VICEDRN BSN, RN

ER

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All Content by VICEDRN

  1. VICEDRN

    now what.

    VICEDRN replied to pm2rn's topic in Emergency

    The joint commission rule says you can't have an uncovered beverage in a patient care area, this is why patient meal trays all come with covers over the food and drinks. For staff, this means you...
  2. VICEDRN

    Any hospitals hiring exp Med/surg nurses to fulfill specialty needs

    VICEDRN replied to gcupid's topic in General Nursing

    I disgree. The ER nurses I work with that came from the floor are forever floor nurses that came to the ER. It just shows in their work. They fail to respond quickly to changes in patient's...
  3. VICEDRN

    Fallout of Obamacare Question: Best Advanced Nursing Degree To Pursue?

    VICEDRN replied to asiangal's topic in Post Graduate Students

    I don't think the ACA will have an impact on the various and sundry roles of providers. Personally, I think the MDs are just whining. They will have to stay on board whether they like it or not. Ha...
  4. VICEDRN

    Transfusing blood in an emergency situation

    VICEDRN replied to Enthused RN's topic in Emergency

    We also use a level 1 and keep blood products in trauma center. 6 units O- and six o+. We run em in as fast as we can. A couple of weeks ago I actually ran blood on a pump for the first time since...
  5. VICEDRN

    Sickle cell

    VICEDRN replied to inteRN's topic in Emergency

    My last ER drew retic counts prior to administering narcotics to most sicklers. Fluids and o2 are better treatments for sickle cell crisis anyway!! We had several sicklers that we knew well enough...
  6. VICEDRN

    My Reasons For Avoiding The Acute Care Hospital

    VICEDRN replied to TheCommuter's topic in General Nursing

    I can't disagree with this sentiment. I was an EMT before becoming an RN and I have to say I can't believe all the drama the joint commission brings to bedside nursing. For example, the drama with...
  7. VICEDRN

    Er triage assessment

    VICEDRN replied to karbearfly's topic in Emergency

    I actively avoid the term "lethargic." First, it apparently has serious connotations to MDs and second because it doesn't tell me anything in particular. I chart...pt responds slowly to questions,...
  8. VICEDRN

    The math doesn't add up

    VICEDRN replied to noyesno's topic in General Nursing

    The wonderful irony, Nika? I am also "with the dark hair that's in a bob". A cute one too. Just sayin'. You stealing my thunder now? Ha Ha. My name is also fairly common though not as common as Amy...
  9. VICEDRN

    What would you do?

    VICEDRN replied to KyPinkRN's topic in Emergency

    I used to work in a hospital that had closed its L&D in favor of its sister hospital and we have people stumble in all the time. I agree that its an EMTALA violation when they are sent from...
  10. VICEDRN

    Central line protocols

    VICEDRN replied to brainkandy87's topic in Emergency

    No. We don't have this policy. Frankly, if you have someone refusing report, say " ok, if you refusing report, I will contact bed management. If they believe their story, they will stick with it....
  11. VICEDRN

    Should Healthcare Be Funded As A Basic Human Right?

    VICEDRN replied to jayp's topic in Activism, Healthcare

    I remember the year my then second grader had three kids in his class CHOOSE to get pertusis. They were all immunized but a recent influx into our county that weren't immunized ended up sending it...
  12. VICEDRN

    The math doesn't add up

    VICEDRN replied to noyesno's topic in General Nursing

    I tell my patients my name twice during room orientation and while they can describe me and tell you nice things about me, they NEVER remember my name. In fact, I was just warned that I needed to get...
  13. VICEDRN

    My first pediatric code...still shaken

    VICEDRN replied to rnparker's topic in Emergency

    If a patient was on a o2 mask when they came in, they need to md promptly assuming that ems provides a valid reason for putting them on it (and its not just something they do to everyone). Kids often...
  14. VICEDRN

    Should Healthcare Be Funded As A Basic Human Right?

    VICEDRN replied to jayp's topic in Activism, Healthcare

    You can keep repeating the "black market" argument even after I told you that there is no secondary market is the uk or Germany because in fact, they are perfectly satisfied with their care. As for...
  15. VICEDRN

    Should Healthcare Be Funded As A Basic Human Right?

    VICEDRN replied to jayp's topic in Activism, Healthcare

    Frankly, there isn't a point in splitting hairs over lecturer and professor. One is tenured; the other is not. The fact is the man teaches law to law students and his area of expertise is...
  16. VICEDRN

    Should Healthcare Be Funded As A Basic Human Right?

    VICEDRN replied to jayp's topic in Activism, Healthcare

    We publicly fight fires because it can spread from house to house as health epidemics do. No point in vaccinating your child if the 19 other kids in the class doesn't have a vaccine. The theory is...
  17. VICEDRN

    Should Healthcare Be Funded As A Basic Human Right?

    VICEDRN replied to jayp's topic in Activism, Healthcare

    Again, you pick and choose what you respond to. You said people would game the system of they could and I tell you that they don't but you ignore them. As a consequence, I am not surprised that you...
  18. VICEDRN

    Should Healthcare Be Funded As A Basic Human Right?

    VICEDRN replied to jayp's topic in Activism, Healthcare

    Did you look at England and Germany? You can buy private insurance in England. About 8% of people do. It really isn't worth it to them to do so. They are generally satisfied with their care. In...
  19. VICEDRN

    Should Healthcare Be Funded As A Basic Human Right?

    VICEDRN replied to jayp's topic in Activism, Healthcare

    Look at the study done in oregon when they did a medicaid lottery. there are better outcomes here in this country for patients that are funded... second, arguing the legality of the law is kind of...
  20. VICEDRN

    Should Healthcare Be Funded As A Basic Human Right?

    VICEDRN replied to jayp's topic in Activism, Healthcare

    Please do not call 911 like ever. We fund "this or that" police and firefighter services. Also, when your house catches on fire because your neighbor's is also on fire, please do not call your...
  21. VICEDRN

    Dear Nursing Students/Orientees: A Love Note from the Preceptor from Hell

    VICEDRN replied to CheesePotato's topic in General Students

    Showing some solidarity with squatmunkie. Hazing people isn't ok because someone did it to you. It isn't necessary to give people "tough love" to help them learn. In fact, people learn better when...
  22. VICEDRN

    better way to handle the BS

    VICEDRN replied to pm2rn's topic in Emergency

    Oh I know because we send them there but this poster is asking about cutting back on bs. I assume op knows that eliminating it is impossible. Didn't mean to minimize your own set of problems.
  23. VICEDRN

    Nasty feet

    VICEDRN replied to Stcroix's topic in General Nursing

    No you know why we leave the shoes on in the er. You should've too. Ha ha (Yes, I know why you took them
  24. VICEDRN

    better way to handle the BS

    VICEDRN replied to pm2rn's topic in Emergency

    Go to a big inner city er where wait times stretch 10-12 hours and there is less emphasis on customer service. Or go into icu where only sick people
  25. VICEDRN

    What are the nurse's rights regarding difficult family members?

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

    I'm going to tell you plainly: stop putting up with it. This person is doing what she can get away with. Call the police next time she threatens or abuses one of you. Priod. End of story. If this...