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Tonjia's Latest Activity

  1. Tonjia

    ER. A Clinic?

    welcome to the wonderful world of ER nursing in 2010. For years people have used ER's as walk in clinics, but now with the economy like it is you are going to be hard pressed to find an emergency room that isnt full of clinic patients. And they all know the laws of EMTALA. If you dont believe them, they will tell you. Just one more reason why I have given up a 16 yr career in emergency nursing.
  2. Tonjia

    NRB & COPD your input please

    a short time on a NRB is not going to hurt this patient. It sounds to me like he needed a continuous neb and/or a bipap anyway
  3. Tonjia


    We use an SBIRT professional, and sometimes the patients think he is interfering with their care. We even had a patients husband call and complain about a HIPAA violation because the SBIRT professional was asking questions of his wife...
  4. Tonjia

    Happy Emergency Nurses Day!!

    wow, I want to work where you work!! We were inundated with reminders of "infection control day".. but no one gave a crap about the ER. Of Course thats the norm in our hospital. They only care about the ER when one of their patients code or they need an IV or a NG tube, or a difficult cath insertion etc etc....
  5. Hi all, I am currently an ER nurse, been working in the ER for 16 years. From the huge trauma center to the normal size non trauma center. To put it bluntly I am burnt out. I still have another 10 years until I reach retirement age, so I am investigating other nursing areas. I have an interview on Monday at our local county jail, this seems to be a coveted job in our area, without much turnover. My question for your correctional nurses, what would flag me that this is going to be a good/bad place to work?? What questions should I ask? I know ER inside and out, but this is a brand new area for me, and I have never worked outside of a hospital setting. Thanks for any input that you may have:)
  6. Tonjia

    Happy Emergency Nurses Day!!

    thanks! No one in our facility even bothered to acknowledge it. of course we are being inundated with "infection control week" which is right around the corner... bah humbug:devil:
  7. Tonjia

    ER nurse to patient ratio

    4:1 is a dream!! when I worked in a trauma center we would work mods and have 2 RN's for 9 patients because we did a lot of major trauma, then I went to a non trauma center (who received trauma frequently) and our ratio went to 6:1 and up to 8:1.
  8. Tonjia

    Toradol/ketorolac for major trauma pts

    Toradol is contraindicated in major trauma. period
  9. Tonjia

    Is it a HIPPA violation?

    you have already been told this, but it is ABSOLUTELY a HIPAA violation, and I would throw it right into their faces.... the nerve!
  10. Tonjia

    Really disappointed with the reality of nursing.

    I hear ya sistah!! Believe me, nursing has taken a big dive, even in the last 16 yrs since I became an RN. Especially if you are working in a hospital. Now, on the bright side, there are tons of possibilities for jobs OUTSIDE of the hospital setting. Once you have had enough, I encourage you to check out some of the other areas for nurses. It might save you from burn out.. good luck
  11. not since 1998 when EMTALA was put into law. My solution for the healthcare crisis..... abolish EMTALA
  12. Tonjia

    Which phone pda or PDA are you using in the ER

    why yes, as a matter of fact... I refuse to detain. its my mantra:D and besides its much more fun watching them stagger out the door!
  13. Tonjia

    Good triage stories

    I have had several funny mispronunciations of problems: Had a lady c/o "viral mango encephalitis" and a man with "suggestive heart failure" and one day had a guy come with with sudden onset of blurred vision in his left eye. It was obvious from the beginning... the left lens of his glasses had fallen out:uhoh3:
  14. Tonjia

    Which phone pda or PDA are you using in the ER

    I am on Verizon so I cant get the Iphone, I use my Droid.
  15. Tonjia

    Too many nurses/chiefs in the room?

    sounds like a cluster to me. In the trauma center where I worked we had a "trauma team" everyone had a job and everyone knew what they were supposed to do. It looked chaotic but we seriously knew what was happening.... Where is your charge nurse??