cookienay

cookienay

ER, education, mgmt

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All Content by cookienay

  1. FMLA

    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 case could be made that you are being punished for t...
  2. Just interviewed a nurse who *loves* her job

    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 played a small part in saving a life. What a tremendous...
  3. Do RN's need special training to read PPD tests?

    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 nurse says, "Yep, it's negative" and sign their f...
  4. Beta-blocker administraion error?

    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. Sounds to me like you were acting as a prudent nurse a...
  5. AAS-LPN/ Confused!

    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 someone would want to take two years to obtain a degree ...
  6. 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 compromised does not mean the half life changes. Doe...
  7. Escorting patients to labor

    Why is an Admitting Department making decisions regarding patient care? Serious question, btw...
  8. humerous, yet a little scary story

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

    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 under your job description, under OSHA guidelines, y...
  10. Feeling like a "bad" nurse

    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 too much responsibility on yourself. What would yo...
  11. Knowledge or Information Hoarding

    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 quality director at that time. This was done by the ma...
  12. Ever Killed Someone?

    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 dedicated to saving lives. We all know nurses and docto...
  13. Float Nurse Problem: Need Advice

    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 the most part, things run pretty smoothly. When som...
  14. What's wrong with seeking stability & security?

    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 clear she wanted a career with financial rewards that ...
  15. 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 with patient safety.
  16. 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 cake. As I was taking his PMH he advised me that he...
  17. Denial is more than a river in Egypt...

    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. Things just don't come across in text as they do ...
  18. Mobbing support - threats, hostile work environment

    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 my be interested to investigate your claims. Your ...
  19. Denial is more than a river in Egypt...

    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 Diabetes Update, our endo. told us almost the exact op...
  20. Sedentary Nursing Jobs

    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 nurturing- as she would tell you herself. But, she loves he...
  21. Wear a mask?

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

    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 out an error or lapse in judgement to someone that...
  23. No Sugar Tonight (Da-un-do-dow dow da-un-do-dow)

    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 this nurse knows to get a fingerstick BS but for ...
  24. Mandatory reporting of injuries

    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 should know what your requirements are. Of course if i...
  25. What is the most common chief complaint or diagnosis in your ED?

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