DixieJeanne

DixieJeanne specializes in ER, Forensics.

Latest Activity

1. NRB & COPD your input please

   DixieJeanne replied to crb613's topic in Emergency

   I guess I should clarify that I work in a rural facility at the moment so our docs are not always available immediately (one doc covers the entire hospital). Therefore we have to initiate this without them assessing first frequently. We also are ER...

2. Checking air-bolus on NGT post Esophagectomy.

   DixieJeanne replied to sockov's topic in MICU

   Haven't cared for one of these in a while, but I remember we had strict orders for NG care/boluses/etc. I would definitely go on a Dr-by-Dr basis, ya know? Sorry there are no concrete answers.

3. Rural Hospitals

   DixieJeanne replied to Darkfield's topic in MICU

   I've worked in a small, rural facility. We always said we were "a jack of all trades and a master of none." YOu don't get to see enough of the same thing to become an expert, but you do become great at saving lives for a few hours. We had the pat...

4. Broke 2 year contract

   DixieJeanne replied to Shondacat517's topic in General Nursing

   They can't take money from you if it is earned by actual hours worked. On the other hand...... if you had a sign on bonus or some such worded thing, then they can withhold a check as "repayment" of that bonus.

5. I'm trying to hear the Doctor!

   DixieJeanne replied to Forever Sunshine's topic in General Nursing

   I work with a doctor that gets even quieter when you ask him to repeat himself. He admits he does it on purpose to "get you RN's to listen closer." So when he does that I read back his order as something totally off the wall....... "OK, so 784mg o...

6. Large bore IV

   DixieJeanne replied to remf3's topic in Emergency

   Every facility will have a different theory on this and have multiple studies to back it up. Go with the flow (no pun intended of course;)) of your current facility but I hope you feel comfortable there discussing the different view points. Maybe yo...

7. Heated debate between Civilian ED RN and FMF Hospital Corpsman.

   DixieJeanne replied to testing109's topic in Emergency

   Good Lord - Seriously? Is this a place that no other people are allowed to post at and to express their opinions? RN's ONLY? That does not encourage much learning from each other now does it? I, for one, love hearing/learning from people outside ...

8. NRB & COPD your input please

   DixieJeanne replied to crb613's topic in Emergency

   We use BiPap on a lot of our COPDers. It's a great tool. We don't need RT to initiate it though. We have the freedom to do so as long as an MD assesses pt soon after initiation. Yes - exactly. I would agree that in extreme lethargy it MAY n...

9. New to er and iv question..

   DixieJeanne replied to JamieN823's topic in Emergency

   What a great idea! That's a new one for me - I'm gonna try it on my next shift. Thanks!

10. How to warm IV fluids??

    DixieJeanne replied to 80sNurse's topic in Emergency

    I laughed so hard at this. What a perfect response! We keep ours in a fridge style warmer. Fluids in top (seperate) compartment, blankets in bottom compartment. They are individually controlled so different temp ranges are not a problem. Wonder wh...

11. Last Name on ID Badges

    DixieJeanne replied to phillyrn10's topic in Emergency

    No last name on my badge. Won't have it. Luckily I work at a place that supports that. There are crazy people out there that develop unhealthy obsessions with caregivers. I don't see police, judges, teachers, lawyers, etc. (as named in a previous p...

12. What would you have said to this CNA

    DixieJeanne replied to zofran's topic in Relations

    Oh please.... I am not going to spend my time being all smoochy sweet to my coworkers......"Sally sue, could you pretty please get Mr President in room 208 some water? It'd be such a great favor to me. Thank you so much!" Um, no. I don't have time ...

13. Night shift med/surg RN moving to day shift ER!!

    DixieJeanne replied to AnaBanana12's topic in Emergency

    Don't be annoying. Listen to what your preceptors are telling you. Watch what they are doing. Ask confrontational questions later - not in front of the patient. If you make your preceptor look stupid, they will make you look stupider. Seen it d...

14. Hourly Rounding in the ED

    DixieJeanne replied to biker momma's topic in Emergency

    If people are complaining that "noone has been in" doing hourly rounds isn't going to help. Then you'll just get "they didn't come see me for a WHOLE hour after I asked for pain medicine/pee pot/hot blankie/have my foot scratched/etc."

15. What is the best shift in the ER?

    DixieJeanne replied to divagirl's topic in Emergency

    What is the best shift in the ER? The one where you have a competent doc to work with and excellent team mates. Times don't matter.