mcvaragon

mcvaragon

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All Content by mcvaragon

  1. Triage at the bedside

    mcvaragon replied to MAISY, RN-ER's topic in Emergency

    To Maisy ER RN, Our system was the following: During times when beds were available, an EMT/ Paramedic is at triage. They simply identify that the patient is here to see the ER Doc and either select...

  2. Triage at the bedside

    mcvaragon replied to MAISY, RN-ER's topic in Emergency

    From reading your explanation above, your ER sounds like it is going beyond the basic triage bypass or quick triage scenario. The process that we use is that the patients go back until the rooms are...

  3. ED triage woes - advice appreciated!

    mcvaragon replied to kmoonshine's topic in Emergency

    I would suggest the following: 1. If you have shared governance, suggest they do an ESI Audit Tool. If you don't, bring it up to leadership. 2. I would ask that your leadership approach flow...

  4. What is your ED policy in these circumstances

    mcvaragon replied to JessicRN's topic in Emergency

    We start the dopa/levo if patient is critical and request the central line. Chances are if you don't, you won't have a line for long and a mess on your hands. Conscious sedation is conscious...

  5. Triage at the bedside

    mcvaragon replied to MAISY, RN-ER's topic in Emergency

    I have bypassed Triage at my last 4 ED's..... it is a best practice and perhaps your new Director should show the evidence based practice to the staff. 1- Triage is a process and not a place. 2-...

  6. Thinking of going into Air Force as a BSN

    mcvaragon replied to jcoolcuda's topic in Government, Military

    I've been there, done that.. got the T-shirt (and the shoes). I can say that I loved every minute of it. I flew Aeromedical Evacuation and worked in a large Air Force Medical Centers. There are only...

  7. How does YOUR hospital waste its money?

    mcvaragon replied to Riseupandnurse's topic in General Nursing

    This is interesting.... Let's start off by saying that healthcare "is" actually a business. The days of hospitals being run by nuns or insurance companies paying whatever the hospital bills them are...

  8. ER nurses (or any RN), what would you have your tech do?

    mcvaragon replied to Washoften's topic in General Nursing

    What would I have my tech do? I would have the tech be the primary on ALL of the tasks within their scope. Unfortunately, many ER RN's have become task oriented. The techs see the RN ONLY doing...