RNin92

RNin92

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All Content by RNin92

  1. ER nurse/pt. ratio,triage times, & EHS pt. responsibility?

    Not sure if we have a state ratio limit (IL) but we are usually staffed for 4:1. Nights they go up to 5:1. Minor care they are 6:1.Assuming, of course, that there are no "holes" in our schedule....
  2. Caring in the ED

    I have a different take on this... I think because we intervene at the MOST difficult times in a person's life that a caring relationship almost HAS to develop. People are trusting their very lives...
  3. Anyone fax report?

    Faster is ALWAYS better. We are going to
  4. Preceptorship in ER

    You know, why is it that we can't just call things as they are???!!?? Medical Records...no no..."Health Information Systems" guess what people ask for when they call or come in... Radiology...uh...
  5. Anyone fax report?

    I was glad that you included the last part about BOTH nurses meeting the patient. In my facility, we still call report. So the floor nurse knows we are on our way. Yet we get to the floor and...
  6. Breaks in the ER

    You know when I first read this I thought...breaks...what are breaks? Oh yea, I remember now... :rotfl: I work charge 07-19. I try VERY hard to get everyone off the floor for 30 minutes at lunch....
  7. Anyone fax report?

    We definitely are including the nurses on the floor in the discussion. I don't think we would fax to the ICU though. Seems to me that an ICU patient needs a face-to-face bedside report. I am sure...
  8. So, do ya think this one falls under ridiculous... Or just plain stupid???!!!!?? LOL
  9. Anyone fax report?

    Lots of great info! Thanks for responding. I am hoping that if we work TOGETHER with the floors we can get it right. We are trying this to expedite admission to the floor. Sometimes our process is a...
  10. ER nurse/pt. ratio,triage times, & EHS pt. responsibility?

    Exactly how do you "close beds" in the ED??!!?? I'ld LOVE to
  11. ER nurse/pt. ratio,triage times, & EHS pt. responsibility?

    Amen my
  12. Holding patients in ER

    We have: 06-18 and 18-06 07-19 and 19-07 07-15 and 15-23 and 15-03 08-16 and 16-24 10-22 11-23 and 23-07 Somewhat of scheduling nightmare at times...but it works. We consider the "taboo" shift change...
  13. now i know when the flu season begins. . . .

    What kills me is... You used to not be able to GIVE the flu shot away... Now... A little media hype... A little "shortage"... A marketing dream come true... Just a political aside to the "flu issue" I...
  14. You know what I LOVE about this one is... SOMEONE had the sense, and the nerve, NOT to send the ambulance!!
  15. Well...you gotta give the kid a break... Look at his pedigree... Poor kid!
  16. Holding patients in ER

    Which shift change are you refering to? At my hospital it could be... 0600, 0700, 0800, 1000, 1100, 1500, 1600, 1900, 2200, 2300, 2400, or 0300. When would you suggest we
  17. Protocols in the ED

    We, too, use protocols. Have them for every diagnosis we could think of! Our ED Nurse Practice Council researched and wrote them, then presented it to the docs. Most were on board right away...the...
  18. Why am I an ER nurse again?

    Just had the worst day today. Coded a 50 y/o MR man for 2 hours...damn Epi... His poor family... Had a 48 y/o dissection... A 46 y/o MI... 13 y/o with a new abd mass... And just for fun... A "mass...
  19. Why am I an ER nurse again?

    Thanks my friend!! Just got back from Buenos Aires. What a beautiful country. I feel rejuvenated and ready to get back at it... Well maybe after my nap!!
  20. Why am I an ER nurse again?

    Thanks my friend!! Just got back from Buenos Aires. What a beautiful country. I feel rejuvenated and ready to get back at it... Well maybe after my nap!!
  21. Telephone Advice

    [quote= I can tell you you're a lot better off than giving advice off the top of your head in a busy ER and not documenting it. Amen my
  22. Why am I an ER nurse again?

    thanks for the thoughts :) i do have the next week off. thank god. wow...i am still tired from yesterday i work with an awesome team...that's what got us through but that feeling of all you are...
  23. Telephone Advice

    No no on the phone advice... Except that I DO give directions to the hospital... the one down the road!!!!!!! :rotfl: :rotfl: Just kiddin'
  24. Holding patients in ER

    heart queen... i do not know of a law that states a patient cannot be "held" in the ER longer than 23 hours and 59 minutes. I would LOVE to see that law. We routinely hold patients in our ER and many...
  25. Stupid People Award

    Now that's scary...good ole grampa and a coke bottle!!