VICEDRN BSN, RN

ER

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All Content by VICEDRN

  1. VICEDRN

    Upfront payment for non emergent conditions

    We did this at my last job. Typically screened out patients: bug bites, abrasions from minor accidents, possible STDs with no symptoms (my partner said), preg tests without any symptoms), gout with...
  2. VICEDRN

    So disgusted with everything

    Seriously? Try to find another job. Not all hospitals are quite so vigilant in giving the customer everything they want so to speak. It sounds like the addicts have figured out your facility is the...
  3. VICEDRN

    Interruptions while giving report

    lol. i love posts that randomly refer to "people" when user names are clearly listed. Its an allnurses special. Can't seem to be that brave that you call people out on what you see (which I don't...
  4. VICEDRN

    How to deal with mean old men

    I tell them that unfortunately being insured doesn't dictate what kind of care we offer our patients as we are health care providers and must prioritize care accordingly. I would also say something...
  5. I think this nurse is and believe it or not, I have actually observed this phenomena in my very crowded er. Its unreal!
  6. VICEDRN

    Interruptions while giving report

    since i work in the ER, take this with that grain of salt...its definitely too much. (I note that you left out the head to toe you mentioned in your first post which is WAY over the top). I can not...
  7. VICEDRN

    Interruptions while giving report

    I was referring to the people on this board. There seems to be a consensus going that you are likely interrupted because you are giving too much detail. They likely think the evidence for this is...
  8. VICEDRN

    Venipuncture

    Yeah. i agree. you are freaking and its throwing the chi off in the room. Just relax, feel the stick and go with it. Don't think about it too hard. Picture the blood flowing into the tube. It...
  9. I don't work in this area but I can tell you from when I was a paralegal, the last thing this doc wanted was to touch the chart or patient when it reeks of a lawsuit. No on wants their name on it....
  10. VICEDRN

    Interruptions while giving report

    Gently...apparently other people don't really think so...:heartbeat head to toe? its a bit
  11. VICEDRN

    Interruptions while giving report

    Get over it. Your limited experience, like mine (almost 2 years), forces you to be more methodical and slow. Other people are bored. Frankly, i hate report. I absolutely hate it. Tell me what you...
  12. I have no advice but thanks for preparing me for yet another version of entitled patient and family meets realities of health care. We have set up the wrong expectations with this customer service...
  13. VICEDRN

    How honest are you?

    I have been honest with people, sometimes overly so. I try to stick with vagaries and broad statements but its not always enough. For example, I will tell people waiting in triage: "People who have...
  14. VICEDRN

    Do you find this article insulting?

    Pfft. I never take happy hospitalist that seriously and in some ways, his sarcasm indicates that he does have respect for nurses. (and yes I have read more than one of his articles) Thought he...
  15. VICEDRN

    When adults whine....

    Agreed. I get it. big hugs to you both. :redbeathe Stargazer, I fast track the whiners for discharge. I quickly look over their chart and figure out what is the quickest way I can facilitate their...
  16. VICEDRN

    insignificant complaint...lol

    In my hospital, nurses are referred to as Ms. VICEDRN or Nurse VICEDRN. The residents will occasionally call me by my first name and I respond in kind by referring to them as their first name. We...
  17. I hate to say it but as the voice of experience, I would have advised you to ask the doc for a one time order, accept the awful humility of the whole thing, learn from it and move on with your
  18. I concur. I love taking care of sick people but after closing in on two years of nursing, I wish I had chosen a different path and I am aggressively reviewing my options for leaving acute care...
  19. VICEDRN

    When did you start precepting/mentoring?

    I definitely agree that our unit seems to be more flexible with who can orient a student nurse versus a new nurse on the unit. Anyone with a year or so experience can orient a student nurse on my...
  20. No advice. Best of luck to you
  21. VICEDRN

    NS at 125 ml/hr is not an ER order

    I concur with the theory that it makes the patients feel like we are doing something, especially the hypochondriacs. They come in to feel "pampered" and "taken care of." They are already completely...
  22. VICEDRN

    Excessive smoke breaks

    I would chalk it up to occupational hazard of night shift. I love the night shift but I find that people like thus also gravitate to nights when there is less oversight. Since the manager is...
  23. VICEDRN

    Reflections needed on adrenalin junkie nurses

    I think you are being nuts! Inform this newbie that pushing you out of the way could be considered criminal and next time you might just press charges. In the next sentence, remind him that the...
  24. VICEDRN

    Pharmacists giving injections!?!

    I didn't say an RN should know when to intubAte though you should in my opinion. I said you should be able to identify respiratory distress which the pharmd
  25. VICEDRN

    Pharmacists giving injections!?!

    N=1, n=1? Pharmacist training isn't standardized? Some pharmacists are magically trained in assessment if they work at some other place other than where I work? Riiight! I am firmly against the idea...