Tonjia

Tonjia

Trauma/ED, SANE/FNE, LNC

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All Content by Tonjia

  1. ER. A Clinic?

    Tonjia replied to JSlice.'s topic in Emergency

    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...

  2. NRB & COPD your input please

    Tonjia replied to crb613's topic in Emergency

    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

  3. Need some input about correctional nursing please

    Tonjia posted a topic in Correctional

    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...

  4. Happy Emergency Nurses Day!!

    Tonjia replied to Lunah's topic in Emergency

    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...

  5. Happy Emergency Nurses Day!!

    Tonjia replied to Lunah's topic in Emergency

    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

  6. ER nurse to patient ratio

    Tonjia replied to MGHERRN's topic in Emergency

    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...

  7. Toradol/ketorolac for major trauma pts

    Tonjia replied to back2bRN's topic in Emergency

    Toradol is contraindicated in major trauma.

  8. Is it a HIPPA violation?

    Tonjia replied to DixieNurse2244's topic in HIPAA Challenges

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

  9. Really disappointed with the reality of nursing.

    Tonjia replied to NurseFrustrated's topic in Patient, Colleague Relations

    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...

  10. What was the MOST ridiculous thing a patient came to the ER for?

    Tonjia replied to JUSTYSMOM's topic in Emergency

    not since 1998 when EMTALA was put into law. My solution for the healthcare crisis..... abolish

  11. Which phone pda or PDA are you using in the ER

    Tonjia replied to MOTOXRN2004's topic in Emergency

    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

  12. Good triage stories

    Tonjia replied to patrice meursault's topic in Emergency

    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...

  13. Which phone pda or PDA are you using in the ER

    Tonjia replied to MOTOXRN2004's topic in Emergency

    I am on Verizon so I cant get the Iphone, I use my

  14. Too many nurses/chiefs in the room?

    Tonjia replied to F.E.R.N.'s topic in Emergency

    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...

  15. Vastus Lateralis

    Tonjia replied to chelynn's topic in Emergency

    when it comes to a combative drunk in restraints, right in the thigh! and through the

  16. Nurses taking patient's off backboards without doctor clearnce?

    Tonjia replied to the big nurse's topic in Emergency

    I can see our trauma centers in the US leaning more in this direction as well. Our most recent trauma conference focused on rapid removal from the backboard, (within 15 minutes of arrival) and...

  17. Excepted a position in ED!

    Tonjia replied to colleennurse's topic in Emergency

    Congratulations! your world is about to

  18. Best days/times to volunteer in ER for pre-nursing student

    Tonjia replied to frnzy's topic in Emergency

    Saturday night on a full moon

  19. Nurses taking patient's off backboards without doctor clearnce?

    Tonjia replied to the big nurse's topic in Emergency

    Thank you! someone finally said it! Long boards are for extrication and transport, nothing else. Who remembers when EMS used to do standing

  20. What was the MOST ridiculous thing a patient came to the ER for?

    Tonjia replied to JUSTYSMOM's topic in Emergency

    had a guy come in with sudden onset of blurred vision in his left eye. when the tech took him to the machine to check his visual acuity she picked up his glasses and guess what? The lens in the left...

  21. Nurses taking patient's off backboards without doctor clearnce?

    Tonjia replied to the big nurse's topic in Emergency

    I would check with ENA or the American College of Surgeons Committee on

  22. Nurses taking patient's off backboards without doctor clearnce?

    Tonjia replied to the big nurse's topic in Emergency

    we work towards rapid removal of spine board at our hospital. That doesnt mean the RN's yank people off of the board without a docs quick assessment, but studies show that prolonged periods of time on...

  23. Emergency Department 23 hr Observation Patients

    Tonjia replied to Rickbos's topic in Emergency

    kind of sounds like what we have been doing with "hold" patients for years. (dont get me started on that one.) I once worked at a hospital who had a separate "chest pain unit" where the patients would...

  24. program to teach preceptors to be preceptors

    Tonjia replied to leejmac's topic in Emergency

    OK that is just WRONG. how does this

  25. Education 101: ER vs. ICU

    Tonjia replied to 1EmergencyRN's topic in Emergency

    Kudos to you Dan! I think if we all stepped back and utilized your work ethic then the friction would most certainly be reduced. I applaud your preceptors when you were trained to be an ER nurse, they...