rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. positive drug test help

    rjflyn replied to puppielove's topic in General Nursing

    Thats all fine and good, but then the burden of proof is on you to proof that you are taking the med for what it was originally prescribed for. Like I just stated in my post above there are Florida...

  2. positive drug test help

    rjflyn replied to puppielove's topic in General Nursing

    THE key is short time. Typically for instance I work in the ER our doc's write pts RX's for example for say Percocet, #20 with no refills. Say this if for someone who sprains their ankle or suffers...

  3. Emergency Nurses Week

    rjflyn replied to impress0508's topic in Emergency

    Well I am in Florida, on of the well known low pay states. So others might know where I come from. My facility over the last few years is/has improved in nurse recognition- in fact we have ANCC...

  4. ER Newbie

    rjflyn replied to minifish's topic in Emergency

    Don't know how much advice I can give you because the USA is different than there. Nursing is nursing however. ER pts are ER pts. I can only hope there you dont have to be primary care like we do...

  5. positive drug test help

    rjflyn replied to puppielove's topic in General Nursing

    Sounds like the story we hear from pts in the ER everyday. How many pill boxes with pills do I see on any given day... let me see. Also FYI they generally don't test for DARVOCET specifically, the...

  6. I was exposed to blood.

    rjflyn replied to nursing_student84's topic in General Nursing

    Working in the ER as I do I have the occasion to test hospital staff on the off hours after a "exposure". Sometimes it is subjective if you have a break your skin or not. One question though is at...

  7. What if I want to quit the union?

    rjflyn replied to 1Tulip's topic in Activism, Healthcare

    Exactly, most like the insurance, retirement, seniority, education, job security and wage benefits they get with a union contract. Most local unions then affiliate with national organizations to...

  8. What if I want to quit the union?

    rjflyn replied to 1Tulip's topic in Activism, Healthcare

    Having had worked at a unionized facility and had a parent that belonged to unions for years reading these posts here it is clear that many don't understand what unions are or their concept. First of...

  9. Scheduled meeting with manager, HR and union rep

    rjflyn replied to meadow85's topic in General Nursing

    And back to your union contract, as I mentioned in my post above I worked a unionized facility. You may want to talk with your union, our contract had a clause to the effect that when we were...

  10. Scheduled meeting with manager, HR and union rep

    rjflyn replied to meadow85's topic in General Nursing

    To bad you dont know a lawyer. Show up on Monday with said lawyer. That aside, the fact that your facility is unionized look at your contract, its going to spell out the instances that a union rep...

  11. CRAP! I didn't renew my illinois nursing license

    rjflyn replied to syuhas's topic in General Nursing

    Relax- breath-- OK you might be able to still do a late renewal. Go to the states web site. Should be a link at the top of this board. If you are lucky you probably will only have to pay more $$...

  12. Question for ER moms

    rjflyn replied to RN_in_SC's topic in Emergency

    She probably has more risk of being assaulted in the ER than anything else. For that reason being a charge nurse it would effect how I make assignments, so I would want to know. In my dept for...

  13. Acetaminophen

    rjflyn replied to curious4life's topic in General Nursing

    That and because of Aspirin allergies. My facility has pushed for plain narcotic prescribing. In fact Darvon is auto substituted for Darvocet, they ask that oxycodone be ordered over combos such as...

  14. Missing narcs. Being blamed!

    rjflyn replied to ryny143's topic in General Nursing

    Posted in error

  15. Missing narcs. Being blamed!

    rjflyn replied to ryny143's topic in General Nursing

    Sounds like RN and rep from pharmacy logged i.e signed . the Vicodin in to the book more than likely. But then it took 3 days to miss them. Last I knew it's required by law to count these items...

  16. Acetaminophen

    rjflyn replied to curious4life's topic in General Nursing

    Depends. Some facilities limit tylenol aka acetaminophen to 3GM/d others to 4GM/d. SInce this pt is having such a problem with fever 1) I would see if there is an order for Motrin/ibuprofen or get...

  17. ER nurses make $144,000 a year!

    rjflyn replied to Jo Dirt's topic in General Nursing

    I can tell you this, this ER nurse on his best year isn't even close. I would guess maybe overseas like Saudi or Dubai maybe OR contract/agency like someone said killing oneself with OT. Though I...

  18. Emergency Nurses Week

    rjflyn replied to impress0508's topic in Emergency

    $2 hr raise. I am serious. If they truly appreciate us year around that would really show it. Never will happen but hey a guy can hope.

  19. do not rehire?

    rjflyn replied to sistasoul's topic in General Nursing

    Also it may not be that the hospital in not willing to re hire it may be a particular department. One other thing that goes in to a decision of this type it they often ask your old coworkers about...

  20. Ever give thorazine(chlorpromazine)IV?

    rjflyn replied to suanna's topic in General Nursing

    Used it for hiccups and migraines. Given slow push to diluted in as much as a liter bag or IM. Where I am now RX sends in a 100 ml bag of NS if we give it IV at all.

  21. do not rehire?

    rjflyn replied to sistasoul's topic in General Nursing

    Sorry you didn't get the job. With the current economy more likely its places choosing to be picky with who they hire. If you were on their do not hire list you most likely would not have even got...

  22. 18-gauge vs. 20-gauge

    rjflyn replied to solneeshka's topic in General Nursing

    Yeah that....If the pt comes in with an MI I am going to need 2, 3 or more IVs. I might put in a twin cath, ie 2IV's in one. Trauma might get a 14, 16 if the veins allow. But with the older pt...

  23. ER nursing in NC

    rjflyn replied to awpanda_99's topic in Emergency

    I can almost guess the facility without even asking. I lived in Winston-Salem for several years 98-02, the pay there was about 10-15% higher than Raleigh/Durham. I in fact on a couple occasions...

  24. For those in Florida, is medical error 2hr c.e a requirement?

    rjflyn replied to breeqt's topic in Florida Nursing

    I think its a new requirement, or the timing is new. I endorsed to FL a few years ago and if I recall correctly at the time you had to take the class within a set period of time. As far as the Op...

  25. Question/Concern about pt and Dilaudid IVP

    rjflyn replied to Christy1019's topic in Emergency

    Sounds like maybe a little Ativan and Haldol would have helped with her getting some rest. I thought I had seen it all until I had a pt come in the other day on PO Dilaudid 8mg. for neuropathy I...