RhiaRN75

RhiaRN75 RN

ER

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All Content by RhiaRN75

  1. How do you triage? How do you assign levels?

    RhiaRN75 posted a topic in Emergency

    We have a five level triage system. Since we're a small hospital, all the ED nurses rotate through assignments, including triage. For those in similiar situations.... how do you assign levels? For...

  2. How do you triage? How do you assign levels?

    RhiaRN75 replied to RhiaRN75's topic in Emergency

    Everyone, thanks for the input! I re-read my posts and I really wasn't trying to argue, except maybe with myself :) If it seemed that way, I apologize. Driving home this AM, I caught myself musing as...

  3. How do you triage? How do you assign levels?

    RhiaRN75 replied to RhiaRN75's topic in Emergency

    Ok. I think I'm not getting my point across very well. Or perhaps I'm just wrong, won't be the first time. As I understand, the policy uses resources required as a part of determining triage level....

  4. How do you triage? How do you assign levels?

    RhiaRN75 replied to RhiaRN75's topic in Emergency

    Ok, that makes sense. Another question... Do you consider resources needed, or what the doc is likely to do? For example, the patient who is out of ventolin. She's not in distress, but it's been...

  5. Poor nurses

    RhiaRN75 replied to gettingbsn2msn's topic in General Nursing

    To the OP, I feel your pain. I make more then that, plus my hubby's salary, and we live on a very tight budget. His hours were cut almost two years ago and not likely to improve anytime soon. Each...

  6. Summer Sizzling Heat

    RhiaRN75 replied to abbaking's topic in General Nursing

    The solution is never to make it about you. There's always the person, usually one with more pull, that doesn't give a fig and isn't afraid to say so. So, I'm hot. I'm flipping miserable, in fact....

  7. Did anyone ever feel at home when they first went to the hospital?

    RhiaRN75 replied to cicatrixx15's topic in General Nursing

    Yep, the hospital is homey to me. My Mom's a nurse, so it's not like I just happened to wander in and felt the click. I read my mom's nursing books as a kid, grossed my friends out with the...

  8. I'm a job hopper.... HELP!

    RhiaRN75 replied to NurseCard's topic in Nursing Professionalism

    NurseCard- I was thinking the new job/new facility was day shift. I see your point about going to days at your current facility. I don't feel your reasons are stupid or juvenile- sounds pretty...

  9. I'm a job hopper.... HELP!

    RhiaRN75 replied to NurseCard's topic in Nursing Professionalism

    I scratched my itch by traveling- you may want to look into that. If you have to have a home base and stay close, you can work full time for a local agency. If there's a large enough hospital nearby...

  10. Vent: Dysfunctional Family Dynamics

    RhiaRN75 replied to abundantjoy07's topic in General Nursing

    I have seen families behave unreasonably for several reasons. Mistrust is certainly one of them but it's not the most frequent one I have encountered. It's really important to find out why they behave...

  11. Dry, Cracked Hands

    RhiaRN75 replied to jackieh1791's topic in General Nursing

    Olive oil at night wrapped up in socks helps. The best, for me, is atrac-tain cream. A coworker who has eczema recommended it. I'm not sure how natural it is but it doesn't contain preservatives....

  12. How to stretch Dansko shoes

    RhiaRN75 replied to PAERRN20's topic in General Nursing

    If you have a shoe repair shop near you, they can stretch them. A few men's speciality stores- the small locally owned men's wear type- may be able to as well. I would guess some types of leather,...

  13. Nurse concern for patient, but doctor unconcerned and declines to see patient

    RhiaRN75 replied to DMRubes's topic in General Nursing

    If it's bad- I keep calling, and make it pretty clear I will continue to do so until the pt improves or the doc decides he's like some peace. I've rarely had to do this but I will if need be. I also...

  14. Do you wear your engagement rings at work?

    RhiaRN75 replied to SarahBerah's topic in General Nursing

    Congratulations! I wore my engagement ring- new nurse, new ring.... I was quite proud :) After I cracked the band a second time, I stopped wearing it at work. Now all I wear is my wedding band. My...

  15. Will you give out a medication without the order yet?

    RhiaRN75 replied to rn4ever?'s topic in Patient Medications

    You did the right thing! There is no "...just an xyz" that will save you if something bad happens. The doc may not want a nicotine patch. Nicotine can effect neurotransmitters, BP, HR, drug...

  16. wound that won't heal!

    RhiaRN75 replied to libbyjo5's topic in General Nursing

    You could always try posting on a paraplegic/quadripelgic support forum. (Just keep in mind your pt may be a member so don't be too specific!) Depending on your pt's ability maybe you can see if you...

  17. Surprising diagnosis

    RhiaRN75 replied to iNurseUK's topic in General Nursing

    NF is scary. I'll never forget one pt who had it. While trying prepare for transfer, I asked the doc which facility the pt would go to. Doc said, I'm on hold with two... whichever can fly first....

  18. Surprising diagnosis

    RhiaRN75 replied to iNurseUK's topic in General Nursing

    I've been surprised with a few, and also some that were not diagnosed. Carcinoid syndrome. Classic tachy and flush/rash w/ diarrhea- why is this kid having an 'allergic reaction' when using the...

  19. Why dont' nurses help each other?!

    RhiaRN75 replied to scorpio24's topic in Patient, Colleague Relations

    Scorpio, I just hate to see someone worry they maybe should try something else because of a bad situation. I was there once, different area, different hospital... and I dreaded going to work. I...

  20. Hairline fracture?

    RhiaRN75 replied to 2shihtzus's topic in General Nursing

    That's a good point. I tend to think of them in terms of the elderly and hips, so compared to a 'typical' hip fracture, they don't hurt much. For a while, anyhow. You're right though. I've seen them...

  21. Describe the Ugliest Scrubs You Have Seen!

    RhiaRN75 replied to PacoUSA's topic in Nursing Humor

    The scrubs were cute. Really. A pretty pale yellow and a good color for the skintone. They were the perfect size... for a five year old!! I cannot fully describe just how bad it was. I'll try... it's...

  22. Hairline fracture?

    RhiaRN75 replied to 2shihtzus's topic in General Nursing

    It really does happen. The biggest problem with a hairline fracture is that they usually don't hurt much. So if you continue on as usual, you have a weak point in the bone that is now susceptable to...

  23. Outside of your work environment......

    RhiaRN75 replied to shoegalRN's topic in General Nursing

    'Living well is the best revenge.' A confrontation in such a public place would only briefly make you feel better. It's just not worth the repercussions and certainly the coworker isn't worth the gift...

  24. Good Press Ganey for ER. Possible??

    RhiaRN75 replied to 5n2_is4u's topic in Emergency

    Long post... The problem with providing all those extra perks simply to improve scores it that it comes back to bite you. If there's a TV in every room, someone will eventually be upset. "The doc...

  25. Why dont' nurses help each other?!

    RhiaRN75 replied to scorpio24's topic in Patient, Colleague Relations

    Long post warning! Opinion in progress. Before you flame me, please know I'm not talking to "you" on a personal level. I know that some nurses eat their young- there's no excuse for that. I don't do...