VICEDRN BSN, RN

ER

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All Content by VICEDRN

  1. VICEDRN

    Sometimes you just can't bite your tongue.....

    VICEDRN replied to hiddencatRN's topic in Emergency

    Sorry. Had to laugh. Been there done that. Drama queens are the same everywhere you go I guess. Just to remain mysterious... I would have added, "our provider in this area is very methodical and...
  2. VICEDRN

    If you could do it all over again, would you choose nursing as your career?

    VICEDRN replied to jordanl's topic in General Nursing

    Nope. Would have and should go to med school
  3. VICEDRN

    "I DEMAND an antibiotic. I am the customer and I am paying your salary"

    VICEDRN replied to Nascar nurse's topic in General Nursing

    laugh...or we might all cry. people are really just too
  4. VICEDRN

    Why is it important to know patient's insurance info?

    VICEDRN replied to Despareux's topic in General Nursing

    I have no idea. I have never met a nurse or doc who does this in the ER unless a particularly expensive medication is prescribed at discharge...In this case, the MD checks with the patient to ensure...
  5. VICEDRN

    How much of a raise did you get this year?

    VICEDRN replied to thesundowner's topic in General Nursing

    Huh? Haven't seen a raise since I started nursing two years ago...hospital says maybe it might do be "forced" to this
  6. VICEDRN

    Do you give mag off pump?

    VICEDRN replied to BellaInBlueScrubsRN's topic in Emergency

    The PharmD found a research study that clearly demonstrated that asthma patients who are given 2g Mag as an IV bolus were less likely to be intubated and die as a result of their asthma attack. I run...
  7. VICEDRN

    Patients being discharged prematurely

    VICEDRN replied to Patti_RN's topic in General Nursing

    The purpose of providing charitable care is to provide care to those who actually need it. It is not meant to be spent on triaging someone x3/shift so they can sleep in the waiting room. This is not...
  8. VICEDRN

    Vent about management......

    VICEDRN replied to nicenurselpn's topic in General Nursing

    Ha! I feel like its the opposite in my area...all of the green inexperienced young mothers are stuck full time and working holidays. All of the experienced RNs go PRN, part time or contract and would...
  9. VICEDRN

    What I have learned to HATE about Nursing

    VICEDRN replied to OhioCCRN's topic in First Year After Licensure

    Where did you find this mythical attending? All I see are off-service residents...and er MDs and residents. lol. As for OP, I second the complaint about family members with unrealistic requests and...
  10. VICEDRN

    Bedside charting?! Is this the new norm? VENT!

    VICEDRN replied to RockinChick66's topic in General Nursing

    This actually happened to me. We had bedside computers at my last job and I decided to use one of them to chart. When the manager rounded the ER, the patient and family complained that I spent more...
  11. VICEDRN

    It only takes a few extra seconds....

    VICEDRN replied to mindlor's topic in General Nursing

    maybe we can talk again when you are managing your own patient assignment by yourself and you are hard pressed to find that "few extra moments" for someone who has customer service requests (as...
  12. VICEDRN

    Patients being discharged prematurely

    VICEDRN replied to Patti_RN's topic in General Nursing

    1. Just to stay on point...the question posed by your original post was premature discharge. I see no evidence in any of your additional posts that suggests that this patient required additional...
  13. VICEDRN

    What CAN they do? (a vent)

    VICEDRN replied to Nurse Leigh's topic in General Nursing

    I have this picture in my head...in it, there is a meeting and in the meeting, every speciality service comes. This includes security, RT, OT, PT, speech, dietary, social work, etc. They all decide...
  14. VICEDRN

    Is attending a patient's funeral overstepping "the" boundary?

    VICEDRN replied to BostonTerrierLover's topic in General Nursing

    GO! This is not an uncommon practice among nurses around
  15. VICEDRN

    Patients being discharged prematurely

    VICEDRN replied to Patti_RN's topic in General Nursing

    I am sorry...I have read the thread and I see no evidence that the ortho patient required further treatment for his medical condition. He recieved surgery and discharge instructions. Precisely what is...
  16. VICEDRN

    Frequent Flyers

    VICEDRN replied to RustyMedic's topic in Emergency

    I saw a recent article about how hospitals in washington started to address their frequent flyer problem after the state legislature was considering a law to limit medicare patients to 3 visits a...
  17. VICEDRN

    Jaded

    VICEDRN replied to RustyMedic's topic in Emergency

    take.vacation.days. i notice i am less jaded when i have been on vacation. and...keep it to 3 a week. no overtime. if you prn somewhere, prn in outpatient surgery or pacu or med/surg but not in...
  18. VICEDRN

    ED Diversion

    VICEDRN replied to Pudnluv's topic in Emergency

    We have to go through the house supervisor who first tries to facilitate the resolution of any underlying issues like bed holds or lack of OR space or lack of ventilators, etc. In the last few months,...
  19. VICEDRN

    Where is the Respiratory Therapist?

    VICEDRN replied to BostonTerrierLover's topic in Patient, Colleague Relations

    I am not a big fan of RT for the reasons LostCauseCCRN mentioned. They know their scope is encompassed in ours and they abuse that fact, especially in the ER where they seem to just *love* to avoid...
  20. VICEDRN

    Who is responsible to check the emergency cart?

    VICEDRN replied to tony2020's topic in General Nursing

    An RN in my ER assigned to the area. The charge nurse is responsible for assigning that responsibility to an RN and ensuring it has been
  21. VICEDRN

    How would you change Healthcare Delivery?

    VICEDRN replied to BostonTerrierLover's topic in General Nursing

    1. A universal electronic medical record for every.single.patient. 2. A single payer system/universal coverage system with low co-payments. 3. Scaling back EMTALA so we do not have to see every single...
  22. VICEDRN

    What is up with all the Dilaudid?

    VICEDRN replied to rgroyer1RNBSN's topic in Emergency

    The two ERs I have worked in aggressively use Morphine as opposed to Dilaudid and this is my preference. I think I would have a difficult time working in an ER that aggressively uses Dilaudid. I have...
  23. VICEDRN

    Scrubs in the Emergency Department

    VICEDRN replied to Krystall's topic in Emergency

    scrubs.white ones too.Good
  24. VICEDRN

    Pts right to refuse treatment

    VICEDRN replied to joanie2341's topic in Emergency

    The situation described is absolutely unacceptable! Unless your patient is intoxicated, under a psych holding order, has a cognitive problem like Alzhiemers or is a minor, she can not be forced into...
  25. VICEDRN

    Nurses, Clients and Power

    VICEDRN replied to Anxious Patient's topic in General Nursing

    GEDPAR: For the record, I spent five years in this corporate world you speak of, I NEVER worked as hard as the laziest (yes there are plenty of them) nurses I have met in the years I have been a...