Footballnut

Footballnut

CAPA RN, ED RN

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All Content by Footballnut

  1. Got my first "med discrepancy" form

    Footballnut replied to kmarie724's topic in First Year After Licensure

    Omissions are not fun errors to make. However like some of the other posters said, there are worse things. I work with a nurse that says she has never made a mistake. I seriously doubt anyone who...

  2. How to keep the faith in triage?

    Footballnut replied to EMTSNA's topic in Emergency

    I just try to remember that people who show up in the ED are under stress and their emotions are going to be heightened for their visit, starting at the triage desk. I don't take it personally. Oh,...

  3. What is your ED policy in these circumstances

    Footballnut replied to JessicRN's topic in Emergency

    1) If you have a non trauma patient in your ED (Ie a pt who is septic or who overdosed or is in cardiogenic shock) who needs stat dopamine and levophed vasopressors and has at least one good...

  4. Hourly Rounding in the ED

    Footballnut replied to biker momma's topic in Emergency

    Please don't anyone tell my boss about this! I see my patients more frequently anyway. I just don't want any more papers flying

  5. kind of a rant

    Footballnut replied to Guest219794's topic in Emergency

    I quit being frustrated by this stuff years ago. I figure every patient that comes to my ED thinks they have an emergency of some sort although it might not look like an emergency to me. It might...

  6. Rules for the ER (long)

    Footballnut replied to EDValerieRN's topic in Emergency

    As it says, long. I have not been able to read this thread entirely yet but I have been laughing so hard. I see there are some naysayers posting here. Gotta have a sense of humor to do this job and...

  7. ? for ER nurses

    Footballnut replied to kermitlady's topic in Emergency

    I'm glad your son is ok too. But too true - "Help, my son can't breathe!" usually gets the attention of the triage nurse. One would hope that the triage nurse knows what "sternal retractions" means...

  8. Want to try ER Nursing

    Footballnut replied to OBNurseInFL's topic in Emergency

    It is great to see RNs from other specialties come to the ED. It is always helpful to have their experience come to the team. Some of them do well, some do not. It has more to do with their...

  9. My daughter's experience today in a Phoenix Emergency Room

    Footballnut replied to PeaceonearthRN's topic in Emergency

    It is really hard to be far away when your kids need help learning to cope in the world. I have been there. And my son was treated rudely. I recall coming over the top on the phone to the person...

  10. Patient Rights?

    Footballnut replied to HCINEPT's topic in Emergency

    I don't know who does your medical screening exams but our ED MDs do. If this patient did not have a medical screening exam by any designated personnel in your ED she needed one to satisfy EMTALA...

  11. Police use excessive force, ER docs say- What do ER nurses think

    Footballnut replied to rjflyn's topic in Emergency

    I have never asked my docs about their feelings but the conversation at our place runs around how stupid it is to run from a police dog. Those critters are just waiting to show their skills :). You...

  12. Worst doctors orders ever received

    Footballnut replied to jenfromjersey's topic in Emergency

    My personal order from hell is the the order for succinylcholine for a renal failure patient. Usually the doc gasps and says "thanks" but I had one ask three times not too long ago. I do always say...

  13. Worst doctors orders ever received

    Footballnut replied to jenfromjersey's topic in Emergency

    Good grief ThrowEd! Sounds like herding

  14. Drawing Labs without an order

    Footballnut replied to umnurs's topic in Emergency

    So, I'm guessing you have never had a doctor denie that they gave a verbal order, or change a written order or the time of an order? How about writing "I did not order this!" on a protocol order?...

  15. Eat Before You Get Here!

    Footballnut replied to NurseJacqui's topic in Emergency

    Hmmmm, based on some of the requests I get from other floors about stuff that they can get elsewhere in the hospital, I am surprised THEY are not asking me to feed them too. Also, how many times have...

  16. Come backs...

    Footballnut replied to ER Tigger Girl's topic in Emergency

    Come backs are only thought, never spoken. You are right, it is bad for business and bad for me when they complain. 1. Pt. talking on the phone while I am trying to triage, assess, or discharge....

  17. Eat Before You Get Here!

    Footballnut replied to NurseJacqui's topic in Emergency

    I feed patients if it is what they need (like hypoglemic reactions) or if they have to wait a long, long time. If you come straight to my ED and ask for food I will generally tell you that it will be...

  18. Drawing Labs without an order

    Footballnut replied to umnurs's topic in Emergency

    "So, if you have to have the MD sign them, then do you wait to start care? How do you handle the critical patient that needs immediate intervention? What happens if the physician refuses to sign the...

  19. Do you wear your seatbelt

    Footballnut replied to Iam46yearsold's topic in Emergency

    I first started in ED in 1975. There were no seatbelt laws then. When I saw people's faces needing plastic surgery after wrecks I decided that I was going to do all I could to keep my face from...

  20. Drawing Labs without an order

    Footballnut replied to umnurs's topic in Emergency

    Sorry to hear about this. I am sure the other hospital was on a witch hunt of some sort. They had to pay for an IV infection which might have happened with or without a direct order. As many have...

  21. ER Nurse is Being a JERK to EMS...

    Footballnut replied to flashpoint's topic in Emergency

    Two weeks, huh? What happened a couple of weeks ago? She needs to deal with whatever happened in a more adult manner. Perhaps someone (hopefully a superior) could probe this a little and guide her...

  22. Comments about our choice of profession

    Footballnut replied to sweetsounds's topic in Emergency

    I guess my hard won PR skills haven't permitted me more than a nod and an understanding smile to that sort of a comment for a long time. I KNOW they aren't going to worry about any of that "stuff"...

  23. ER Nurses. Read This!

    Footballnut replied to ERERER's topic in Emergency

    Good to read this one again. Yes, we are all warped for life. How did I choose this? I have been doing it since 1975 so it must be the

  24. Immediate Bedding. Thoughts?

    Footballnut replied to HikingNinja's topic in Emergency

    We keep an experienced RN at the front desk to "greet and sort". We do immediate bedding until our rooms are full, then the triage nurse switches and does the full triage assessment. We keep the...

  25. What's a typical orientation schedule like?

    Footballnut replied to BarneyBoy2009's topic in First Year After Licensure

    Orientation varies by facility and by nursing unit. We plan on about 12 weeks of combined study, classroom and clinical time in our advanced practice unit. Most new grads are well prepared for...