TLSpaz

TLSpaz ASN, RN

Emergency Room

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All Content by TLSpaz

  1. NNOC/NNU

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

    Thank you for the links, herring. I will definitely give these a listen. This is my first experience ever working in a place with union

  2. Overflow in the er

    TLSpaz replied to medic978's topic in Emergency

    We've had that too lately, but thankfully, our Director will usually arrange to have an additional nurse come in to take an assignment of just the admit holds. This helps tremendously, not just...

  3. Senate bill changes FT status for healthcare purposes to 40 hours a week leaving us out

    TLSpaz replied to MsConstrued's topic in Activism, Healthcare

    Happened to me. I was float pool, working a minimum of 36 hours a week in a small, rural, county-owned 84 bed facility. I didn't want or need the health benefits (because Tricare). Thanks to ACA,...

  4. Subservience to the docs

    TLSpaz replied to amarilla's topic in Emergency

    "You can actually see the situation deteriorate through my notes. Ugghhh" "I've witnessed a few situations already that resulted in poor outcomes and am wondering how I can do my job if we're not on...

  5. Ask a question till reporting nurse can't answer one

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

    My response lately is "Shall I continue to give you my report about what I know to be of importance, or would you just like to ask me about the things you think are important? If you will let me...

  6. Subservience to the docs

    TLSpaz replied to amarilla's topic in Emergency

    I don't think waiting for doctors' orders is subservience. I think it's staying within my scope of practice. If the facility's culture is that nurses wait for orders before initiating procedures and...

  7. Police Holds

    TLSpaz replied to ICURN3020's topic in General Nursing

    Couldn't agree with you more! This is a safety concern for staff as well as for other patients! Our facility has a contract with a private security company. When we have a patient on any kind of a...

  8. Paramedics in ER

    TLSpaz replied to shannonc102's topic in Emergency

    I am in Texas too. Our medics' scope is defined by our EMS director who is also one of our ER medical directors. Some of the things our medics can do are triage, start IVs, draw labs, insert...

  9. Denied employment at agency due to ordered prescriptions

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

    http://

  10. Why is Nursing not in the top ten most stressful jobs for 2014!

    TLSpaz replied to chiefaics's topic in General Nursing

    I won't shop on Thanksgiving because I will likely be working, and if I'm not working, I will be sharing the day with family and friends. I don't personally feel compelled to boycott retailers who...

  11. Recent changes to allnurses

    TLSpaz replied to Joe V's topic in News, Announcements

    I'm running Firefox with no issues, and I like the

  12. Why is Nursing not in the top ten most stressful jobs for 2014!

    TLSpaz replied to chiefaics's topic in General Nursing

    Everything's a pi**ing contest these days. And why is martyrdom suddenly so fashionable? Even I find myself slipping into it sometimes. Just this morning I posted a meme to my FB page about EMS,...

  13. Algorithms in theory vs. in practice

    TLSpaz replied to TLSpaz's topic in Emergency

    @GrannyRRT: Thank you. "Guidelines are not concrete" is quite the succinct answer to the theory vs. practice

  14. Algorithms in theory vs. in practice

    TLSpaz posted a topic in Emergency

    Share with me, if you will, your perspectives on following algorithms, like ACLS, in the clinical setting. I am interested in this from the perspective of employing algorithms exactly as recommended,...

  15. Algorithms in theory vs. in practice

    TLSpaz replied to TLSpaz's topic in Emergency

    I know it has been several days since this thread had any activity, but I had to come back to share this post that I stumbled upon. It comes from an EMS blog, and it talks about ST and how to treat...

  16. Algorithms in theory vs. in practice

    TLSpaz replied to TLSpaz's topic in Emergency

    OK...background on this scenario first...I was a brand-spanking new grad when I observed this, so it's been a good minute since this took place, but here's what I remember: Pt was in cardiac arrest...

  17. Algorithms in theory vs. in practice

    TLSpaz replied to TLSpaz's topic in Emergency

    Not sure why the card looks this way. I actually did do a screen shot of the complete algorithm but it didn't show up in the post, for some

  18. Algorithms in theory vs. in practice

    TLSpaz replied to TLSpaz's topic in Emergency

    Thank you for that feedback. That makes sense to me, but unless I am just missing something, the algorithm published by AHA doesn't explain it the way you just did, MunoRN. In working through the...

  19. why do nurses gossip and belittle eachother?

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

    I love it when people want to be free to say whatever they want without consequence (like telling someone to shut up) but don't think that same freedom should be extended to others (like those who...

  20. why do nurses gossip and belittle eachother?

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

    Freedom of speech via the First Amendment exists to protect individuals from punishment by the government for speaking out against the government. This issue has absolutely nothing to do with...

  21. Algorithms in theory vs. in practice

    TLSpaz replied to TLSpaz's topic in Emergency

    I should add...in this last example I gave...there really was nothing that was going to change the outcome for this pt. What should have lasted about 10 minutes just dragged on...and on...and on......

  22. Algorithms in theory vs. in practice

    TLSpaz replied to TLSpaz's topic in Emergency

    In particular, I am thinking of a traumatic arrest: use of epi WAAAAAY after the window from the previous dose...after cessation of compressions...pt to CT scanner with PEA (dispute about whether it...

  23. Algorithms in theory vs. in practice

    TLSpaz replied to TLSpaz's topic in Emergency

    Example: tachycardic in 160s (narrow complex, essentially regular rate), with "pressure" in chest, and feeling short of breath Algorithm says synchronized cardioversion first, but may consider...

  24. Ideas for improving flow...

    TLSpaz replied to Anna Flaxis's topic in Emergency

    5 Best Practices for Improving the Throughput of the Emergency

  25. I asked one simple question...

    TLSpaz posted a topic in Patient, Colleague Relations

    Me: "Where can I find saline for a wet prep? There isn't any in the drawer." Co-worker: "I'll show you. What's all that for?" (Pointing to various implements presently being held by me with gloved...