FlyingScot replied to RNintheER's topic in Emergency
We have a large desk in the ER lobby that is staffed by 2 CSAs (Customer Service Associates) they take the patient's name, DOB, SS# and chief complaint and enter it into the computer which places the...
Exactly how safe is it to have a 45 year old man with chest pain or maybe a 25 year old in early pregnancy with abdominal pain, possible tubal pregnancy, waiting in the lobby because EVERY SINGLE inch...
Tele: Paramedic with monitor and defibrillator ICU's: RN with monitor and defibrillator Techs can transport to M/S but any infusing antibiotic the patient has must have been up for at least 15 minutes...
I think you've been watching too much Grey's Anatomy. I agree with the previous poster who told you to shadow someone in a hospital. Besides, you don't have to declare a major until you finish your...
FlyingScot replied to TooterIA's topic in Emergency
Yes. But as far as I know there has never been a shorter "renewal" class in the first place so all of us who have had TNCC for awhile have always had to sit through the two day classes when
FlyingScot replied to littlepeach's topic in NICU, Neonatal
A lot can happen in that 2.5 hours...and most of it ain't pretty. I'd rather needle in the relative stability of the referring hospital than in the back of a squad in the middle of nowhere. If the...
FlyingScot replied to Watanabe_Joey's topic in General Nursing
The only formal program of which I am aware is Case Western Reserve's National Flight Nurse Academy which I think gives you an MSN and an acute care NP with an aeromedical focus. This program is...
FlyingScot replied to AandE angel's topic in Emergency
Most large ERs have a mixture of people working 8's, 10's and 12's although I think 12's are probably the most frequently seen. Shifts are often staggered to adjust with the normal patient load. For...
I need some advice from you managerial types. I am currently in a job at which I am almost constantly getting in trouble. I get written up for things that others have been told "you owe me a beer for...
Just got a call from the nurse recruiter where I interviewed. I GOT THE JOB!!!!!! I start 8/18. M-F, 10 hour shifts so an extra day off during the week, no weekends, no holidays and get this...the...
It's a system problem not the result of ER nurses trying to stick it to the floors. Carping about it isn't go to fix anything. You've identified a problem ("90% of patients are admitted at shift...
Yes MeganAnne sometimes it is too much. What you are not understanding is that ER nurses cannot control when the bed is assigned, when the orders are written or how many patients need to be admitted....
FlyingScot replied to HisTreasure's topic in Emergency
There's a big difference between people who get caught in this type of situation after hours and those that repeatedly go to the ER for teeth that are rotting out of their head (not an acute...
FlyingScot replied to UtErRnEmt's topic in Emergency
Suspicious Sarah- pregnant and in for vomiting. While getting Phenergan/Zofran/whatever asks "Is this going to hurt my baby". Uh yeah...because we're stupid and oh, by the way, you dropped your smokes...
So then...what is your suggestion for what to do when you can't get a PIV or central line and your patient needs resuscitation drugs or fluid (not a candidate for permissive hypotension...gotcha;))....
So I might better understand your viewpoint what exactly is your issue with the use of IO's? Have you had a negative experience with their use or with someone from VidaCare? I have a great deal of...
IO's take less than 5 seconds to insert. I've never seen a fem line placed in that amount of time. While I appreciate your opinion I'm afraid that your information may not be up to date. We, however,...
Sorry I haven't replied sooner. Thanks for all of your responses. Unfortunately I don't really have a case for a "hostile work environment" because although bad things have been done that fit the...