in-law he has always said I would rather be taxed on $100,000.00 than on nothing at

  4. Question about Phenergan and tachycardia SE...

    TRAMA1RN replied to zamboni's topic in Emergency

    If not fluids then mix 12.5 mg with 10 cc nss and push slowly over 2-3 min then if the other 12.5 is needed give it, but my experience is usually 12.5 will do the trick, I usually do try to use at...

  5. silly question

    TRAMA1RN replied to LanaConga's topic in Emergency

    Pizza absolutely NOT! Are you serious food in a medical setting is highly inappropriate, and to bring cholcolate would be even worse, and forget it if you even thought of hot coffee, we would have to...

  6. Resume, Cover Letter, New Job...

    TRAMA1RN replied to Anjeleyes214's topic in General Nursing

    Check with your school they usually offer job finding skills, and beleive me DO NOT start in the ER is you are brand new. ER's are only getting busier and busier, and especially if you do not like...

  7. LOW patient satisfaction scores...

    TRAMA1RN replied to MalgaBSN's topic in Ob/Gyn

    What I have trouble with is that If I am going to Disney, I am happy and in a different frame of mind than if I am going to the hospital, Apples and

  8. Assult and battery of staff

    TRAMA1RN replied to bradleau's topic in General Nursing

    Even if this was a psych patient or a patient that was not in their right mind, someone is responsible for his behavior, even if he is not. File charges immediately against him and if you need to...

  9. LOW patient satisfaction scores...

    TRAMA1RN replied to MalgaBSN's topic in Ob/Gyn

    Press Ganey is to scurge of all medicine! As customer satisfaction becomes more emphasized and patients realize this they ARE going to omplaine more loudly. When I am told thank you by a patient or...

  10. New nurse here...slapped today by patient.

    TRAMA1RN replied to Bonny619's topic in General Nursing

    file charges immediately, patients think they can do whatever they want to nurses, today. Press-Ganey has been the worst thing for all nursing staff. I bet your employer will try to talk you out of...

  11. tb isolation-forgot to put up sign

    TRAMA1RN replied to smartynurse's topic in General Nursing

    If the patient was in negative pressure room HELLO! usually enough to get my attention to look

  12. Asking Recruiters about Salary

    TRAMA1RN replied to Dempather's topic in General Nursing

    wait until after your interview with the manager then HR will call you with an offer, giving you the details of pay and shift diff and other incentives. They will also tell you a little bit more...

  13. EPIC Computer Program

    TRAMA1RN replied to al7139's topic in Nursing Informatics

    deeDawntee Still the problem is NOT with EPIC it is with your IT dept theyare responsible for getting and keeping the program running. GIGO Garbage in Garbage out!!!! Your IT department needs to be...

  14. EPIC Computer Program

    TRAMA1RN replied to al7139's topic in Nursing Informatics

    EPIC be the cause of patients death? Don't be such an alarmist, explain to me how a computer program can cause death. If you are acting as a competant proficient nurse as we all are supposed to be,...

  15. Wow

    TRAMA1RN replied to dream'n's topic in Emergency

    I agree with sending a thank you, employers place more weight on negative reviews, than positive. So all the positive comments only

  16. Peer Evaluations

    TRAMA1RN replied to GeminiTwinRN's topic in General Nursing

    Don't ever work for Susquehanna Health System in PA because peer evals are 90% of your eval, and you are not allowed to see them. You are told in your eval by your evaluator that so and so was said,...

  17. EPIC Computer Program

    TRAMA1RN replied to al7139's topic in Nursing Informatics

    dcariv, I think your probs are that your IT dept hasn't provided enough memory and your servers may be to small. Where I work our system hasn't gone down for over six months and we ar one of 4 level...

  18. EPIC Computer Program

    TRAMA1RN replied to al7139's topic in Nursing Informatics

    I worked in level 1 trauma center this summer in central Pa and we used EPIC and I loved it I learned it my first day on orientation, and after being there 1 month the MD's were entering all their...

  19. Wow

    TRAMA1RN replied to dream'n's topic in Emergency

    I also lover working ER the busier the better! I absolutely love high acuity patients needing meds and procedures now. I pride myself on be highly organized at work and very efficient. All my...

  20. Next time I will tell her to shut up

    TRAMA1RN replied to jessiern's topic in General Nursing

    I would be almost willing to bet money, that you will be found in the wrong. Although I feel 100% you were right, Press Ganey will act against you. It is all about surveys and the publics...

  21. Peer Evaluations

    TRAMA1RN replied to GeminiTwinRN's topic in General Nursing

    My experience with peer evaluations do not work, as I have filled them out and really do try to be objective I have been the victim as well as others of peers who take the opportunity to be evil and...

  22. Vacation 'Denied' due to another nurse's medical leave: Fair or not??

    TRAMA1RN replied to Nurse!Nurse!Hello?'s topic in General Nursing

    Too be honest, you are luckey you work somewhere that still allows vacation rollover. I don't think it is right that someone has planned med leave in the best month of the year though. You should be...

  23. Phlebotomy: 25 Gauge Needle Question

    TRAMA1RN replied to pagandeva2000's topic in General Nursing

    If it was aproblem they wouldn't make that gauge needle, another thing to try to stop veins from blowing is to not apply a tourniquet for lab

  24. i'm a RN

    TRAMA1RN replied to ohmeowzer RN's topic in General Nursing

    First I say, "Well I guess you understand how HIPPA works?" I then proceed to explain to them I am doing my job to the best of my ability, most cases I have found these 'nurses' to be CNA's. I no...

  25. Peripheral IV lab draws

    TRAMA1RN replied to kimmie518's topic in General Nursing

    Tyco Kendall company makes this device. It has a luer lock end, to screw onto your