cookienay

cookienay

ER, education, mgmt

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All Content by cookienay

  1. My back is against the wall... what should i do now?

    cookienay replied to NurseLoveJoy88's topic in General Nursing

    OK-I know this is off topic (somewhat) and I am not an LTC nurse, but some things I have learned (and some I have learned the hard way): 1- only a judge can declare a person "incompetent". Yes it is a...

  2. Good Press Ganey for ER. Possible??

    cookienay replied to 5n2_is4u's topic in Emergency

    It is possible. I am not a fan of PG, but it is a vital part of my facility's culture, so I must be on board if I want to be sane. We are about a 50 bed ED that sees at last count around 80K patients...

  3. Clinicals

    cookienay replied to Lisa, MA's topic in General Nursing

    Holy clinicals, Batman!! Wow. I did not get the impression that the OP feels that her years as an MA made her equal to an RN. I did get the impression that she is confident in her ability to be...

  4. Intimidating? ME?

    cookienay replied to AngelfireRN's topic in General Nursing

    Oh my, what a bad situation. I agree with calliotter3 completely. And I am also thinking there is a diagnosis in there somewhere, possibly compounded by a substance problem. Could be wrong, just my...

  5. Safety Considerations

    cookienay replied to Rosecoloredglasses's topic in General Nursing

    Do a google search for Joint Commission National Patient Safety Goals. all kinds of good

  6. Strong vs. weak RN

    cookienay replied to Ariyala's topic in General Nursing

    Since this seems to be an issue in my workplace, allow me to perhaps offer another explanation. We have several "strong" nurses in my dept (ED). They have great assessment, critical thinking,...

  7. Patient Call backs

    cookienay replied to erlissy's topic in Emergency

    BTW... I did not clarify in my above post. I believe it is a great practice. Nothing wrong with making sure your patients are feeling better and trying to improve your processes. Some call backs have...

  8. Patient Call backs

    cookienay replied to erlissy's topic in Emergency

    we do it. patients love it, even though it is a hassle. and we are a pretty big

  9. Things I have learned in Nursing

    cookienay replied to Katie5's topic in General Nursing

    Things are usually as they appear, but not

  10. IV piggyback

    cookienay replied to buttons4's topic in General Nursing

    Oh my! You are right- I am showing my age!! Now it is just SAS- thanks for pointing that

  11. IV piggyback

    cookienay replied to buttons4's topic in General Nursing

    Primary infusions are not necessary. If they were, we would never get any meds given in the ER. Go with what the above poster advised. SASH- this is indeed why locks were

  12. Telemetry overuse = ED overflow...Can anyone relate?

    cookienay replied to blessings2nurses's topic in General Nursing

    I work for >500 bed facility with a 50 bed ER (including the minor care area). I hope these answers are helpful... 1- We do have "criteria" which includes factors such as dx, labs, hx. There is a...

  13. Queezy...help!!!

    cookienay replied to lauralea18's topic in General Nursing

    so agree with above poster. we all have our things. sometimes your body does things we can't control. Still can't do open fractures, though. Something about bone protruding through skin makes me want...

  14. Best Place to be as an RN

    cookienay replied to Maymie's topic in General Nursing

    I would have to agree with getmethisnownurse! I love Nashville!! It is a fun, hip (but quaint) town and not too big. Skiing is not too far away in east TN. Vandy has a great medical center. Lots to do...

  15. Disgusted

    cookienay replied to sistasoul's topic in General Nursing

    May I gently offer some input? "Spinning your wheels" is a common phenomenon of new grads. You seem to grasp that you do have limited knowledge, which is better than thinking you know things you...

  16. Most common overdose drug of choice?

    cookienay replied to KungFuFtr's topic in Emergency

    We don't see this too often, but we have seen a couple of swallowed Fentanyl patches. Both almost died until we saved their bacon. Too bad all they wanted to do was get high. Mostly we see the Xanax,...

  17. Saying No

    cookienay replied to tolerantgirl's topic in General Nursing

    Remember, it is your manager's problem to staff the unit. NOT YOURS! I know you feel bad for your coworkers, but it is not your problem. Kid's games trump overtime, every single time. Like Nancy...

  18. interview! ahhhhh

    cookienay replied to carebearsRN's topic in General Nursing

    oh, good luck with this one. i would request that the manager remain in the room while this occurs, that way the "questions" are not illegal, confrontational, or inappropriate. They do this at my...

  19. Drawing blood

    cookienay replied to dtermineddenise's topic in General Nursing

    have a more proficient nurse go with you the next time to see what you are doing wrong. they can give you guidance on how to be more

  20. How many going to Haiti?

    cookienay replied to Virgo_RN's topic in Emergency

    I would like to go, does anyone know who to sign up with to go? My kids are older now and I would love to

  21. What can a nurse do?

    cookienay replied to canoehead's topic in Emergency

    The OP said she wanted to keep her

  22. Please help my fix my resume!!!

    cookienay replied to rencontrezmoi's topic in General Nursing

    Congrats on completion of your degree! As someone who used to have to wade through resumes, I have a couple of things to add. 1- Keep you GPA and school honors. 2- Lose the clinical duties part. It is...

  23. Orientation extended...

    cookienay replied to DeLana_RN's topic in General Nursing

    DeLana- just wanted to say sorry for replying to your message as if you were the one with the issue. Sometimes my brain forgets pertinent info from the time I read the post until the time I get to the...

  24. Orientation extended...

    cookienay replied to DeLana_RN's topic in General Nursing

    "Inpatient nursing sure has changed in the last few years. Seems that I have not quite mastered the time management skills needed to function optimally. So they are giving me some more time to do...

  25. TNCC or CEN for re-entering workforce RN?

    cookienay replied to ga*gal's topic in Emergency

    Welcome back and best wishes in entering the crazy world of ER nursing. No further advice to add as the other posters are right on the money with their advice. just wanted to say Good