our er recently began utilizing a case manager. we thought that one of her roles would be to assist us with care plans for these patients. but there is talk that we cannot do that because these pts...
here in the happy state of illinois the same is done...the rads here use rads in australia so they won't be woken up at night to read scans!!! pretty neat trick i think...ya gotta give credit were...
Can I just ask...where do I sign up?? The Carribean?!!? :eek: I could put up with any ridiculous ICU nurse who thinks her day is tough...let me just say yet again in my hospital-they take 2...
Ok...emesis is pretty bad...but GI Bleed...that is the worst! And today...GI Bleeder who lost about 3 liters on my feet!! You know...it was all I could do to stand there and not go down to the ground...
the beauty of your post is that NPs function INDEPENDENTLY...they do NOT need to present to the docs like the PAs do!! Kind of makes you wonder why the PAs make significantly more than the NPs do....
I personally would rather be a "street nurse" or "carnie" over a tighta$$ anyday of the week!! I have a lot of friends in "critical care" and usually get what I need because of that (i.e. a bed!!) but...
My thoughts are mixed on CISD. I've been to one and it was ok. It was run by crisis workers from our crisis line staff. Everyone was there...EMS, ED docs and nurses, chaplains, OR crew... Ours was a...
RNin92 replied to harry Krishna's topic in Emergency
Oh yea... Today I had the little old lady who said: "...are you my waitress? No wait, what do they call themselves now Fred?" (her equally aged husband)... "Servers...they're called SERVERS!"...
Sorry for my rant but you all have understand the frustration comes form trying to give the best care possible to the patient. As far as training goes...most of our ER nurses have taken a critical...
Let me just say that the last nurse who started filling out incident reports and sending them to risk managment...no longer works for us. Interesting don't you think. We just started a new tracking...
Man...I don't even know where to begin... Ok, so as far as Docs go... The docs in my ER have absolutely no problem calling the attendings at whatever God-awful time of the night it is...the attendings...
I have a friend that says the same thing. Plus, one of the nurses I used to work with on Tele has a friend who is a legal nurse consultant...documentation is the key. But here is the dilemna......
In our hospital we are holding patients every day. We are a 200 bed level 2 trauma center. We have a total of 20 beds-14 ER beds and 6 fast track beds. We are staffed every day with a charge RNs, 4...
We also use a 5-Tier System, but it is the Estimated Severity Index (ESI). It is a great system and the only real difference between it and the Canadian and Australian Systems is that the ESI system...
RNin92 replied to harry Krishna's topic in Emergency
and have you all ever noticed that the surveys that come back to haunt you around raise time are always about how long it took to get that coffee from the nurse?! or...how many times they had to ask...
Why DO the floor nurses look at us as the enemy??? I don't see the triage nurse as the enemy and she/he brings patients back all day long!! When I worked Tele I didn't ignore the ER attempts to call...
Kids are the worst. No question. I cannot remember a time when I didn't wake my kids when I got home to hug them after a bad trauma with a child. We see the worst of the worst and we KNOW how fragile...
RNin92 replied to tiredfeetED's topic in Emergency
I gotta respond here! I cannot figure out why anyone even questioned the Narcan at all!! Sounds like you were right on the money! In Illinois we have ECRNs (Emergency Communication Registered Nurse)....
RNin92 replied to harry Krishna's topic in Emergency
Let's not forget about the free messaging service provided. How many phone calls do YOUR pts get while they are in the EMERGENCY room?!!? They get calls from the husband/wife, sister/brother,...
Our PAs are in the fast track side, too. When things are slow they come to the main ED to help. And I know they are all pretty good but they don't function independently. The work under the docs...