marcicatherine replied to E.D.ucated's topic in Emergency
This 3:1 and 4:1 ratio sounds like a dream to me. We have a 31 bed ER and work it with a teamleader, 4 nurses, 2 triage nurses, 1 tech, 1 lab person and 3 docs. 3 of the nurses work the main ER...
marcicatherine replied to Mushu's topic in Emergency
Along the same lines..... Patient holding the "puke pan"......family runs out of room to nurses station, screaming "he's gonna puke!!" My response...."so
marcicatherine replied to ER Tigger Girl's topic in Emergency
I think the way to deal with most of these situations is just use firmness. I always fall back on the saying "I don't make the rules, I just enforce/follow them. It seems to work most of the time....
I worked triage today. EMS radio went off. Transporting a 57 y/o female. Pt was seen at a rural clinic today and was sent to our facility with a c/o cyanotic hands, lips, and ears. She was seen 2...
I am an RN in a very busy ER in Arkansas. I am curious about the effect the flu is having on other ER's around the country. I work 8 (7-3) hour shifts. Over the last month we have been...
marcicatherine replied to ensense's topic in Emergency
Our ER has employed customer service reps. They walk around and talk with patients, get blankets, hand our coloring books and crayons to kids and most importantly explain wait times. I think it has...
marcicatherine replied to ellencrn's topic in Emergency
I also say CALL THE POLICE! We do not tolerate violence against staff. We have had several patients taken away in cuffs. I don't know why the public, or staff for that matter, think that just...
marcicatherine replied to ensense's topic in Emergency
I have a theory on the Press-Ganey thing, as we are also under that microscope. The main complaint we get in our ER is wait times and the doctors are not attentive to the patients pain needs. I...
marcicatherine replied to marcicatherine's topic in Emergency
I spent another LOVELY day at triage. Once again, rooms full, 20 down out front at 1030 am. I love my job! "Fever, cough, congestion, body aches, vomiting" rang in my ear about 75 times. and my...
Last night my 8 year old daughter started complaining of a sore throat, headache and both ears hurting. As all parents do, I felt her head...a little warm. I took her temp..100.3. I have her some...
marcicatherine replied to marcicatherine's topic in Emergency
I wish I had a dollar for everytime I have heard parents say "We didn't give him nuttin fer his fever, we wanted you to see how high it was" or "i gave her Tylenol about 8 hours ago but it ain't...
marcicatherine replied to NYCRN16's topic in Emergency
Here's a funny about the pain scale. I once heard my charge nurse talking to one of our "frequent flyers". She was in for a migraine........again, the 3rd time that week. Anyway, the charge nurse...
marcicatherine replied to marcicatherine's topic in Emergency
Actually, it would have been cheaper to go to the ER. First of all, I probably could have gotten one of the docs to see her for free. But I made the choice not to abuse my position. Second, I...
marcicatherine replied to athomas91's topic in Emergency
I love this stuff, let's see, what can i add Once had a lady say she had been using triple-antibiotic ornament on her sores Lots of people vomic and need Phenegrin (which i hear nurses say it that way...
marcicatherine replied to RNCENCCRNNREMTP's topic in Emergency
We recently installed TV's in all the rooms in the ER. They are also mounted high on the wall and the remote is built into the call light. I also think it has been a wonderful thing. The sure...
marcicatherine replied to MrsWampthang's topic in Emergency
Ok, i have a story to add. We have a woman that comes into our ER at least once a week. She brings her children in with various illnesses. The children are a 12 y/o boy and a 14y/o girl. She is...