siegolindoRN

siegolindoRN

Emergency

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All Content by siegolindoRN

  1. MEN, dont come into nursing

    siegolindoRN replied to DUDERNGUY's topic in Men in Nursing

    I'd like to remind everyone that nursing is one of the few professions where, depending on what unit you work, only requires you to work 13 shifts a MONTH, only firemen have better schedules than we...

  2. What's your triage protocol?

    siegolindoRN replied to MedicFireRN's topic in Emergency

    Mount Sinai Health System uses the "Split Flow" patient flow improvement process. It utilizes separating ESI 1/2 and high level 3 (abd pain with co-morbidities) into acute areas and ESI low 3 (abd...

  3. Handling multiple ICU patients in the ER

    siegolindoRN replied to amzyRN's topic in Emergency

    Those are the days where teamwork is paramount for both safety of the patients and the nurses. As many have mentioned, manage up for assistance, don't assume you will be helped by maintaining silence....

  4. Reason for IV fluids

    siegolindoRN replied to Matt8700's topic in Emergency

    its a multifactorial thing; on one end you have clinical practice, patient expectations, usage deals through supply chain, etc and on the other, the financial impact. Both are influenced by the...

  5. BSN and Associate Nurses Are Neck and Neck. Will This Change?

    siegolindoRN replied to allnurses's topic in General Students

    that sad part in the battle between ADN and BSN is that someone entering nursing as a second career with a previous bachelors education will be forced to spend more money in getting another bachelors...

  6. PRN job on top of FTE?

    siegolindoRN replied to BekahtheBrave's topic in Nursing Career

    I have kept a per diem gig since my first year post nursing school. The rates are higher than staff but lower than any overtime. Most places have stipulations regarding how many shifts, weekends,...

  7. Kingsborough ASN new grad in NYC

    siegolindoRN replied to Ironbound's topic in Job Search, Interview, Resume

    As far as I know, only NYC HHC hires ASN prepared nurses along with most SNF or LTC organizations. I believe NYS (mostly psych) will take ASN and so does the VA (openings in the city are rare). The...

  8. I Left Work Sick- Can I be Charged With Patient Abandonment?

    siegolindoRN replied to Nurse Beth's topic in Career Advice Column

    Where were your coworkers in all of this???? They should have divided up your assignment so that you could've gone home. I can understand why a DON would refuse report when they are in charge of the...

  9. The Fifth Vital Sign

    siegolindoRN replied to bgxyrnf's topic in General Nursing

    Pain can directly influencing BP, HR, and RR, amongst other things, so it should be monitored closely. When asking for pain ratings, I always add a comment to either validate or invalidate what my...

  10. Possible adult admit with minor child in tow

    siegolindoRN replied to Monkey Nurse's topic in General Nursing

    KindaBack, Ill admit, "anything" wasn't the best word to use as those other items I would agree are not our responsibility (not as primary RNs at least). What is in our scope is addressing the...

  11. Possible adult admit with minor child in tow

    siegolindoRN replied to Monkey Nurse's topic in General Nursing

    A nurse can delegate a support staff member to watch a patient, they need not wait on a supervisor to make that decision. Charge nurses on various units can also coordinate the use of support staff in...

  12. Possible adult admit with minor child in tow

    siegolindoRN replied to Monkey Nurse's topic in General Nursing

    I have experienced this many times in my ED career, sometimes we were able to get family come in, sometimes we have called ACS, sometimes the NYPD. The one common denominator all the situations had, a...

  13. Switching Blood on Rapid Infuser

    siegolindoRN replied to gkerns's topic in Emergency

    The practice of flushing the line, or changing blood tubing, in between transfusions comes from the need to monitor for transfusion reactions (policies are created for the broadest applicability). The...

  14. New grad wants to QUIT first job, PLEASE HELP.

    siegolindoRN replied to WowzersRN's topic in Critical Care

    Get your year in first, then transfer to another unit. If after your second year, you still feel the organization is not up to your standards, then leave. If you quit after only a few months of work,...

  15. Flex shifts, getting pulled to other units, ect

    siegolindoRN replied to nccoastnurse's topic in Collective Bargaining, Union

    1a)Full Time Equivalent (FTE) is equal to 1950 hours per year, some places work out complex algorithms so nurse's work 12 or 13 shifts in a month (11.5 flex). How you are scheduled can depend upon the...

  16. Is an accelerated BSN worth $87K?

    siegolindoRN replied to KJet5's topic in General Students

    Take the loan, you can always apply for your repayment to be based on income. Its all about how you manage your

  17. NCLEX using KAPLAN and UWORLD

    siegolindoRN replied to SurgeandTurfRN's topic in General Students

    Dont bother with Kaplan or Princeton!!! Go to learningext.com, this is a service provided by the National Council of State Boards of Nursing. This is the organization that creates the NCLEX exam. Far...

  18. MEN, dont come into nursing

    siegolindoRN replied to DUDERNGUY's topic in Men in Nursing

    just like anything else, you have to find your little piece of happiness in any career. I have worked emergency service for 14 years (7 EMS, 7 RN, 3 as a nurse leader in EDs) and can say I have had my...

  19. NY Union chief mobilizes nurses to fight hospitals

    siegolindoRN replied to NRSKarenRN's topic in Collective Bargaining, Union

    I dont forsee mandated ratios in NYS. NY and Cali cultures are on opposite sides of the spectrum. NYSNA would have better luck getting "float pools" written into CBAs in order to improve overall...

  20. Another reason unions suck!

    siegolindoRN replied to Ruger8mm's topic in Collective Bargaining, Union

    Interestingly, most nurses who work in a non union environment and are separated from their employment (regardless of reason), change their tune regarding the unionized environment. There is a piece...

  21. Strike nursing

    siegolindoRN replied to trulefty's topic in Collective Bargaining, Union

    I have a different viewpoint. That so called "scab" nurse thats brought in to take care of my patients affords me the piece of mind to be able to participate in a work stoppage, exercising my right as...

  22. How do you teach the nursing process?

    siegolindoRN replied to jmqphd's topic in Nursing Educators, Faculty

    I remember when i was in school what helped me was a presentation by a fellow student (who was a teacher starting a new career) on how the nursing process is the nursing term for critical thinking. It...

  23. What's REALLY with the hospitals using Magnet as a cover for wanting BSN only nurses?

    siegolindoRN replied to foreverLaur's topic in Diploma, ADN, BSN

    Fragmentation is not the answer, unity is. Nurses hire nurses not hospitals. Nurses drive change within hospitals. Nurse requiters are instructed to hire BSN only. It is good for the profession and...

  24. Name the hospital and its Starting Salary!!!

    siegolindoRN replied to amadime1's topic in New York Nursing

    here in the city per diems can make

  25. Name the hospital and its Starting Salary!!!

    siegolindoRN replied to amadime1's topic in New York Nursing

    sorry about the late reply. BSN is