flashpoint

flashpoint

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All Content by flashpoint

  1. tension between EMT and LTC nurses?

    As a paramedic, I expect certain things when I walk into an LTC to tranport a patient. If it is an emergent transport, at the very least, I expect to be told why I am transporting the patient...I...
  2. why do we baby our pts

    It's very frustrating for me to have a patient come in and want us to fix whatever is wrong while essentially refusing treatment. I agree that patients have the right to refuse procedures, but I also...
  3. 10/10 pain..venting!

    Our ER has a policy that anyone who has more than a certain amount of ER visits for any reason in a certain period automatically get a care plan. They (and their primary provider if they have one)...
  4. 10/10 pain..venting!

    Our ER has a policy that anyone who has more than a certain amount of ER visits for any reason in a certain period automatically get a care plan. They (and their primary provider if they have one)...
  5. How much authority do school nurses have?

    Please don't take this question wrong, I'm certainly not trying to stir up trouble, I'd just like some answers and advice. Under what circumstances can a school nurse say a student cannot return to...
  6. customer satisfaction in the er

    Our "latest and greatest" customer satisfaction campaign is called, "No One Gets the Point." Upper management has decided that no one will be directed to anywhere in the hospital...they will be...
  7. I got written up for refusing to do an EKG when I wasn't on duty. I am a volunteer paramedic and I was there picking up a patient for transport. The charge nurse handed me a package of electrodes...
  8. Personalities of an ER Nurse

    I'm a good guy / tool belt type of girl...I;m a gadget freak and a firefighter wannabe, but I'm reliable and I'm the first to volunteer to give the homeless man a shower or the little old lady her...
  9. Would you want to be a patient in your hospital?

    I've always had great care in the hospital I work in...before I was an employee there and after I was hired. I'll admit the care is a little better now that I work there, but I think that we all give...
  10. reconstitute antibiotics

    Actually the recon instructiions on PO antibiotics are not very specific. Most just say to mix with x amount of water...some say to mix 1/2 of the water in then add the rest. I'm not sure why ktwlpn...
  11. reconstitute antibiotics

    To answer your question simply...here we use sterile water. We have a bottle of it hanging in the med room with a syringe attached for accurate measuring. It's quick and simple and since they didn't...
  12. and the problem is..........?

    The ER here does not have a full time physician. The providers respond from their clinics...if it is an appropriate ER visit, their clinic patients will have to wait or reschedule...if it is a clinic...
  13. and the problem is..........?

    I am trying very hard to be more patient with patients. I am trying not to get annoyed when people come in and tell me, "You need to check him for strep and give him an antibiotic." rather than, "He...
  14. Why Management is often not sticking up for Nurses

    AMEN!!! How often do patients refuse to do what is best for them and if we press the issue, we are in trouble? I've seen patients refuse their colonoscopy preps and then get upset with the nurse...
  15. Stories from the Edge (of sanity)

    I think sometimes people are just so tired of watching or hearing their loved one puke, poop, pee, etc, that they freak out...sigh. Sometimes I wish we could give everyone 1 mg of ativan after they...
  16. Adults Who Can't Swallow Pills

    Perhaps refuse is not the best word...if a patient is unable to tolerate PO meds for whatever reason and they refuse meds by other routes, what can we do? I don't like needles or suppositories...
  17. Adults Who Can't Swallow Pills

    I think that Medic946RN has a point...I'm not saying we should think badly of people who cannot swallow pills, but it is very frustrating to have people come in to the ER wanting medical treatment,...
  18. paramedic goinggoing going!!

    No way on earth I would let my National Registry lapse! You worked way to hard to get it and with all the changes they're making it would be a huge pain in the neck to get it back! If you ever want...
  19. customer satisfaction in the er

    We don't use Press-Ganey, but we do send out a "customer satisfaction" survey. It mostly questions whether the patient was admitted in a timely manner, whether they understood their discharge...
  20. Things Patients Have Taught Me NOT To Do

    Some of the things in this thread are simply disgusting...I LOVE
  21. Critical Incident Stress Debriefing

    I know this is an old post, but...one reason I also don't do the CISD thing...two of the CISD people in the area are two of my least favorite people. They're both pushy and arrogant and I've seen...
  22. Let's create the Perfect Hospital!

    We generally have one CNA, one LPN, and one RN for between 5 and 10 patients. The CNA does VS and basic cares, LPN does meds and basic cares, and RN takes care of meds the LPN can't do, rounds with...
  23. Do Medications Really Expire?

    I've wondered about that too. Our hospital donates tons of "expired" drugs, baby formula, etc to some charity. How could the charity distribute the stuff if it's no
  24. Things Patients Have Taught Me NOT To Do

    Don't use Cinnamon Schnapps for a douche. Don't scrape the dirt off your boots on a moving auger. Don't shoot at the paramedic...it will delay your treatment. Don't take a callus off your finger with...
  25. I paid for a bunch of study systems throguh Rue and only got a few of them. I e-mailed them today to tell them I want the rest of them in one lump shipment. They say you can only have one or two at...