Rickbos

Rickbos

ICU,OR,PACU,ER

Member

  • Content

    31

  • Visitors

    2,514

  • Followers

    0

  • Likes

    0

All Content by Rickbos

  1. Registration By RNs in Triage or ER Registration Clerk?

    Rickbos posted a topic in Emergency

    We are trialing a new triage system to hopefully improve flow that has the triage RN do a portion of the patient registration, apply the ID bracelet, do the triage assessment, and then place them in a...

  2. 'cattle calls' in ER waiting room?

    Rickbos replied to BaptistBites's topic in Emergency

    We used to use pagers but 2 or 3 times a day I would "beep" the next patient and wait & wait & wait, and "beep" again ....but nobody would respond. I swear someone's garage door in the...

  3. Triage protocols. what does your ER use?

    Rickbos replied to lifsavER67's topic in Emergency

    Its all determined by total amount of resources utilized as outlined in Emergency Severity Index Version 4: Everything you need to know 5 LEVEL TRIAGE SUMMARY ESI 1 Needs life saving...

  4. Charge/Triage RN Position

    Rickbos posted a topic in Emergency

    Hi Does anyone work in an ER where the Charge RN is responsible for the whole ER for their shift, triages all patients, and also has a patient care assignment in the ER? If so what type of patient...

  5. Charge/Triage RN Position

    Rickbos replied to Rickbos's topic in Emergency

    That is exactly how I feel about the safety aspect of having the charge nurse do triage and have a patient assignment. It is a set up for a bad outcome. Thanks for your

  6. Registration By RNs in Triage or ER Registration Clerk?

    Rickbos replied to Rickbos's topic in Emergency

    Thanks....

  7. Registration By RNs in Triage or ER Registration Clerk?

    Rickbos replied to Rickbos's topic in Emergency

    Do you, as an RN, have to enter the patient name, DOB, ER doctor, and print out an ID bracelet & stickers as part of triage as part of your electronic

  8. Registration By RNs in Triage or ER Registration Clerk?

    Rickbos replied to Rickbos's topic in Emergency

    We were proposing the patient upon arrival(if well enough to do so) fill out a carbon less copy triage form that has basic demographics(name, DOB, complaint, & med list). One part of the carbon...

  9. Happy Emergency Nurses Day!!

    Rickbos replied to Lunah's topic in Emergency

    We must have upset some folks in the front offices because we never heard a word from any of them on ER Nurses Day..... Amazing, life goes

  10. function for half sheets in triage

    Rickbos replied to nurse ninja's topic in Emergency

    We use a patient generated triage form that has Name, DOB, Reason For Visit, PCP, Meds & Allergies. Because we are in a resort area, we ask for a telephone # they can be reached at while they...

  11. Help with decreasing ED wait times ...

    Rickbos replied to RNSurf's topic in Emergency

    Somehow the emphasis with ER care has been put on giving the patient the "false sense" that they are getting treated better by rushing them back in to a room in the shortest amount of time regardless...

  12. High acuity patients in Minor Care and low ER staffing

    Rickbos replied to FNPveteran's topic in Emergency

    The Press Ganey pacifying "immediate bedding" management idea violates the original concept of triage.... "treatment as per acuity". If you want "first come first serve" go to the deli counter or...

  13. Summer lull?

    Rickbos replied to emtb2rn's topic in Emergency

    You are experiencing a lull because all your patients are summering in my ER on Martha"s Vineyard. Please put a return address on your folks so we can send them back to the correct point of origin...

  14. How do you triage? How do you assign levels?

    Rickbos replied to RhiaRN75's topic in Emergency

    After watching the the 5 Level Triage DVD a couple years ago I made up this little cheat sheet to help me remember the ESI levels. This is solely based on the instructional dvd and really the 5...

  15. Triage Standing Orders for Lab and X-rays

    Rickbos replied to Rickbos's topic in Emergency

    Thanks for your ideas. Since I posted the original message I have worked it out our ER registration folks to register the patient in a timely manner to eliminate the problem I originally had. All is...

  16. Triage Standing Orders for Lab and X-rays

    Rickbos posted a topic in Emergency

    We have a triage policy that allows the triage nurse to send certain complaint specific labs off out off triage and x-rays on obvious deformities. We do not have electronic order entry and the...

  17. Largest Nurses Strike in US History - Replacement Nurses Arrive - Your opinion

    Rickbos replied to girlvet's topic in Collective Bargaining, Union

    If we continue to accept assignments that go beyond a nurse's ability to deliver safe care and do nothing to improve the situation, we are endangering the very patients you feel a nurse that chooses...

  18. Triage Standing Orders for Lab and X-rays

    Rickbos replied to Rickbos's topic in Emergency

    That would not be needed. I neglected to say that the labs we have standing orders for are strep screens, Urine for C&S, and UCG. We rarely send blood off from triage and that would involve a...

  19. We no longer triage

    Rickbos replied to Guest219794's topic in Emergency

    I have heard of this concept but have always felt it fell short of the intended purpose/function of an ED. EDs are supposed to deliver "prioritized" care to those with "emergent" issues as per the...

  20. Sketchy propofol dosing

    Rickbos replied to canoehead's topic in Emergency

    RNs do not administer Propofol IVP at my facility, just via drip with vented patients. We do use capnography when we do conscious sedation and that would have have verified/documented your apnea...

  21. Good Press Ganey for ER. Possible??

    Rickbos replied to 5n2_is4u's topic in Emergency

    I did have an idea that was not put into play that addresses the "Frequent Flyers" you originally asked about. It was a "Frequent Flyer Card". The patient has to present it in Triage every time they...

  22. Good Press Ganey for ER. Possible??

    Rickbos replied to 5n2_is4u's topic in Emergency

    What ever happened to the good old days when you could say...."We're here to save your a_ _, not kiss it!" Yes, I know they are long gone. The former "patient" is now the "customer" and patient...

  23. Emergency Department 23 hr Observation Patients

    Rickbos posted a topic in Emergency

    We are about to open a new ER and the plan is to keep some patients that presently would be admitted to an inpatient unit, prior to the new hospital. The reason the ER is coming into play now is that...

  24. Emergency Department Ambulatory Access

    Rickbos posted a topic in Emergency

    I was wondering how many hospitals allow ambulatory patients & visitors to access the ER directly through the ambulance bay? I work in a hospital that for 35 years, has allowed the ambulance bay...

  25. Best ER Nurse quotes

    Rickbos replied to JennyAS's topic in Emergency

    I once heard one of my co-workers, with a straight face, tell a frequent flyer, drug seeking patient in triage........"Pain is natures way of telling us to slow down." followed by about 30 seconds of...