nkochrn

nkochrn RN

Rural Health

Member

All Content by nkochrn

  1. Elective Primary C/S

    nkochrn replied to mamafeliz's topic in Ob/Gyn

    I don't understand why any person in their right mind would WANT to have a c-section! I know lady partsl delivery doesn't always sound appealing, but I honestly thought my own Drug Free lady partsl...

  2. Medical termination of pregnancy.

    nkochrn replied to moodyred01's topic in Ob/Gyn

    I work in a rural hospital and we do not do voluntary terminations for any reason! I didn't realize that it was so common for these to be done in L&D:( I thought that they had to go to an...

  3. 24 Things ER Nurses Know All Too Well

    nkochrn replied to RN_in_SC's topic in Emergency

    This is my most favorite thread ever:) #48-No you may not go outside to smoke unless you're going to go home and stay out of my

  4. 24 Things ER Nurses Know All Too Well

    nkochrn replied to RN_in_SC's topic in Emergency

    #35-Don't expect me to believe you passed out at home if you just drove yourself to the ER #36-If you tell me you have Chest, arm, shoulder, neck, AND leg pain, a REALLY bad cough, your hands and...

  5. 24 Things ER Nurses Know All Too Well

    nkochrn replied to RN_in_SC's topic in Emergency

    Too bad we're the one's footing the bill for the people providing 'job security' most of the time #2-I've so had to deal with this way too many times! #34-If you were laying in bed when you passed...

  6. Conscious Sedation in the ER

    nkochrn replied to Silktea3's topic in Emergency

    We rarely do conscious sedation in our ER but if we do it's done by our CRNA. If it's actually being done in the ER that patient is probly being stabilized to go to a bigger hospital since we are...

  7. EMTALA LAWS protecting patient

    nkochrn replied to nkochrn's topic in Emergency

    I feel like the situation escalated today! He was seen 7 times in a 12 hour period! Our mental health FINALLY stepped in and he was taken into police custody to be evaluated by mental health and...

  8. EMTALA LAWS protecting patient

    nkochrn replied to nkochrn's topic in Emergency

    Thank you all for your suggestions. I believe all the gas stations/coffee shops have served him with a restraining order. Unfortunately we are the only business in town that can't quite do that. He...

  9. EMTALA LAWS protecting patient

    nkochrn replied to nkochrn's topic in Emergency

    The hospital attorney has been working on this for months now, but can't find any way to get rid of him. We are the only hospital in town, the closest one to us is 15 minutes away. pt. no longer has a...

  10. EMTALA LAWS protecting patient

    nkochrn replied to nkochrn's topic in Emergency

    Does anyone know where I can find more information about charging people with abusing emergency services? Apparently this guy made some money off a settlement dealing with a car and is getting...

  11. EMTALA LAWS protecting patient

    nkochrn replied to nkochrn's topic in Emergency

    According to our hospital attorney the EMTALA law states that he has to be assessed by an RN and reported to the physician. She has said the Dr. doesn't HAVE to come see him. Makes it a pain for us...

  12. EMTALA LAWS protecting patient

    nkochrn replied to nkochrn's topic in Emergency

    I know there's nothing we can do, it is just so frustrating! This guy just thinks he's going to find some reason to sue us and make a bunch of money. There is no reason he couldn't work, except it's...

  13. Drunk OB and SRS

    nkochrn replied to nkochrn's topic in Ob/Gyn

    Thanks for your input. Our social worker has been working with the patient. We kept her in for an extra day so that Catholic Charities could come see her and partially just so we knew she wasn't out...

  14. Drunk OB and SRS

    nkochrn replied to nkochrn's topic in Ob/Gyn

    Thanks, my OB supervisor is under the impression that the mom is losing the baby is losing the baby asap when it's born. I argued with her that they would probly try to get the baby back to the

  15. kind of a rant

    nkochrn replied to Guest219794's topic in Emergency

    HAHA, I have too many homes!!! The Rural nursing board is boring:( I do ER, OB, Med-surg, some pre-and post-op. Okay now onto the point of the thread. I get irked often by ER pt's that come in...

  16. How often are your postpartum vital signs and assessments?

    nkochrn replied to babyktchr's topic in Ob/Gyn

    We do the same for both Q 15 min x 4, then Q 30 min x2, Q Hour x2, then every shift (which routinely always get done at 08-12-16-20, so there's a few

  17. Pain Meds and Epidural's during laboor

    nkochrn replied to Act238RN's topic in Ob/Gyn

    Our hospital doesn't do Epidurals. We do Spinal Analgesic though, which means the patient still has feeling everywhere but her pain is decreased. The CRNA won't do them till 5-6 cm and very rarely...

  18. Help on care plan

    nkochrn replied to Wellness1988's topic in General Nursing

    I haven't done Care Plans for a few years... but for her sleep deprivation can you refer her for a sleep study as an

  19. You're a nurse? Why didn't you just go to med school?

    nkochrn replied to ChiLanQui's topic in General Nursing

    I don't have much to add, sounds like you've got some good info. I am an RN with an ASN degree and have looked into getting my BSN and haven't persued it b/c of the cost. I wouldn't make anymore at...

  20. ER nursing and pregnancy...

    nkochrn replied to ND76's topic in Emergency

    CONGRATULATIONS!!! I worked right up to a few days before my DD was born. I work in a rural setting, where we don't usually have more than 1 or 2 ER's if any. My job probably isn't quite as fast...

  21. Psych Patients Receiving Poor Care in the ER

    nkochrn replied to SuperPsychdRN's topic in Psychiatric

    HOW SAD!!! I actually have some issues with an ER frequenter. He has had every test imaginable done I think and seen every kind of specialist there is. He said he went to a mental treatment...

  22. What are the obstacles RN's face when trying to document charges for a patient?

    nkochrn replied to gscott's topic in General Nursing

    We have paper MARS still for a while. We have a charge box at the bottom where we check off if the patient has and IV, PCA,Gomco, Bladder Scan, Traction, CPM, hypo/hyper therm unit or Telemetry. At...

  23. Teaching psych, what is most important/valuable?

    nkochrn replied to ruralnurs's topic in Psychiatric

    OOPS, just realized the name of the movie was Sybil!

  24. Teaching psych, what is most important/valuable?

    nkochrn replied to ruralnurs's topic in Psychiatric

    I thought I had a pretty good psych teacher in my ADN program and enjoyed learning about it, but I HATE dealing with it. LOL Don't have much choice in a rural ER though. I wanted to suggest a movie...

  25. Flattering scrubs for plus sizes?

    nkochrn replied to lms6241's topic in Scrubs, Uniforms, Gear

    I'll have to check out Dickies W. I didn't know they had that. They're pants don't fit me quite right though anymore I used to love the ones I had