I am currently challenged with this also. Decreased FTE's and a decreased Unit of Service per patient. I spoke with my staff immediately about all of the changes. We approached it together as a team....
We use an equal mix of mid-levels in Colorado. PA and NP's. In my ER the see both Fast-track (verticle 3's, 4' and 5's) Some of the more experienced MLP will go into the core of the ED and work up...
Daisy Doodle replied to sheilahdee's topic in Emergency
As a triage nurse I am looking at Stable or Unstable. Many people are living in chronic A-Fib. We do the best that we can with the resources at hand. It is all about perception and expectation. 15...
Daisy Doodle replied to kc87t's topic in Emergency
In actuality, we start MANY drips in the ED. Dopamine, Dobutamine, Norepinephrine, Nitroglycerine, Amiodarone, Labetalol, Diltiazem, Epinephrine, Lidocaine, Integrilin, Heparin, Magnesium, Diprivan,...
Daisy Doodle replied to jedi88's topic in Emergency
I have thought about it too. I just requested information from Creighton University. They have a RN to Paramedic program. It sounds interesting and I think I would have both a better picture of...
Daisy Doodle replied to blondy2061h's topic in General Nursing
Definitely add your OCN! That knowledge and experience will serve you, your patients, and peers working with you. We see CA patients all of the time in the Emergency Department. We have an ocology...
Daisy Doodle replied to testing109's topic in Emergency
I agree with Lunah, this is a common notion. I struggled with it when I got out of the military. I was FMF and when I got out of the military I worked as a CNA to get through nursing school. I...
Ours is long and drawn out . We just jot it down on paper and then input it into the computer. Our old form was paper and we have now moved to computer. Not real handy and the learning curve has been...
I too wanted to go back active duty. The recruiter told me that they only want "recent" critical care within one year. I have worked Emergency in the last two years, and the Navy does not cosider...
I spoke with a Navy Recruiter today . Just waiting for a return call has taken three weeks. I have 6 years prior service and 9 years as an RN so I thought that I would at least have a chance getting...
Daisy Doodle replied to Daisy Doodle's topic in Emergency
Right....I hear the whole AMA thing but our hospital is so focused on patient satisfaction. I feel so limited in what I can do. I take the heat from all directions. I have to hear it from the MD that...
How do you deal with indignant patients that come to the Emergency Department asking for help and then refuse certain aspects of care. Lately, I have had numerous patients simply refuse to put on a...
Otessa, I understand exactly where you are coming from. Moved to a new town, just had twin boys, 3 months old. I have been off work for 7 months related to the pregnancy. I will be starting back to...