TLSpaz

TLSpaz ASN, RN

Emergency Room

Member
  • Content

    171
  • Visitors

    7,168
  • Followers

    0
  • Likes

    2

All Content by TLSpaz

  1. Feel I was wrongfully dismissed

    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 spend moving back to Florida. Also, consider that r...
  2. Inappropriate nurses?

    What "else" would I have done? The only thing I would have done is answer the question.
  3. BSN premium on the table.

    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 pursue.
  4. Pyxis error

    .The Pyxis where I work only requires a 2nd user verification if a narcotic is being wasted.
  5. "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 really tired."
  6. Emergency room RN minimums in Texas

    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 are a small ER, but we aren't THAT small. We waste ...
  7. Highest/Lowest K+ you've ever seen

    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 trialysis cath inserted and was being admitted to I...
  8. Leaving Bedside Nursing

    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 personal care needs (eg "wiping poop" and acting as a pe...
  9. Parents who can't/won't pick up kids

    This!!! From UTI to pyelo to full-blown urosepsis...
  10. Ethics: Brain bleed sign out AMA

    Actually, laying hands on an A&Ox4 pt against his/her will is battery. Simply making a threat to do so is assault.
  11. let go during orientation, needs advice?

    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 PM at a future time. I will tell you this: I res...
  12. Depressed self-referral to ED

    This was a violation of her civil and constitutional rights. She was falsely imprisoned without due process.
  13. Why don't you just read the chart?

    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 questions about "skin issues" and code status when I...
  14. Why don't you just read the chart?

    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 misunderstood points of order, maybe expecting others t...
  15. Article: Paramedics equal to RNs

    duplicate post deleted
  16. Article: Paramedics equal to RNs

    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 license.
  17. I got reported to HR

    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 supervisor vs. subordinate context...male female...etc. bu...
  18. Nurses Notes: Guidelines On What Not To Chart

    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 issue in the ER without throwing the floor nurse unde...
  19. NNOC/NNU

    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 I read about NNOC/NNU sending delegates to politic...
  20. New grade RN vs Experienced RN?

    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 States?
  21. I keep one of those Duracell headband lights in my locker for these situations. Keeps my hands free.
  22. 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 grease.
  23. Our SpaceLabs monitors have a venous stasis function that does this for us right from the NIBP monitor with the touch of a button.
  24. EJ PIV access

    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 issue?
  25. NNOC/NNU

    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. Sending representatives to a conference in Peru on a...