Email4KH

Email4KH

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All Content by Email4KH

  1. How would you make inpatient rooms better?

    Email4KH posted a topic in General Nursing

    If you could do anything to inpatient rooms (excluding making them bigger ), what would you change? Think in terms of patient comfort, nurse convenience, ergonomics, furnishings, storage, etc....

  2. Can't remember what this is called

    Email4KH replied to PsychNurseWannaBe's topic in Geriatric, LTC

    The article is a great resource for BP info. The pause you're talking about, the auscultory gap, is discussed close to the end. One way to be sure you're not being fooled by it is to inflate the...

  3. Survey

    Email4KH posted a topic in Rehabilitation

    What, besides size, are the changes you'd make in inpatient rooms? Consider patient comfort, ergonimics and staff

  4. Why FAST TRACK is wrong

    Email4KH posted a topic in Emergency

    EDs have x resources. When we allocate any of those limited resources to treat those with conditions better treated in non-ED settings, we are 1. diverting limited resources away from more acute...

  5. My ED can't decide what it wants to be.

    Email4KH posted a topic in Emergency

    Our management wants ease of access. Our management wants fast turnaround. In one breath, our management complains about patient load. In the next, they're telling us about how they're trying to make...

  6. ER Patients

    Email4KH replied to vonxojn's topic in Emergency

    Here's a funny one: A family brought in their pre-teen daughter after a copperhead bite and refused to allow us to treat her, saying that God would take care of it. Why didn't you just let God take...

  7. My ED can't decide what it wants to be.

    Email4KH replied to Email4KH's topic in Emergency

    I think the law actually says that you can't refuse to evaluate in the ED. I don't think an ED is required to treat. The idea about the separate waiting areas would be great for avoiding waiting...

  8. My ED can't decide what it wants to be.

    Email4KH replied to Email4KH's topic in Emergency

    Here's an idea: Why not guarantee payment to primary care providers for all patients, and reserve the right to refuse ED treatment for non-emergent cases; referring them to their primary care...

  9. Changing careers but discouraged by a failed student

    Email4KH replied to Cartman1532's topic in Male Nursing Students

    . You're listening to a chauvinist

  10. Has anyone here had to do clinicals in OB

    Email4KH replied to edsdcs's topic in Male Nursing Students

    I thought it was interesting that women often got very uptight about having a male OB nurse in the same room, but a male doctor could go in up to his elbow and the same patients wouldn't give his...

  11. Pt demanded a stronger pain med

    Email4KH replied to AstrosFan's topic in Emergency

    We STILL don't give pain meds until the MD assesses. Too many walk out after getting

  12. Assault Response Training for ER Staff

    Email4KH replied to Fiesta Red's topic in Emergency

    CPI here, too. As with others, our facility only approves reacting to assaultive behavior with CPI-designed techniques. My children, on the other hand, have no interest in seeing Daddy get hurt. I...

  13. Press Gainey AARRGGHH

    Email4KH replied to susi_q's topic in Emergency

    I like a variation of the question that is a favorite of one of our ED docs when the patient starts on their laundry list of symptoms: "Wait, wait, wait. What is the ONE THING that finally made you...

  14. Medicaid. Is it being abused?

    Email4KH replied to SWFlorida's topic in Emergency

    I just triaged a Medicaid frequent flier who rode the 911 express because he has a runny nose. $400 ambulance service. $500 ED visit. I'm working my ass off; spending time away from my family to...

  15. Uninsured=financial ruin

    Email4KH replied to HM2VikingRN's topic in Activism, Healthcare

    Here's the real sin in this issue: Multi-billion dollar, multi-national companies are allowed to pay poverty wages and offer absolutely no healthcare

  16. Uninsured=financial ruin

    Email4KH replied to HM2VikingRN's topic in Activism, Healthcare

    We HAVE universal healthcare. Walk into any ED and be treated for any complaint, whether you have resources (or intention) to pay or not. We already have universal healthcare. It's just being...

  17. ED admitting orders

    Email4KH replied to bill4745's topic in Emergency

    This is a pet peeve for me. Our ED docs call admitting docs who then either come in and write or call in orders. Calling in orders isn't bad from the RN standpoint, but the ones who come in and...

  18. Most RN's first borns?

    Email4KH replied to lvs2nrs3535's topic in General Nursing

    First born. Male. ETOH father who quit drinking before I was born, but was frequently absent due to his job. Very interesting

  19. Frequent fliers

    Email4KH posted a topic in Camp

    I've noticed that the incidence of frequent fliers is about the same among pre-teen campers as in the general population that frequents the ED where I work the other 51 weeks a year. It seems that...

  20. Staff medications

    Email4KH replied to kdmcook's topic in Camp

    Counselors at the camp where I've worked are required to keep their meds in a locked cabinet in the medical hut. They present whenever they please and we give them their entire med drawer. It's up...

  21. mean arterial pressure

    Email4KH replied to julie_hills's topic in Emergency

    MAP takes cardiac output into account. It's a good indicator of perfusion. Perfusion can be insufficient (a low MAP) even if BP is not, if cardiac output is too low. Here's a formula for MAP that...

  22. Enraged (venting)

    Email4KH replied to andhow5's topic in Emergency

    btw, every drunk, drug addict or prostitute i've ever seen or heard of has decided to drink, drug and/or whore. "nurse" does not equal

  23. Enraged (venting)

    Email4KH replied to andhow5's topic in Emergency

    Yes, and a damned good one. No anger. No rage. Just zero tolerance for violence against healthcare workers. If you were getting beaten up by some violent patient you're coddling, I'll bet you'd...

  24. Enraged (venting)

    Email4KH replied to andhow5's topic in Emergency

    I care about a worthless piece of crap as much as the next nurse, but, as a father of four, the well-being of violent ED patients is not my first priority. My going home safely is. If it truly...

  25. Enraged (venting)

    Email4KH replied to andhow5's topic in Emergency

    If you're talking about tips for calming him down, I'd say the chemical paralysis and intubation is a good way to go. As far as you, I hope that seeing that asshole sentenced to prison will make you...