cookienay

cookienay

ER, education, mgmt

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All Content by cookienay

  1. 911-ing a resident out, requires an order?

    cookienay replied to NurseLynwood's topic in Geriatric, LTC

    Do you seriously need an order in LTC to call 911? Any reasonable layperson should have been able to recognize that the resident was suffering an acute medical emergency. So a trained, licensed nurse...

  2. PTO/Sick Leave for Nurses

    cookienay replied to zem2002's topic in General Nursing

    Accrual of PTO is based upon hours worked and years of service. More time with the hospital means you accrue at a higher rate. I find it to be very generous. We are allowed 4 occurences of absence in...

  3. work excuse and privacy issues

    cookienay replied to psu_213's topic in Emergency

    Refer to Occupational Medicine if available (family MD if not). They can determine if someone is fit for their particular job duties.That is not ED

  4. Bedside Report dillema

    cookienay replied to DJ-Adia's topic in General Nursing

    THis is slightly off topic, but your management's reasons for starting this practice are puzzling. Bedside reporting is actually a component of Joint Commission's NPSG to increase effective...

  5. ppd question

    cookienay replied to missladyrn's topic in General Nursing

    That happened to me once and I was scared to death. Turns out it was a local reaction and was gone by the time the 48 hour read time came up. Try not to worry until you have to!! If your employer...

  6. THE Epic failure of surveys and the new focus on "customer service".

    cookienay replied to eriksoln's topic in General Nursing

    I am all for a certain level of customer service. For starters, people most likely will not sue someone that they like. Secondly, it makes my job easier. To go above my patient's expectations is...

  7. new to the ER with a question for you experts :)

    cookienay replied to instanthuman's topic in Emergency

    Esme- good info. Would it still be considered EMTALA if they were under the care of the admitting inpatient physician and not the ED physician? They were just geographically in the ED area? This is...

  8. new to the ER with a question for you experts :)

    cookienay replied to instanthuman's topic in Emergency

    This is not an EMTALA violation per se that I am aware of. Ideally, these patients should be moved to a different facility that has the staff and space to properly care for them. There is increasing...

  9. Have you ever been told

    cookienay replied to purple10's topic in General Nursing

    I have no idea what you all are talking about. I sit around all day painting my nails and eating bon-bons. Being a nurse is waaaaaay easy. *insert sarcasm and eye rolling

  10. Todays Most annoying pt award goes to....

    cookienay replied to Pepper The Cat's topic in General Nursing

    This thread made me laugh out loud. I know I have taken care of each one of these fruitcakes at least once in my

  11. Need Advice

    cookienay replied to MarBug7's topic in General Nursing

    I find it ridiculous that a fellow nurse would say it was "your fault" because a pt became septic. Complications happen. While there are things we can do to prevent sepsis I find nothing in your post...

  12. Access to Nurse via Telephone

    cookienay replied to Flying ICU RN's topic in General Nursing

    "Now, I know you can't tell me anything because of confidentiality and all that, but what was was wrong with him?" That is my favorite. You can bet the clerks hear about it when I get that phone...

  13. "Good Housekeeping" Got the ED Nurse's Message

    cookienay replied to BabyRN2Be's topic in Emergency

    Love the call ahead advice! Umm, this is not Chili's. We do not do call ahead

  14. Different Licensure for School Nurse?

    cookienay posted a topic in School

    Hello Nurses! This is my first foray into the school nursing forum and I have a question that has more than likely been asked before. I plan to apply for a school nurse opening next school year for a...

  15. Different Licensure for School Nurse?

    cookienay replied to cookienay's topic in School

    Thank you all for the information! Supernrse, so it is a licensure and not a certification, correct? who licenses you as a school nurse? Is it the state BON? Or is it a professional organization? I...

  16. Geriatrics in ED

    cookienay replied to hlgarrett77's topic in Emergency

    Sitcom- As an ED nurse please allow me to say thank you for the above information. We completely let these things slide and it SHOULD NOT BE SO. Seeing the visit from the perspective of the elderly...

  17. What do you do when you come across a...

    cookienay replied to Despareux's topic in General Nursing

    While I am sure that Ebony means well, taking the route she suggests may be against your hospital P&P. I know my facility's policy strictly prohibits you approaching the person directly. THat is...

  18. Is it me???

    cookienay replied to snoopy29's topic in General Nursing

    Apparently it is you. Every last one of our patients is always legitimately experiencing an emergency, is well versed in their medical history and medications, and never ever give us sarcastic...

  19. When doctors don't return calls.....

    cookienay replied to TheCommuter's topic in General Nursing

    Yes, my facility does have a policy regarding this. And yes we have had to use it. It basically goes something like this. Attempt to contact for x number of times or x number of minutes. If an...

  20. Time Off Requests

    cookienay replied to syrlisa's topic in General Nursing

    To not be given a vacation in two years seems a bit excessive. Do you not earn PTO at this facility? How are you expected to use it if you are never given vacation time or days off? My department has...

  21. Coding visitors?

    cookienay replied to blondy2061h's topic in General Nursing

    I can tell you one thing not to do. That is call 911. What are the medics going to do? Put them on a stretcher and take them 2 floors down to the ED? Plus, EMS may want to take them to another...

  22. Criticized by the media...(long)

    cookienay replied to RN in pink's topic in Emergency

    Big woo! No pillows. I don't remember that being a standard of care. Sometimes rooms aren't spotless. Should they be? yes, but alas reality prevails. Our society has been deceived! We believe we...

  23. Athletes heart rate

    cookienay replied to healthstar's topic in General Nursing

    Healthstar- many athletes know their resting HR and their target HR. They can tell you if their HR is too high or low. Also, a good way to know is to look at them. Are they symptomatic with this low...

  24. ER nurse to patient ratio

    cookienay replied to MGHERRN's topic in Emergency

    We have 4:1 ratio in our 45 bed ER (with a 10 bed overflow area that we open PRN). While not a trauma center, we are a regionally recognized center for cardiac care and the busiest ER in our state (as...

  25. help!training a superior for my job

    cookienay replied to midnitelpn's topic in General Nursing

    Ditto to what the other posters replied. You know how to do this. You can't teach someone something if they already know it, anyway. *rolling eyes* Ahhhh, I remember the "special person pass". I tried...