auntrh

be VERY careful about labeling a pt. I understand where yall are coming from. I have seen many fake seizures.....but.... I have epilepsy. I was having very frequent seizures for unknown reasons. had a doc who foolishly, along with several nurses & staff members, claimed and documented "psuedoseizures". was actually discharged like this and my family took me straight to another hosp where I was seen by a neurologists. had a stat EEG and was having cont seizure activity. not only did the doc and nurses that labeled me as faking look completely foolish but could have set themselves up for some serious liability. yes.....it is very annoying to have a pt fake a seizure for attention......but not everyone seizing has the same symptoms. their main reason with me was because of no loss of bowel control. A neuro has sinced diagnosed and treated my epilepsy (catamenial) and I haven't had a seizure in 3 years! while that doc and those nurses are very intelligent they are now looked upon as completely foolish. remember we are dealing with a persons life.......not how annoyed we are! Be very careful trying to play God and decide if a pt is faking!

Hi........ I am an FNP student from Frontier based in Kentucky. I live in the Waco, TX area and desparately need to find a FNP as a preceptor. I will start clinicals in January '09. Does anyone know of a FNP in this area that would be willing to precept? I would be willing to travel if needed. Thanks in advance!

I've worked both, big and small......... and have to say that I got the most experience at the small hospital. We don't have ICU, surgery, or OB, but we are rural and see a lot of traumas, etc. Remember, big things happen in small towns - we've seen gunshot wounds, stabbings, major mva's, etc. And emergency precip deliveries in an Er that doesn't even have a warmer......talk about experience. You get it when you don't have respiratory there to help you, you and two other nureses are the only nurses in the house, you are the code team, respiratory, housekeeping when needed, the IV start crew, etc. We occasionally get nurses from larger facilities that are exceptional - truely excellent in their focus area, ie cardiac, icu, etc. However, ask them to do an EKG, give a neb treatment, etc. and they don't have a clue. So, I would summarize by saying that yes, experience in a large hospital is great, however, I would say that the experience of a small, rural hospital is priceless! I feel comfortable with the unstable pt that was just stabbed multiple times, the kid with status asthmaticus, and the elderly person in CHF. I think that every nurse should have to work in a rural hospital and get a feel for what rural nurses go through on their shift.......

Hi everyone...... Is anyone using CPSI for their EMR, and if so, are you using E-forms for ER charting? We recently went to computerized charting and haven't yet included the ER. I'm curious what ya'll think that have used the system and how you went about building the e-forms. Thanks! :typing