cookienay

cookienay

ER, education, mgmt

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All Content by cookienay

  1. FMLA

    cookienay replied to vanessarhea's topic in General Nursing

    Were you gone for more than the 12 weeks? Is this an exceptionally small facility?Is this standard practice?? If they have allowed others to remain in their identical position while you were not, a...

  2. Just interviewed a nurse who *loves* her job

    cookienay replied to clemmm78's topic in General Nursing

    I love my job. Even when I deal with the drug seekers, drama, blood, customer service BS, whiny nurses, and cranky docs at the end of the day I love that I made someone feel better. Perhaps even...

  3. Do RN's need special training to read PPD tests?

    cookienay replied to SarahM2011's topic in General Nursing

    In my facility, any RN may administer/read a Mantoux. The ER nurses are frequently the ones to do this because of course we are here 24/7. My favorite thing to see is someone hold up their arm and the...

  4. Beta-blocker administraion error?

    cookienay replied to Bosco15's topic in General Nursing

    Granted I work ED, not ICU but here is my thought... The meds were ordered, there were no contraindications at the time of administration. So, you followed the MD order and administered the meds....

  5. AAS-LPN/ Confused!

    cookienay replied to lifelearningrn's topic in LPN, LVN Corner

    I have never heard of an associate degree LPN. But it does not mean that it does not exist. Yes, an LPN has a lesser scope of practice and generally makes less money. I would have to wonder why...

  6. Can't seem to wrap my head around this, help is appreciated

    cookienay replied to GusM's topic in General Nursing

    Drug half life is not affected by PVD. Half life is what it is regardless of how the body distributes it. If drug ABCD has a half life of XX time then just because the body's circulatory system is...

  7. Escorting patients to labor

    cookienay replied to rickdon19's topic in Ob/Gyn

    Why is an Admitting Department making decisions regarding patient care? Serious question,

  8. humerous, yet a little scary story

    cookienay replied to fhockeychick504's topic in General Nursing

    What??? Grey's Anatomy is not real?? *gasp* :) Code 99 is mass casualty where I work. Or "get the heck out of

  9. ER nursing and pregnancy...

    cookienay replied to ND76's topic in Emergency

    Babypoo- I am sorry you are going through this. It must be tough not being able to work. However, you are employed as an RN under a specified job description. If you are unable to meet the criteria...

  10. Feeling like a "bad" nurse

    cookienay replied to sistasoul's topic in General Nursing

    Seriously, this should not be affecting your life. You provided the necessary assessments. You followed the standard of care. You responded appropriately when his condition changed. You are assigning...

  11. Knowledge or Information Hoarding

    cookienay replied to LisaDNP's topic in General Nursing

    I have experienced this during my very brief management career. Although our facility's culture has changed dramatically since then, I still wince when I think of it. Here goes: We did not have a...

  12. Ever Killed Someone?

    cookienay replied to Bug Out's topic in General Nursing

    HiHo-thank you for your post. A lesson we sometimes learn to late. Miss Becky- your post made me ill. It reminds me that incompetence, arrogance, and apathy occur in every profession- even those...

  13. Float Nurse Problem: Need Advice

    cookienay replied to jaleath's topic in General Nursing

    Who cares if they are burned out? They are being paid to come in and perform a job like everyone else. Sounds like mgmt needs to step up to the plate. I work in a similiar sized ED as the OP and for...

  14. What's wrong with seeking stability & security?

    cookienay replied to oneflyLPN's topic in General Nursing

    Go for it. Nursing is the only profession in which one's motives are questioned for entering in. I personally find it ridiculous. One of our best nurses is a young girl who has made it abundantly...

  15. Who does this stuff? Really, you can't make it up!

    cookienay replied to ShayRN's topic in General Nursing

    Patient and staff safety supercede any patient and family wishes. period. just say no and let them know that mommy sure will miss them when they have to be escorted out because they are interfering...

  16. Denial is more than a river in Egypt...

    cookienay posted a topic in Emergency

    OK- so we all have patients who completely deny that they have any medical conditions or problems, yet appear chronically ill or are taking a boatload of meds. But last week I had a guy who took the...

  17. Denial is more than a river in Egypt...

    cookienay replied to cookienay's topic in Emergency

    JulieC- sorry did not mean to imply that you or your MD were mistaken or in denial. I see now that my post can be read that way. Simply commenting on the varying info that patients and nurses receive....

  18. Mobbing support - threats, hostile work environment

    cookienay replied to NurseBrittney's topic in General Nursing

    Keep a journal, document every instance. Go to HR- this needs to be handled by them. If you feel strongly enough about it you can call JCAHO. They are addressing lateral violence in the workplace and...

  19. Denial is more than a river in Egypt...

    cookienay replied to cookienay's topic in Emergency

    Roser- I completely agree! It appears to be the case here, IMO. Even my own sister experienced this. JulieC- That is so funny that you say that about what your endocrinologist said. At our recent...

  20. Sedentary Nursing Jobs

    cookienay replied to dthfytr's topic in General Nursing

    A colleague of mine went to the nursery/NICU after her back was shot. Your patients (for the most part) weigh less than 10 pounds. She was not a "baby person" nor was she especially warm and...

  21. Wear a mask?

    cookienay replied to Sparrow23's topic in General Nursing

    I am sure the patients would feel so at ease with their caregiver wearing a mask. If you are sick enough to have to wear a mask around the patients- stay home. Just my two

  22. No Sugar Tonight (Da-un-do-dow dow da-un-do-dow)

    cookienay replied to Penelope_Pitstop's topic in General Nursing

    I have to say Camaro- the fact that are sensitive to the fact that confrontation is sometimes a risky road shows a level of maturity not seen in many younger nurses. Sometimes it can be hard pointing...

  23. No Sugar Tonight (Da-un-do-dow dow da-un-do-dow)

    cookienay replied to Penelope_Pitstop's topic in General Nursing

    OK- here is my two cents... Is this normal practice for this nurse or just a goof-up? If having a conversation with her will not change future behavior there is no reason to mention it. Do you believe...

  24. Mandatory reporting of injuries

    cookienay replied to htrn's topic in Emergency

    Only a handful of states have mandatory reporting of domestic assault. My state happens to be one of them. As the above poster said, check with your risk mgmt or social worker or legal dept. THey...

  25. What is the most common chief complaint or diagnosis in your ED?

    cookienay replied to QueensNurseNY's topic in Emergency

    chest pain sob back pain vomiting with or without abd pain syncope/near