bjaeram

bjaeram

OB, ER

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All Content by bjaeram

  1. ICE " in case of emergency " apps worth it ?

    bjaeram replied to Trekfan's topic in Emergency

    I have an iphone and have listed ICE as a contact. I have my husband listed separetly under his name and then the same number under ICE. When he calls both scroll across the screen so I still see...

  2. How do you induce passing gas post-op?

    bjaeram posted a topic in General Nursing

    So it's 12 days since surgery to remove a bladder and make a new one from intestine. Still no gas, nausea with the littlest bit of oral intake. Is this ever normal? The doctor doesn't seem...

  3. How do you induce passing gas post-op?

    bjaeram replied to bjaeram's topic in General Nursing

    CT scan today just showed continued ileus. Some minor diarrhea yesterday but none today. The smallest sips of liquid cause a full feeling and nausea. Healing well otherwise. Taking minimal...

  4. ER's Turn Non-Emergencies Away?

    bjaeram replied to mwboswell's topic in Emergency

    The ER is not the place to treat chronic conditions. If your daughters pain is frequently out of control she needs to get with her oncologist or a pain specialist to come up with a new plan. I'm not...

  5. MRSA precautions in the ER?

    bjaeram replied to AnnieNHRN's topic in Emergency

    We don't do a very good job in our ER either. Our system does flag them but all it means is they have had it at some point in their life. For some reason it doesn't fall off. So they may have had...

  6. How many times do you really skip lunches and breaks?

    bjaeram replied to Aly529's topic in General Nursing

    In 10 years I've never gotten a 15 minute break. I'd say I get my 30 minute lunch about 30% of the time. If it's busy no one can watch your patients and you just can't go. I think we should have...

  7. Those that work a 6a-6p shift....

    bjaeram replied to tokmom's topic in General Nursing

    How is staffing though? Our day shift has so much more staff, extra nurses, techs, management in house, ect. Nights goes down by several people. That makes a huge difference. Why can't nights do...

  8. Coming to work after taking a narcotic?!

    bjaeram replied to cherryblossom88's topic in General Nursing

    I don't buy the it effects everyone differently theory. Alcohol does too. Does that mean if you can handle it it's okay to have a couple beers before work? Just because you THINK you can function...

  9. HR recruiter sending me friend request on FB??

    bjaeram replied to Emile's topic in General Nursing

    I would respond simply saying you like to keep your personal and work life separate. That is inappropriate on her end and I can only imagine would be used to spy on

  10. Coming to work after taking a narcotic?!

    bjaeram replied to cherryblossom88's topic in General Nursing

    It just like coming to work after drinking. Yes drinking is legal but that doesn't mean it appropriate to do right before work. Besides how did she get to work? She shouldn't be taking vicodin and...

  11. Does an employer have to have staff phone numbers?

    bjaeram replied to sasha2lady's topic in General Nursing

    Of course they need your number. They may need to call for several reasons. What if they aren't sure if you gave a med, what if there is a disaster and they need help emergently, what if they just...

  12. Anyone ever heard of anything like this?

    bjaeram replied to JusBeinANur's topic in General Nursing

    So I'm curious what caused them to become so harsh. Were patients falling, were there complaints about out of control pain, were patients getting skin breakdown from not being changed? I'm guessing...

  13. Question for Grads from 2000-2005

    bjaeram replied to Catch22Personified's topic in General Nursing

    I graduated in 2000 and had a job immediatley with a sign on bonus! A year later I had another place I had applied the year before call me and offer me a job! I wasn't even looking and they called...

  14. Administration okays family's mental abuse of staff

    bjaeram replied to FoolsErrand's topic in General Nursing

    I work in the ER and maybe that makes things different but we don't tolerate abuse. We try hard to fix the situation first but if that isn't working the family is asked to leave. We have done this on...

  15. Electrolyte Imbalance and Clinical Question(?)

    bjaeram replied to sw122500's topic in General Nursing

    Couldn't they be septic- fever, low bp, tach, recent OR. Kidney's shutting down, poor

  16. Flushing IV sites?

    bjaeram replied to nycNurse2b's topic in Geriatric, LTC

    Just let the fluid run, that flushes the

  17. Flushing IV sites?

    bjaeram replied to nycNurse2b's topic in Geriatric, LTC

    You assess for infiltration by assessing the site for pain, swelling, ect. Those symptoms will be present with a continuous infusion just as much as with a flush. If the infusion is running and the...

  18. Flushing IV sites?

    bjaeram replied to nycNurse2b's topic in Geriatric, LTC

    So you stop your saline infusion to flush with saline??? We don't flush continuous infusions, no point in that at

  19. How to avoid daycare fees working 12hr shifts.

    bjaeram replied to Shondacat517's topic in General Nursing

    It's tough, I'm in the same boat. I work 12 hour shifts on the weekends then work one or two 8 hour shifts during the week. I don't get a lot of sleep some days but I avoid daycare all together so...

  20. triage question

    bjaeram replied to RNkalima's topic in Emergency

    I was just going to say you can't see an abscess in that location at triage so you have to go off what they tell you. I would have never asked them to get undressed at triage! I think you were...

  21. Sharing prescriptions of non narcotic medications

    bjaeram replied to LadyMonteCarlo's topic in General Nursing

    It is actually insurance fraud and you can get it big trouble for this by the insurance company. If they happen to have Medicaid/medicare then they are frauding the government and you don't want to...

  22. Transfer codes to ER not ICU

    bjaeram replied to MADDOG70's topic in Emergency

    You are not allowed to do that! In fact an ER can not accept a transfer from another inpatient hospital bed to the ER either. They can go ER to ER but not impatient to ER in the facility or from...

  23. ICE " in case of emergency " apps worth it ?

    bjaeram replied to Trekfan's topic in Emergency

    Do you have him labeled husband? We might not know your last name to match it to a last name in your phone. We don't want to go through your whole list of contacts, hundreds for some people. We...

  24. ICE " in case of emergency " apps worth it ?

    bjaeram replied to Trekfan's topic in Emergency

    I work in the ER and we look in phones and wallets ALL the time. If a critical patient comes in the phone and wallet are immediatly handed to the chaplain or social worker and they look through them....

  25. calmoseptine

    bjaeram replied to makes needs known's topic in General Nursing

    Doctors orders also include diet, amblation, Ted's, vitals, ect....all kinds of things not performed by only the nurse. An order does not have to be carried out by the nurse at all. They write...