TLSpaz

TLSpaz ASN, RN

Emergency Room

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All Content by TLSpaz

  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

  16. Article: Paramedics equal to RNs

    TLSpaz replied to SummitRN's topic in Nursing Professionalism

    I don't work under a doctor. You evidently do not understand that medicine and nursing are two separate disciplines. If I worked under a doctor, I wouldn't need a nursing

  17. I got reported to HR

    TLSpaz replied to katie92's topic in Patient, Colleague Relations

    To answer your question, I think both parties bear some of the responsibility. There are any number of examples I can give here that have racial or ethnic context. There are some that have...

  18. Nurses Notes: Guidelines On What Not To Chart

    TLSpaz replied to TheCommuter's topic in Patient Safety Issues

    I chart "attempted to call report." This works because if I can give a report, I will chart that I reported to whoever accepts the pt. (this is in response to a previous post about addressing this...

  19. NNOC/NNU

    TLSpaz posted a topic in Collective Bargaining, Union

    Why won't the union stick to the issues that the union was organized to address in the first place? Cognitive dissonance is a terribly uncomfortable thing for me, and I am steeped in it right now as...

  20. New grade RN vs Experienced RN?

    TLSpaz replied to orange2015's topic in Emergency

    Why is your work experience not considered just because it was not in the USA? Was the work you did in the other country essentially equivalent to the scope of RN practice here in the

  21. Best ER Tricks what it meant is like putting two tourniquet to get the IV

    TLSpaz replied to Wantoknow-rn's topic in Emergency

    I keep one of those Duracell headband lights in my locker for these situations. Keeps my hands

  22. Best ER Tricks what it meant is like putting two tourniquet to get the IV

    TLSpaz replied to Wantoknow-rn's topic in Emergency

    SurgiLube dissolves dried blood...keeps you from having to scrub so hard. Coat the wound with a generous amount of lube, let it sit for 5 mins, and then wipe away with little to no elbow

  23. Best ER Tricks what it meant is like putting two tourniquet to get the IV

    TLSpaz replied to Wantoknow-rn's topic in Emergency

    Our SpaceLabs monitors have a venous stasis function that does this for us right from the NIBP monitor with the touch of a

  24. EJ PIV access

    TLSpaz posted a topic in Infusion, Intravenous

    Given the fact that the INS has retired their 2008 position paper on the insertion of EJs by nurses, what is the latest and greatest regarding this

  25. NNOC/NNU

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

    I am already a member who pays union dues. I realize that I didn't specify that in my original post. Let me see if being a bit more specific with a question will help to tame some of the contempt....