Larry77

Larry77 RN

Trauma/ED

Member

  • Content

    1,158

  • Visitors

    9,687

  • Followers

    0

  • Likes

    16

All Content by Larry77

  1. Epic Charting System

    Larry77 replied to mbutler14's topic in Emergency

    I've used both computerized Tsystem and now Epic, you will hate Epic at first. It is not nearly as straight forward as Tsystem but after awhile you will get used to it and have a new normal. There...

  2. Are all these certifications worth it?

    Larry77 replied to jvl2's topic in Emergency

    To me it depends on what your long term goals are. Do you plan on staying in the ED? If so, you probably do not need to maintain your cardiac specific certs. In the ED we have plenty of courses to...

  3. difficult ETOH pt

    Larry77 replied to shearernurse's topic in Emergency

    I would talk to your Medical Director and come up with an ED care plan, you do not need a PCP for that. On some of ours over the years we would have a plan in place to only treat objective findings...

  4. Protecting yourself from disgruntled patients

    Larry77 replied to psychRNmom2's topic in Nurse Management

    It was an uncomfortable change for me because I also came from the Inpatient Psych world, but I have not run into any issues. Usually I'm one degree away from what the patients are "disgruntled"...

  5. Job interview

    Larry77 replied to startledbyFishes's topic in Nurse Management

    Most facilities are going with "Behavior Based" questions like, "Tell me about a time when...". I would have a few stories in mind that happened to you, a touching one, one involving conflict...

  6. BSN or CEN?

    Larry77 replied to montecarlo64's topic in Emergency

    I look at both but I am strongly encouraged to only hire BSN prepared RN's. We are on the "Magnet" journey so we are required to have 80% BSN RN's house-wide. That being said I would not discourage...

  7. After the Evidence

    Larry77 replied to NCineas's topic in Nurse Management

    Your statement, "staff want to be managed" I find is not true. I feel like that translates to micromanaging and I do not think staff appreciates that at all. I think staff need a strong leader yes,...

  8. From various posts that I have been reading regarding management

    Larry77 replied to Janis Joplin's topic in Nurse Management

    This question is very specific to the type of facility and/or the organization. I can give you a quick hospital answer but even that is variable depending on the organization. In a hospital you...

  9. Help with college paper

    Larry77 replied to imadoll1980's topic in Nurse Management

    FYI, requests like this do not usually go over well on this site. Most of us are here to see how things are done in other facilities, to vent, to get advice, but not to help others with homework....

  10. 8-vs-12 hour shifts?

    Larry77 replied to justDebi's topic in Nurse Management

    Almost all

  11. Team nursing in the ED

    Larry77 replied to floridaRN38's topic in Emergency

    Primary nursing is the direction most of the country will probably be going because patient satisfaction is so important. Patient's give better scores if they have the same nurse and are not passed...

  12. Anyone using Q-CPR?

    Larry77 posted a topic in Emergency

    Our code committee is changing our policy to include the use of the Q-CPR device on all of our codes and I'm just wondering if anyone has used it before? I played with it a little yesterday but I'm...

  13. how to deal with management?

    Larry77 replied to takeiteasynyc's topic in Emergency

    I'm used to promotions or opportunities (like working in trauma) coming after hard work, not after someone asks for it. If you put your head down, show up to work, and get along with your coworkers...

  14. Hindrance to professional growth

    Larry77 replied to exit96's topic in Emergency

    Wow, I've never heard of this as a policy. What part of the country is this in? I've been wearing scrubs for 20 years and have worked in many hospitals in the NW as agency and I have never been told...

  15. Being an ER Nurse, is it worth it?

    Larry77 replied to Levitas's topic in Emergency

    I'm curious why the ED Manager is looking for you to apply, do you know him/her or someone from that dept? If so, what do you know about the department, are people happy there? I ask because the...

  16. Shouldn't that patient go the ICU??

    Larry77 replied to psu_213's topic in Emergency

    If you knew the nurses name could you send him/her an email to ask why they charted what they did. Maybe you could meet for coffee and discuss both points of view? I'm sure she was covering her bum...

  17. Anyone work with NPs who deal with actual emergencies?

    Larry77 replied to rse3's topic in Emergency

    We had a lot of PA's that worked with the Trauma service and some of the other specialties (Surgery, ENT, Urology) but I don't think I've seen many NP's. I'm used to seeing them in the clinic and the...

  18. Iv mag or k+ which do I hang first?

    Larry77 replied to JenniferG rN's topic in Emergency

    I was merely being facetious. This is an interesting topic and I was pointing out that it is not a typical discussion that is had in ED's, but rather one that my ICU friends would spend time looking...

  19. Iv mag or k+ which do I hang first?

    Larry77 replied to JenniferG rN's topic in Emergency

    Isn't this an ED Nursing thread? Start another line and run them both if you are worried about running them together. Save me from this ICU'ish intracellular speak

  20. Drug Seeker Stories

    Larry77 replied to ER-RN2's topic in Emergency

    Yeah I think we rewarded him for his determination after that :-) When he came back he had added to his care plan that he was to be escorted off the campus by security when

  21. Drug Seeker Stories

    Larry77 replied to ER-RN2's topic in Emergency

    We had a regular that we wouldn't give narcs to for his "complaint of the day", he was DC'd from triage and then he walked over to our 2 story stair well and jumped! Bilat Tib/Fib fx's, said, "Now...

  22. Considering applying for nurse manager....

    Larry77 replied to psychRNmom2's topic in Nurse Management

    I would really look at how your philosophy aligns with the organization and your Director. What has the turn-around been like in the position you are applying to? Do you want to spend your life in...

  23. I don't know if I want ER or ICU

    Larry77 replied to tarotale's topic in Emergency

    I think the best thing about the ED is the variety of patients. We can be taking care of an infant one moment then a 90 yr old the next. I also like the teamwork with the MD's as they are right...

  24. Difficult situations

    Larry77 replied to Runner1989's topic in Emergency

    I used to spend a lot of time thinking about how terrible the tragedy was for the victims that come to us and almost guilty for my own happiness but one time my wife gave me the best advice I've ever...

  25. Are headaches a contrainidcation for 12 hour shifts?

    Larry77 replied to studentnurse9806's topic in General Nursing

    And now I remember why I don't usually read "General Nursing" page. Sad