cookienay

cookienay

ER, education, mgmt

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All Content by cookienay

  1. If you could no longer work as a nurse, what would you do?

    cookienay replied to LockportRN's topic in General Nursing

    OK, if I were younger, I would like to be a federal agent such as ATF, FBI, DEA. But, since I am not- I tell everyone that my dream job is to own a laundromat. Seriously. Please don't judge

  2. Magnet and the "Hilton Hospital" Mentality

    cookienay replied to Tait's topic in General Nursing

    1. Yes, we are a Hilton Hospital at times. But for the most part it is not ridiculous. For example- admin uses the term "customer" instead of "patient" (nurses do not). Another example- if a...

  3. Union University Accelerated BSN Students

    cookienay replied to Monique08's topic in General Nursing

    As a Union grad- let me tell you Best Wishes!! I loved Union, felt it was a great nursing school and my class had 100% pass rate. But that was a hundred years

  4. hospital policy on Facebook, cellphones= suspension

    cookienay replied to ChristinaEDRN's topic in General Nursing

    My guess is that it is not so much a HIPPA thing as it is a not stealing from your employer thing. As in- being on your cell, FB, and the internet during your work time is stealing time from your...

  5. Do undocumented aliens end up getting after receiving emergency care?

    cookienay replied to DolceVita's topic in General Nursing

    Dolce Vita- you did post a very good question. I too wondered if somewhere down the line if the illegals we were treating would somewhere collide with INS. there is so much information sent to the...

  6. Do undocumented aliens end up getting after receiving emergency care?

    cookienay replied to DolceVita's topic in General Nursing

    THe law has clearly indicated time and time again that we have a DUTY to report child abuse. We also have a DUTY to provide competent care to those in our charge regardless of how we feel about how or...

  7. Ethical Issue- Is this child abuse? Do I need to report this?

    cookienay replied to Daria5363's topic in General Nursing

    Agree with above. To me it seems a good idea to remain with this family for the sake of Sam. You could be his only true ally. However, boundaries with Mary must be reestablished. She clearly is not...

  8. military time?

    cookienay replied to ArwenEvenstar's topic in General Nursing

    sounds suspicious. As in...someone in a suit has too much time (pun intended) on their hands and too little sense in their heads. Just my two

  9. Confused About What To Do

    cookienay replied to NewTexasRN's topic in General Nursing

    I can't offer any advice on what to do because only you can decide what is best in your situation. Just wanted to tell you to hang in there and wish you the very best. But...I live on the east coast...

  10. Worried about being sued

    cookienay replied to Susan9608's topic in General Nursing

    OK- just to give my two cents... Do NOT copy incident reports, and do not copy the chart for your records at home. At best, you will be reprimanded at work, at worst- terminated and fined. Believe me,...

  11. Does my ER actually triage?

    cookienay replied to miwachiru123's topic in Emergency

    Since the word triage literally means "to sort" then I would say, no- that is not triage. Triage is designed for limited resources (which we all deal with). If one bed is open, then by triaging the...

  12. Efficient triage system????

    cookienay replied to Opinions matter's topic in Emergency

    All of our nurses sign in with an RN upon entering the dept. Depending on c/c, gross assessment, and protocols the patient then goes to one of three places: directly to a bed, triage room for...

  13. Hello Im in a Hickle of a Pickle

    cookienay replied to PrettyKathyRN's topic in General Nursing

    Go for the interview and don't give a second thought to quitting early. That is what these probationary periods are designed for. Sometimes, certain jobs are just not a good fit and well, sometimes...

  14. Bicillin injections

    cookienay replied to lene1000's topic in Patient Medications

    I do not push out air bubble, as it is needed for the z-track method of injection. A clinical pharmacist advised me this was the purpose of the air bubble. but this was also 100 years

  15. How to keep the faith in triage?

    cookienay replied to EMTSNA's topic in Emergency

    It is a hard job being the gatekeeper to hell... As the previous poster said- remain objective. don't allow the cesspool of humanity to cloud your decion-making. some people are reasonable, others are...

  16. ADENOSINE ??

    cookienay replied to laurainri's topic in Emergency

    Am I the only sick one who loooves giving Adenosine?? he-he Anyway, never heard of the arm raising. We always tell the patient you are going to feel like crap for a second but it should get better...

  17. RN refusing MA assignment

    cookienay replied to TXRenaNP's topic in Patient Safety Issues

    OK, maybe this is just because I beat my head against the wall dealing with crap like this where I work as well- but this is 100% crap. 1- the above mentioned tasks do fall into her scope of practice...

  18. ED-did you always know?

    cookienay replied to ~'JesusRocks'~'s topic in Emergency

    Dear JR- I always knew I wanted to be an ED nurse. I knew it fit my personality. When I graduated nursing school, I worked telemetry/step down for about 6 yrs or so. Opportunities for ED not avail....

  19. Social Service Director and Housekeeping Supervisor's Ideas About Resident Rights...

    cookienay replied to flashpoint's topic in Geriatric, LTC

    could not help but respond... why is it a violation of their "rights" to have to wait?? We all have to wait for something at some point. You mean all this time, I have been waiting in line at the...

  20. LPN taking home meds

    cookienay replied to Angela.RN2B's topic in General Nursing

    If you feel like this is a battle you wish to wage, there are several angles here: First of all, she is stealing from her employer and her patients. This is a criminal matter. Imagine if this was your...

  21. ED Nurse Project for Nursing School

    cookienay replied to bkMT's topic in Emergency

    Hope this helps you in your endeavors... 1. I have been a nurse for almost 17 years. ED for almost 10. 2. ASN originally, BSN 2002. No specialty certs, though a few of my colleagues have CEN. 3....

  22. O2 Sat is 100% but the hemoglobin is 5g/100ml.. what is wrong with the patient?

    cookienay replied to mashamontago's topic in General Nursing

    Oxygen is exchanged at the alveolar level in the lungs- if there is no hgb to pick it up, it does enter the bloodstream as far as I understand. Sorry I mistyped there. It should read..."it does not...

  23. O2 Sat is 100% but the hemoglobin is 5g/100ml.. what is wrong with the patient?

    cookienay replied to mashamontago's topic in General Nursing

    I hope I am understanding your question correctly. I understand when you are in nursing school, it is sometimes difficult to sort through all of the information and to assimilate it into something...

  24. What regions have the best nursing job opportunities since the economic recession?

    cookienay replied to shewalke's topic in General Nursing

    My hospital is still hiring nurses. An RN with ICU, ED, or OR experience is coveted. We have the luxury to be choosy with our new grads because the area is saturated with nursing schools/programs. My...

  25. How many pts should one nurse be reallistically expected to triage???

    cookienay replied to sweetsounds's topic in Emergency

    Sweetsounds- you can only do what you can do. To repeat gonzo, everyone else just has to wait their turn. THat being said, here is my philosophy of what a prudent triage nurse does. 1. He/she knows...