RNin92

RNin92

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All Content by RNin92

  1. Info for patients on how the ER works

    And the part about being treated in order of severity of illness/injury... Give examples, you know... "Your runny nosed 3 y/o who is racing around the triage/waiting area does NOT trump the crushing...
  2. Reducing misuse of Emergency Departments!

    Gotch beat!! Another post I told this sad tale... EMS brings in a young female with cc...cut her leg shaving No bleeding...heck, I could hardly find the abrasion!!! Her REAL problem was atrophy of a...
  3. Reducing misuse of Emergency Departments!

    I think it is a HUGE complex social problem, with no simple solutions. Education-fevers need medication EVERY 4-6 hours, not just once viruses need to run their course...
  4. Er Holds?

    I think it is a universal problem across the country. Big or small...it doesn't seem to matter! We are a 200 bed Level 2 Trauma Center. We have 20 beds in our ED...14 in the main ER and 6 in our fast...
  5. ER vs ICU, how did we get there?

    Right back to you Judi!! We have been talking about "trading spaces" but so far it hasn't gone anywhere. Has it worked other places I wonder? Thanks!
  6. Info for patients on how the ER works

    I go in to work today and I will see what I can do! Good luck... And oh my...12-16 hours! I'm with veetach...our wait times are abour 3-4 hours sometimes and everyone yells and moans. I often...
  7. Your last day in the ER

    dourse of course, with your "escort"
  8. Hear Ye! Hear Ye!

    :angryfire
  9. Liability education

    I agree with your thoughts, too. I know in the ED...there are so many changing laws that there is "grey" area everywhere. We are mandated reporters of elder and child abuse. What about domestic...
  10. Info for patients on how the ER works

    We just have signs posted in our waiting areas. It doesn't do much good though, people still think that their "emergency" is always more important than someone elses. Those that DO...
  11. Tension Pneumothorax or Decreased Level of Consciousness

  12. Tele transports from the ER

    This is interesting. I was thinking about our ER and how we transport. We have no policy...although I often here people to refer to one...it does NOT exist at our hospital. The "rule of thumb" is the...
  13. Tension Pneumothorax or Decreased Level of Consciousness

  14. Frequent Flyers in the ED

    Well, Kansas sounds like a state with more on its agenda than Illinois...like perhaps what is in the best interest of the
  15. negative attitude

    "Cleaning her trach with her mouth"!!!??!! Oh
  16. Frequent Flyers in the ED

    If you don't mind divulging...what state do you live
  17. Your last day in the ER

    We have an ER doc that just loves the ones that come in "unresponsive" or "seizing"...not!! His favorite painful stimuli?!!?-Ti**y Twisters!! Workd like a charm...everytime. We had a FF 18 y/o that...
  18. Frequent Flyers in the ED

    Recognizing them isn't the problem. We would like to confront them when they say.."no...I haven't been here 5...6..12 times before!" We are 200 bed level 2 trauma center. The ED is 20 beds-6 in fast...
  19. Should I even consider ED??

    I cannot agree more!!! A friend of mine transferred down to the ED just before I did... And at the end of a particularly horrific shift...we still say... "Our worst day in the ER is still better than...
  20. Frequent Flyers in the ED

    Do you actually have a policy? We used to have an "unofficial" log...but were told we were violating HIPAA rules. We are not supposed to even look up previous visits anymore!!! What is an unwilling...
  21. Nursing Conferences Illinois/Indiana

    I'm on the ENA Illinois State Education Council...there is a seminar on ESI Triage coming up in April in Chicago. Another in September in the Bloomington area. And a trauma seminar in...
  22. Frequent Flyers in the ED

    What happens if they don't f/u with a pcp? Do you refuse to treat them? How did you get ALL of your docs onboard? Sounds like you may be on to
  23. Hear Ye! Hear Ye!

    Yes...but can you put the homicidal pt NEXT to the psych who is making YOU crazy for his smoke?!!!? Just for a little while. With a loaded gun. Alone. I'm just askin'?!!? :rotfl:
  24. Frequent Flyers in the ED

    Alright...there has to be SOMETHING!!! It cannot be that I have to be local drug dealer...and give 'em a free lunch! These people have found a loophole in the system and we have to find a way to close...
  25. Mandated assessments

    we also ask... have you had all your shots? (are you a puppy?!!?) any family hx of CAD,CHF,DM,PVD...? (any other letters?) do you want people to know you are in the er? (isn't that ahy they came?!!?)...