jenfromjersey

I had a similar situation occur with a doc. It was a Percocet order. He told me to give 2 tabs and then when I gave it and asked him to put the order in so I could document I gave it, he said he only wanted one tab not 2. When I said that he clearly ...

We have a midlevel provider in triage every day from 11am until 9pm. After a quick triage (vitals, brief complaint and ESI level only) they are seen by the midlevel (in separate area) and orders placed in computer. After that, they are called into a ...

Don't be so hard on yourself. It sounds like you are doing fine and that you have the support that you need in order to be successful there. Don't get caught up in the little nuances of the doctors. That comes in time and right now your focus should ...

I have been a nurse for 15 years, the last 10 of which I have spent in my current hospital. I worked on a med/surg floor, then telemetry, then a holding unit prior to moving to the ED about 5-6 years ago. Having seen both sides of the issue, I can...

I have a two nursing degrees, going for a third and have a whole lotta common sense. When I see stupid or hear stupid orders I may or may not carry them out..here are my all time favorites: 1) Male patient with active lower GI bleed...HGB of 5...Hypo...

My hospital has a detailed policy specific to minors presenting for treatment in the ED. We are obligated to provided emergency life saving care regardless of consent when the situation is warranted. However, if a patient presents with a non-life thr...

I received my original nursing degree from Middlesex and went to Rutgers as an RN to get my Bachelors in Nursing, graduating from that program in 2003. My classes were mostly on-line and when I needed to meet on campus, they were in the evening. I wo...

I would LOVE, LOVE, LOVE to have a 3:1 ratio with techs who have the same? and medics or EMTs? Seriously? We start out the shift with a section that has 5:1 ratio. We start the morning with 5 nurses. so that's a max of 25 patients which includes a mi...

I agree with all of the comments. I work in a community hospital that is always overcrowded. We have a 5:1 ratio..sometimes more depending on the day. We always have hallway patients. We always run out of pillows and blankets. I do the best that I ca...

We call report to floor on all patients. No fax report. Med/surg admissions go into a transport tracking system via phone. The transport dept sends someone to transport the patient to the floor. Telemetry admissions are taken to the floor by an ER t...

The following study appeared in the Annals of Emergency Medicine: The Role of Oral Ondansetron in Children With Vomiting as a Result of Acute Gastritis/Gastroenteritis Who Have Failed Oral Rehydration Therapy: A Randomized Controlled Trial . Annals...

traumasrus and altra: my reaction to the IV contrast was in response to this particular case being discussed. There is no question that in cases of critical emergencies such as ruling out of AAA, arrangements can be made to perform this study. Howeve...

Wait a minute..because I think I'm missing something here. Aside from the whole Cipro thing...is anyone else wondering why a dialysis patient was getting IV contrast injection? Isn't this raising any red flags? I've seen patients with renal insuffien...

re: the room being ready...granted there are some good apples that call me back..I already know who they are so when they tell me something they are usually pretty true to their word and I believe them. However, I've been burnt far too many times to ...

Tex, played "stuck out in triage" for my co-worker who was stuck out in the box (triage) yesterday. There was a 15 minute period yesterday morning where there was no one signed in to be seen (shocking as that is) and the 2 of us were laughing so hard...

I started my college education in a psycho-social rehabilitation program as psych was always an interesting field to me. Unfortunately, after about a year I found that the starting salaries once I graduated would be equal to or less than what I was a...

I welcome any and all NJ residents (not just nurses) to write to their legislators. The reason I made reference to union facilities is because one of the legislators that responded to my letter suggested that I refer to my collective bargaining agre...

The NJ legislature has a bill sitting in committee Bill A2629 that would, if passed, require NJ employers to provide rest and meal breaks for their employees. I know it seems hard to believe that there is no law requiring this already. But there is N...

Hilarious..love the manic monday..how true

We are not a screening center so we do not have seclusion rooms like other ERs I have worked that were. When a patient comes in and is deemed risk to self or others, they are placed on a 1:1 observation. One of the ER techs is pulled from their assig...

The nurses with 20+ yrs of experience had enough and got out. Over the last yr, I've been invited to many goodbye, good luck dinners. Some really great nurses who I learned alot from finally said enough with the BS and are now working at less stressf...

No self scheduling here. They tried it on another unit I worked on but couldn't make it work because everyone always ended up wanting the same days and there were days NO ONE wanted (like before and after holidays). Became resentful that certain peop...

"Ok I'm guilty of this- just did it Friday when I took my daughter to the ER. She was laying on a litter, visably shivering, & the nurse gave her a SHEET. I asked for a blanket, nurse disappeared, n did not come back. So I got her a blanket! The ...

How about the ones that accompany their family member/friend in the triage booth in street clothes wearing their hospital badge? Like knowing you're an employee is going to make me treat your uncle's toenail fungus any more urgently. What a joke.

Having worked on med-surg and tele floors in the past in my current hospital, I have the luxury of knowing many of the nurses I am giving report to. This makes it easier for me when I call because they can't pull the "you don't know what it's like on...