DixieJeanne

DixieJeanne

ER, Forensics

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All Content by DixieJeanne

  1. NRB & COPD your input please

    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...
  2. Checking air-bolus on NGT post Esophagectomy.

    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
  3. Rural Hospitals

    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...
  4. Broke 2 year contract

    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...
  5. I'm trying to hear the Doctor!

    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...
  6. Large bore IV

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

    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,...
  8. NRB & COPD your input please

    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....
  9. New to er and iv question..

    What a great idea! That's a new one for me - I'm gonna try it on my next shift.
  10. How to warm IV fluids??

    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...
  11. Last Name on ID Badges

    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,...
  12. What would you have said to this CNA

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

    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...
  14. Hourly Rounding in the ED

    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...
  15. What is the best shift in the ER?

    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
  16. ER nursing and pregnancy...

    Being pregnant is not a disability, well in most cases. I've worked with many pregnant nurses, and been one myself and most of us could work well into the pregnancy. It's also amazing how NICE the...
  17. Holding each other accountable..

    Sounds like your manager is a pansy. They should be interceding as this is extremely incompetent patient care. It is not your job to deal with incompetence. It is theirs. Period. Of course I tend...
  18. Sorry - my last post was in response to
  19. OK seriously - a patient has the right to clear, concise communication to be properly educated on their condition and plan of treatment. If they cannot understand a nurse for whatever reason then...