cookienay

cookienay

ER, education, mgmt

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All Content by cookienay

  1. 911!! I need advice from anybody that can help!!!

    cookienay replied to kaylsumrn2's topic in General Nursing

    PDC, really there is only one thing you can do. Own up to what you did do, deny what you did not. You have no control over whether they believe you or not. As previous posters mentioned, there could...

  2. Gastric Banding to treat Type II Diabetes

    cookienay replied to twistedpupchaser's topic in General Nursing

    there are long term studies being done about this. THe initial data looks promising. However, for gastric banding to be a success, alot depends on the patient's compliance with the program so time...

  3. ED triage woes - advice appreciated!

    cookienay replied to kmoonshine's topic in Emergency

    Completely agree with above poster. What many nurses do not realize is the triage nurse has one main duty. That is to KNOW "sick" or "not sick". Lethargic child with HR >200 and RR 66 is sick. If a...

  4. Freaky Things

    cookienay replied to ThrowEdNurse's topic in Emergency

    OK- here is my freaky story but it is not about someone dying. Just as a disclaimer, I am not proselytizing or wanting to get into a religious disussion. THis is just something that happened to me and...

  5. Freaky Things

    cookienay replied to ThrowEdNurse's topic in Emergency

    GM died a couple days later, DH never came to the hospital again. I agree, it's never a good sign when they start talking to folks that aren't there. great. now I am going to be scared when patients...

  6. Triage at the bedside

    cookienay replied to MAISY, RN-ER's topic in Emergency

    We have recently began doing this, and frankly I believe it to be a good practice. We have 4:1 ratio and see over 200 patients a day (usually around 75k a year). If I am in triage and have patients...

  7. Hiring a nurse that's a carrier of MRSA - Can that happen?

    cookienay replied to Halla17's topic in General Nursing

    First of all, I can't see that specific question coming up in a job interview. Secondly, I doubt it is legal to ask it. THirdly, I am laughing at the nurse that told you that. Why? Because it is...

  8. EMTALA LAWS protecting patient

    cookienay replied to nkochrn's topic in Emergency

    I agree with canoehead. My recommendation would not to even let him leave the triage room. As VS are being obtained, have the doc come do an MSE (medical screening exam), then boot him out the door....

  9. RSV... The supersized version?!!!

    cookienay replied to AnnieOaklyRN's topic in Emergency

    Sweettooth- funny you should mention this. We were discussing yesterday how we have not seen really much RSV at all, but this week we saw 2 very sick babies that had to be shipped out that were...

  10. What is the best shift in the ER?

    cookienay replied to divagirl's topic in Emergency

    Well, it depends on if your friend has kids, other obligations, etc... But my $.02 is this. Pick the shift with the most experienced nurses if possible. Especially if these nurses are good at...

  11. Do you use proper bariatric equipment?

    cookienay replied to racing-mom4's topic in General Nursing

    Hill-Rom provides all of our beds and will bring in a bariatric bed for a patient's stay. We also keep one in house all the time so when they come in to the ER one is available. For an admitted...

  12. Shift report and HIPPA

    cookienay replied to GiGiRNICU's topic in HIPAA Challenges

    Actually, bedside reporting is a new JC initiative to improve handoff communication between caregivers. So, not only is JCAHO aware, it is sanctioned. Our privacy officers explained to us that all...

  13. Is nursing really that stressful?

    cookienay replied to dslite's topic in General Nursing

    Yes, nursing is stressful. But as previously posted, it depends on your personality and how much you internalize. I would rather work triage in a locked up ER with 40 patients in the lobby than work...

  14. What things do your family members do that drive the nurse in you nuts?

    cookienay replied to blondy2061h's topic in General Nursing

    1. Save and hoard antibiotics. (You never know when you will get a bad cold.) 2. Grandmother tells everyone that walks into her hospital room- "This is my granddaughter. She is an RN!" sheesh! (Rest...

  15. Can doctors go against hospital policy?

    cookienay replied to bellehill's topic in Patient Safety Issues

    another example is that of moderate sedation. Our policies are very clear as to which circumstances warrant following the MS protocol of observation, precautions, documentation, consent, etc......

  16. School Nurse

    cookienay replied to thinkingaboutnursing's topic in General Nursing

    Many states require RNs because of the amount of screening, education, planning, assessment and evaluation that is required. Many states that require RN also require BSN. Alot of the screening...

  17. Not fast enough

    cookienay replied to RiverNurse's topic in Emergency

    Hmmm... I am sort of wondering why a knee pain turned into a metabolic acidosis? (unless I read incorrectly) Anyhoo... my advice is keep going. Sounds like you can get this. One of our new nurses 3...

  18. What do you wish students knew?

    cookienay replied to fsaav's topic in General Nursing

    Boundaries. As an ER nurse and clinical instructor, I feel students have a lack of proper boundaries at times.You are a student- not a member of the staff. I was shocked when a student joined in on a...

  19. Phenergan & Morphine

    cookienay replied to sunshineyday's topic in Patient Safety Issues

    Sunshiney, what I would not give to have more new grads like you on my unit!! You are to be commended for knowing your research. Many nurses know there is some controversy with giving Phen IV, but do...

  20. Atarax IV?

    cookienay replied to strugglingnurse's topic in General Nursing

    Never IV. Compression syndrome from IV Vistaril is not pretty. Neither is the litigation that

  21. what is there to be afraid of?

    cookienay replied to angelstrings's topic in General Nursing

    dny- your facility is responsible to advise you of all policies. THey should be available to you when you need/want to see them. Conversely, you are responsible to know the policies as well. If you...

  22. assertion/patient advocacy please help

    cookienay replied to mashamontago's topic in General Nursing

    First of all, I completely agree with above poster. Second of all, as a charge nurse and clinical instructor I felt the need to respond. You need to understand that it is inappropriate to point out in...

  23. Strangest thing taken from ER

    cookienay posted a topic in Emergency

    I thought this would be a fun thread... What is the strangest thing you have ever seen stolen from the ED?? for me- a buttload of those KY packets with some hemocult developer. Rectal exam, anyone??...

  24. Need Some Help

    cookienay replied to heyheyhey's topic in General Nursing

    Just my 2 cents... I believe with your educational background, a 2 year associates program or even an accelerated program (ASN or BSN) would most likely meet your needs. There are colleagues of mine...

  25. Failed Drug Test!!!!!!

    cookienay replied to coolpeach's topic in General Nursing

    Clearly this operation is run by idiots. If this was a lab doing tox screens for employment/school physicals, you should have been given an opportunity to list any meds. He was being lazy by not...