cookienay

cookienay

ER, education, mgmt

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All Content by cookienay

  1. Patient or Client?

    cookienay replied to jrw03282009's topic in General Nursing

    At my facility, our administration and organizational development people call them "customers", but the nurses and physicians call them patients and we always

  2. Admit I dread"generalized weekness a/o Dialysis pt, had dialysis today, Full code:"

    cookienay replied to Sirapples's topic in General Nursing

    And he was tasered before they got him in the four points. help

  3. New nurse needs objective advice

    cookienay replied to twoangels's topic in General Nursing

    Twoangels, I agree with talking to your doctor first. It may be better to leave because of a temporary disability than to resign after only two months. In many places, leaving during your...

  4. Big dilemma please give me some advice!!

    cookienay replied to thongvo89's topic in General Nursing

    I would advise looking into a different program. A waitlist is not completely unexpected, but 6 years to complete a 2 year degree is ridiculous. (But then again, I do not live in CA). How about a BSN...

  5. acd?

    cookienay replied to Ms.RN's topic in General Nursing

    ACD can also refer to acute contact dermatitis which would require isolation if it resulted from a parasitic infection (such as scabies). Yikes! I'm itching

  6. Nursing instructor putting student through embarassment and singles out

    cookienay replied to mjacobs's topic in General Students

    OP- perhaps if you cross referenced this post on the nursing education forum and asked nursing educators what recommendations they would have if their students were experiencing this? they are more...

  7. Perceptions on childhood vaccinations

    cookienay replied to bpander's topic in General Nursing

    I am curious what a College of Design has to do with childhood vaccinations. Am I missing

  8. Gossiping amongst nurses

    cookienay replied to QTpie86's topic in General Nursing

    Some days, that is the only reason I go into work...just to catch up on the gossip. Is that

  9. I suck.

    cookienay replied to Virgo_RN's topic in Emergency

    Here is a thought... maybe they are putting you in the warzone because they know you can handle it. But we all suck at some point- you will get better I

  10. Scribes in the ED

    cookienay replied to whichone'spink's topic in Emergency

    Our docs use scribes. They can be a help to the docs but a pain to the nurses. The nurses don't like it when the scribes make our jobs harder. Just be sensitive that the nurses have a job to do, too....

  11. Clinical Decision Units

    cookienay replied to Medic2RN's topic in Emergency

    Our facility has a CDU. It is not considered part of the ED. They have their own staff (who also work other areas, I believe). don't know for certain how things run up there, but we have nothing to do...

  12. IM Injections

    cookienay replied to mcneillmama3's topic in General Nursing

    To Justice- to answer your questions regarding landmarking IMs...I have been practicing for 17 years and I still landmark EVERY IM injection. Good practice, takes 3 seconds. The reason is (especially...

  13. Six Blood Products available???? HELP

    cookienay replied to tavo_80816's topic in General Nursing

    RhoGam is also considered a blood

  14. Does a nurse have the right to review her charting w/o violating HIPAA?

    cookienay replied to 925_ER_RN's topic in General Nursing

    No need to be sick of HIPPA- it is basically what we have been doing all these years anyway. HIPPA legislation changed day to day practice very little, IMO. Your manager/administration just has no...

  15. Does a nurse have the right to review her charting w/o violating HIPAA?

    cookienay replied to 925_ER_RN's topic in General Nursing

    There is no HIPPA violation here, your manger is crazy. Sounds like you may need to lawyer

  16. Is Texting legal

    cookienay replied to shbryer's topic in General Nursing

    This practice is most likely in violation with the read back and verify standard set forth by JCAHO. How does he get all of your personal cell nubers?? At the very least I would keep my cell in my...

  17. Go find your patient

    cookienay replied to irmaRN's topic in Emergency

    mmtuk, I most definitely got the point. your point just happens to be different than mine. The OP had a duty to act. The OP did not act in a prudent manner and a jury or BON would most likely agree....

  18. LOOKING TO RELOCATE

    cookienay replied to chr!ssyrn's topic in General Nursing

    Chrissy- my facility is hiring and thriving and I love working here. What is your area of specialty? PM me if you would like more info. Don't want to post identifying info on public

  19. Go find your patient

    cookienay replied to irmaRN's topic in Emergency

    OK, it most certainly is the nurses's job to locate the patient. While he/she may not physically be the one to look, we are the ones responsible for their safety. And if I remember the original post...

  20. RN acting as a Mid-Level provider

    cookienay replied to xstraz98's topic in General Nursing

    We have these physician extenders as well. They are RNs who see patients, write orders as directed by their physician, and do initial dictation. The physicians then do a follow up with the patients,...

  21. ICU nurses attitude toward med-surg nurses

    cookienay replied to smallboat's topic in Patient, Colleague Relations

    I have to say that I have seen this...they eye rolling while giving report, the hostile questioning "why did you do THAT?". When I worked the floor, the behavior was much more apparent than as an ER...

  22. Go find your patient

    cookienay replied to irmaRN's topic in Emergency

    Ok, even though thinkertdm may have been "harsh" in his wording, unfortunately for the OP he is correct. MB brings up the wonderful point of safe and prudent as well. Had there been a poor outcome,...

  23. Good triage stories

    cookienay replied to patrice meursault's topic in Emergency

    Okay, this happened recently and I had to share. We have our share of frequent flyers of the same type: gold card, come for every little thing (it's not like they have to work or anything), total...

  24. Guess what the ER doc did?

    cookienay replied to dorie43rn's topic in Emergency

    Sang a touching rendition of "The Star Spangled Banner"? Lit the linen cart on fire? :chair: ok, ok....two long days in the ER and I am stumped. But I am guessing along the lines of PAERRN20 with a...

  25. First patient complaint ever. Frustrated.

    cookienay replied to 3dogs1cat's topic in Emergency

    It is never wrong to do the right thing for the patient. In this case, you wanting to get a correct subjective assessment was the right thing to do. Your superiors should know this is necessary in...