TLSpaz ASN, RN

TLSpaz is a ASN, RN and specializes in Emergency Room.

Latest Activity

1. Feel I was wrongfully dismissed

   TLSpaz replied to ericlavin67's topic in Nurse Disabilities

   Have you considered just going to nursing school in California? Yes, you would be "starting over" as most your credits will not transfer, but think of it in terms of the money you will NOT have to...

2. Inappropriate nurses?

   TLSpaz replied to hgraves64's topic in Patient, Colleague Relations

   What "else" would I have done? The only thing I would have done is answer the

3. BSN premium on the table.

   TLSpaz replied to tokmom's topic in Collective Bargaining, Union

   I am in a union hospital and I am on a negotiating team. I cannot, however, answer your specific question. This issue of BSN premiums is not a battle we have chosen to

4. Pyxis error

   TLSpaz replied to decarla's topic in General Nursing

   .The Pyxis where I work only requires a 2nd user verification if a narcotic is being

5. Treat the Patient, not the Monitor.....Really?

   TLSpaz replied to jk2185's topic in General Nursing

   "Treat the monitor AND the patient" is what I was taught. I recently had an 86 year old female with a heart rate of 32. She was sent over from her PCP's office. Her only complaint was "I just feel...

6. Emergency room RN minimums in Texas

   TLSpaz replied to starsky3501's topic in Emergency

   THIS! Most nights in the ER where I work, the Charge Nurse doubles as the triage nurse after 0100 or 0300 depending on when the last mid-shifter leaves. That leaves two RNs to work the floor. We...

7. Highest/Lowest K+ you've ever seen

   TLSpaz replied to guest769224's topic in General Nursing

   The highest I've seen was 9.2 and it happened last night; confirmed via ABG with lytes, which resulted at 9.1. Pt presented to triage with profound muscle weakness and a HR of 32; ended up having a...

8. Leaving Bedside Nursing

   TLSpaz replied to Deebuzz's topic in Nursing Career

   Yes but with bedside nursing, these troublesome and entitled patients and families. Where they eat," so to speak. It's so dang disheartening to be bending over backwards attending to someone's...

9. Parents who can't/won't pick up kids

   TLSpaz replied to mc3's topic in School

   This!!! From UTI to pyelo to full-blown

10. Ethics: Brain bleed sign out AMA

    TLSpaz replied to Kbig2's topic in General Nursing

    Actually, laying hands on an A&Ox4 pt against his/her will is battery. Simply making a threat to do so is

11. let go during orientation, needs advice?

    TLSpaz replied to sheepingarden's topic in General Nursing

    OP: I was in very similar circumstances...VERY similar...about 4 years ago. Don't have time to go into it right now and don't want to go into in an open forum, but if you want, I can make contact via...

12. Depressed self-referral to ED

    TLSpaz replied to jana82's topic in General Nursing

    This was a violation of her civil and constitutional rights. She was falsely imprisoned without due

13. Why don't you just read the chart?

    TLSpaz replied to Guest219794's topic in Patient, Colleague Relations

    I am an ER nurse. When I give report, I systematically use SBAR. When I am finished, I always ask, "What else would you like to know?" What irritates the crap out of me is to be interrupted with...

14. Why don't you just read the chart?

    TLSpaz replied to Guest219794's topic in Patient, Colleague Relations

    I am witnessing a substantial incidence of deficient reading comprehension throughout this thread. Given the OP's need to issue multiple clarifications about the subject of "guessing" and other...

15. Article: Paramedics equal to RNs

    TLSpaz replied to SummitRN's topic in Nursing Professionalism

    duplicate post