rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. Stroke Care

    rjflyn replied to featherzwolfcloud's topic in General Nursing

    I work in the ER of a hospital that is a fairly new stroke center- two years. We are good at what we do. but the patient has to give us something to work with. Like the others have said the key is...

  2. parents please talk to your teens

    rjflyn replied to litbitblack's topic in General Nursing

    I have been in the ER for 20 yrs and yes on occasion, a rare one at that we will NG for ETOH poisoning. More often its for the co-ingestion of drugs that they took for a suicide attempt. But were not...

  3. Trauma: Life in the ER

    rjflyn replied to nursebrandie28's topic in Emergency

    Well a few years back pre HIPAA they would get consent from specific pts i.e. ones on the show. In the ED i worked at the time it was posted all over the NYT was filming and that your presence was...

  4. Emergency Room vs. Motorcycle Accident Patient

    rjflyn replied to openheartmary's topic in Emergency

    I am going to have to say I agree there is no excuse for not CT scanning this person. I in the last 20 years have seen a lot. In the more recent era of CYA medicine we scan MVC victims with barely a...

  5. "fan out and go" + alchohol

    rjflyn replied to Pepper The Cat's topic in General Nursing

    I see the answer the OP is trying to get but no own has given yet. Everyone has responded to the everyday i have had a drink or two today, sorry I can't come in. And NO you should not. NO matter...

  6. Emergency Room vs. Motorcycle Accident Patient

    rjflyn replied to openheartmary's topic in Emergency

    And based on the information in the original post and care he recieved he was probably not at trauma center. If he was the state and the American College of Surgeons should be yanking their trauma...

  7. Emergency Room vs. Motorcycle Accident Patient

    rjflyn replied to openheartmary's topic in Emergency

    Yeah its not too late for a CT but why. The purpose would be to rule out serious internal injury, of which its Wed now and the injury occurred on Sat. More than likely he would have shown outward...

  8. Mass Exodus from ED

    rjflyn replied to TraumaNurseRN's topic in Emergency

    Apparently HR does not do exit interviews or the nurses did not tell the true on said interviews. That or the nurses went to other departments and avoided one all together. Put all that together and...

  9. question...to go meds

    rjflyn replied to sharksgal's topic in Emergency

    Thank goodness for 24hr walgreens and cvs.

  10. ETOH Safety

    rjflyn replied to askater11's topic in General Nursing

    SUX and Diprivan??? Seriously how do you keep weekly drunk guy in bed when you are caring for granny next door who is on the vent with pneumonia trying to die and its not her time yet? My answer is...

  11. Jealousy or actual favoritism - you tell me

    rjflyn replied to foxc1121's topic in Patient, Colleague Relations

    I was going to say if you were single and a nurse the world is your oyster- go where ever you heart desires. But since you are married you have limited options unless his career is a mobile one as...

  12. Job Interview: Check Writing Legibility?

    rjflyn replied to Music in My Heart's topic in General Nursing

    What happens when you use computers or an EMR? Everyone's documentation looks the same. On that note the actually have a font called scribble.

  13. Dress Codes for the ER

    rjflyn replied to nursebrandie28's topic in Emergency

    This might work- I worked at one facility that had a policy to replace damaged uniforms that occurred as part of standard job duties. So if they have to pay for enough white scrub tops they might...

  14. pt. suspected drug user

    rjflyn replied to mslema's topic in Ob/Gyn

    In this case probably tell them they would be signing out AMA from our facility and that our doctors would not be caring for her. The she is not the physician and she does not tell them how to...

  15. Pointers for an Epi Pen speech

    rjflyn replied to skittlebear's topic in General Nursing

    Thats probably a good place to start but with some patients by the time they get to that point in the anaphylaxis cascade it is to late for them to use it on themselves. Most people who carry an...

  16. Do you have to be so greedy?!

    rjflyn replied to ooserrn's topic in General Nursing

    Devils advocate if they paid us what we were worth most of the nurses that were going after all that OT so eagerly probably wouldn't so much. But as it is generally though those are also the people...

  17. Streamlining triage-required questions

    rjflyn replied to vampireslayer's topic in Emergency

    I was gonna say everyone in my ER is on fall precautions but recently they added a box of yes or no as far as is the pt a risk or not. I mark no if its an 18 y/o sober finger lac, yes if its an 80...

  18. Allergic Reaction to NPH Insulin?

    rjflyn replied to pagandeva2000's topic in General Nursing

    COuld quite possible be allergic to a preservative in the preparation as well. Redcell's explanation seems the most logical baring that though. My favorite is people who are allergic to heparin or...

  19. Entire ER crew will go to mandatory retreat

    rjflyn replied to FireStarterRN's topic in General Nursing

    Worked for a nurse manager in an ED about 10yrs ago who had a picnic at his place 2 week ends so the opposite shifts could attend. He provided the meat and everyone was highly encouraged to attend....

  20. It's MY License....Made Report to Adult Protective Services

    rjflyn replied to tencat's topic in General Nursing

    The OP had mentioned that she was told that a report was never made when she made hers. I dont know about were she is at but here in FL they can't tell you if another report has been made or not....

  21. ED protocols that include zofran?

    rjflyn replied to kmoonshine's topic in Emergency

    Not that much when we get calls from pharmacy's almost daily that a pt cannot afford the RX for 8 tabs at $125+.

  22. ED protocols that include zofran?

    rjflyn replied to kmoonshine's topic in Emergency

    No we dont have anything to give as far as that goes. On that note there are times I dont feel to sorry for them as more often than not you tell them to not eat or drink anything else. What happens...

  23. I may not get hired because of DRUG test,

    rjflyn replied to deboopy's topic in General Nursing

    Just so everyone knows even if you take Vicodin for example and have a RX for it . When you take a drug screen the medical review officer (MD) is going to report the result as negative. Same goes...

  24. Fired while out on medical leave? Need Advice!!!

    rjflyn replied to barbg524's topic in General Nursing

    You in good consciousness can say the the hernia didn't happen at work but what are the doctors telling you. It comes down to now not having a job because of it so you might want to rethink that...

  25. Define "Clinical Experience"

    rjflyn replied to miko014's topic in General Nursing

    And hey there is a nursing shortage. Lets not split hairs. Working taking care of patients is clinical experience. Now reading the original post, someone asking for 5 years of clinical experience...