nolabarkeep

nolabarkeep

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All Content by nolabarkeep

  1. Do I chart or do I take care of my patients?

    I've had a similar experience as you. One thing that you have to accept is that computer charting will slow you down. I can't tell you how many times I felt my BP rise while standing in front of a monitor waiting for the program to respond. I now ...
  2. Spine board policy

    I'm fairly certain that you need to consult the ED physicians on this. It is not within my scope of practice to remove a pt from a spine board.
  3. possible to go from nothing to BSN online?

    It's offensive to many on this board because of the sheer hell we all had to go through to become a RN. Don't take it personally. Obviously, if you new any better, you would not have asked this question. If you were posting on any other professio...
  4. possible to go from nothing to BSN online?

    Just what the medical field needs, another person who doesn't like to put forth an effort to achieve. I believe you can get an online degree in laziness in two semesters. Good luck!
  5. Survey on Causes for Nurse Faculty Shortage

    While I agree with every thing you wrote, they all boil down to the money. Unless your spouse is wealthy, it's unrealistic to take that much of a pay cut. Kudos to anyone who can.
  6. Survey on Causes for Nurse Faculty Shortage

    It has always been about the money. Pay not just nurses, but all educators more. This will lead more intelligent individuals to pursue teaching as a second job and/or a career. I can't imagine having to support a family on a teachers salary. It i...
  7. Kid fell off bike: what would you anticipate?

    Seasoned ER doctor: Option 1. New ER doctor: CYA protocol. It's amazing how much money and resources are wasted just to avoid that one in a million missed diagnosis. I've seen people have the super deluxe work-up only to request a specific amount...
  8. Are JCAHO's pain reassessments doing your patients any good?

    I think a simpler scale would suffice. Maybe have a slimmed down rating system such as severe, moderate, minimal, and no pain. We have to reassess on all interventions. Pain is different because it is completely subjective. A pt can't exaggerate ...
  9. panic-attack reaction to compazine

    Leslie, thank you for your comment, it was ever so insightful. The Dr. is notified, of course. I am a RN, I don't make medical decisions without consulting the Dr. I assumed this was obvious. I will be more clear in the future. Medications such ...
  10. panic-attack reaction to compazine

    We give this for migraines a lot in my ER. I've seen more people freak out on Compazine than any other drug I administer. I just stay with them and give constant reassurance that the feeling will pass. Some pt's have run out of the unit at full sp...
  11. What would you do?

    Eventually, you will have to take report from this guy and be responsible for a pt. that he has cared for.
  12. Low starting pay for new RN?

    I was in Arkansas at the time.
  13. Low starting pay for new RN?

    I started at $18.25/ hr as a new grad in PICU (2008). I was making less money than I ever had in my adult life. It was the best learning experience I could have hoped for as a new grad. With the job market being what it is, take what you can get...
  14. Pt. enters triage, pt. has bleeding laceration, oozing abscess, etc. Pt. feels the need to jam finger in said spot to show you where the wound is because obviously you don't notice the 4 inch laceration the is bleeding down their face.
  15. HIPAA And My Rights As An Employee

    I would report it to the CEO. You were a pt. at the time. They had no right to look up your medical records. What if you had a pregnancy test that was positive? They would know before your family. This is actually very disturbing. People get su...
  16. 100% pro-life, considering nursing school

    So what you are asking for is that your job as a RN comes with certain stipulations, made by yourself, on who you will and will not care for. While I respect your pro-life stance, I would not want to work on the same unit as you. I guess your cowor...
  17. How often do EMS crews show up to your dept unannounced?

    Happened twice the other day. The same company called report to another ED and then showed up at our ED. Neither crew bothered to pay attention to the name of the initial facility they called. Yes, they were reported.
  18. Wearing Gloves When Taking Vital Signs?

    The fact is, we deal with a lot of unkept/dirty humans in the ER. I can't tell you how many times I have to tell patients to stop touching their laceration that is oozing blood or their abscess that is draining MRSA all over the bed. You never know...
  19. Male Nurses/female Patients

    As a male RN, I will perform any task I am ordered to do on any patient regardless of sex. I do, however, work together with my female coworkers to make the patients as comfortable as possible. I can't give you exact numbers, but I would imagine th...
  20. An interesting policy

    This is a good idea. I would assume that once FF's find out that said hospital is implementing this system, they will scratch that hospital off of their list. Having a driver present in the room is a good idea as well, but what about a homeless per...
  21. Things that leave you stunned.

    The mom who brought her two teens to the ED for vague cold like symptoms and became irate when we explained to her that she had to stop eating her boiled crabs in the room.
  22. You should NOT become a nurse if...

    You should not become a nurse unless you are somewhat of a masochist.
  23. Tell me if this is the norm in your er!

    We have a tech in our ED who does all of the splinting of limbs. He actually knows as much, if not more than the physicians regarding orthopedics. I guess its possible to thoroughly train staff to suture wounds. I can't imagine a hospital spending...
  24. help with a cheater please!!!!

    With all due respect, your school must not teach the art of properly placed punctuation.!? Report it! Would you want someone who could not pass the required curriculum taking care of you or your family.
  25. older students- RN to MD?

    You are going to drive yourself crazy. Go with your gut. If it turns out you don't like the decision you made, then change it. Do all that you can with your life. You could die tomorrow. Good luck!