rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. Lavage and the GI bleed

    rjflyn replied to olddog1's topic in Emergency

    I hate lavage until clear. If someone is actively bleeding they are not going to "clear". Fortunately our GI doctors typically get them on the octreotide and protonix gtts and then come socpe the...

  2. The personal questions patients ask - sorry need to vent

    rjflyn replied to Anagray's topic in Emergency

    Well I get to this thread at the point is 4 pages so there are a lot of interesting tips and good ideas. Please don't take offense at at my comments to follow. No one has mentioned about getting...

  3. Cardiac Arrest - ALONE

    rjflyn replied to punkstar's topic in Emergency

    I was going to say your kidding my the secretaries or housekeeping do CPR. At my facility they are not trained. On top of that if the HUC left the desk the dept would grind to even more of a halt....

  4. letter to manager appropriate, regarding transfer?

    rjflyn replied to NurseCard's topic in General Nursing

    Most hospitals I have been at require your current manager to sign off on you transferring to another unit. So you are going to have to tell them, better on your terms than theirs. Best to do it...

  5. wrongful termination

    rjflyn replied to oppressednurse's topic in General Nursing

    Lawyer

  6. Getting Percocet thru a Port-a-cath!!!!

    rjflyn replied to chenoaspirit's topic in General Nursing

    Sounds like they just need to take her immediately to the OR and remove it now. She doesn't choose to care for it properly she does not need to have it. And I agree its liquid meds only for this...

  7. Strep again

    rjflyn replied to jessiern's topic in General Nursing

    And remember to wash your hands. You are not just pulling strep randomly out of the air. You are having to pick it up from a surface and putting it in to your body, someone with it is coughing...

  8. exposure!

    rjflyn replied to skinc1's topic in General Nursing

    I want to know how the pressure from a pt's vein blew the top off a vacutainer. Personally in 20 yrs I have never seen it happen. I do see it happen when nurses use syringes to push blood in to...

  9. Need info from ER RNs for RN-BSN paper

    rjflyn replied to Annabelle07's topic in Emergency

    With 20 yrs. experience and several facilities behind me i can say that answer varies. It might be the charge nurse, the doctor, the social worker, the trauma surgeon, the nurse caring for the...

  10. Florida Salary vs Take Home

    rjflyn replied to OptimusMaximus's topic in Florida Nursing

    I take home today in central FL working 84 hrs every 2 weeks thats 3d/4d what I took home in Jan 05 working in Michigan at 72 every 2 weeks 3d/3d. That excludes not having them take out 6% for a...

  11. How safe do you think this is?

    rjflyn replied to LTCRN4LIFE's topic in Florida Nursing

    Well the the do call FL the Gunshine state, as it is fairly easy to get a CCW permit. So if you are so inclined you could protect yourself. Though you would/might have to leave it in your vehicle at...

  12. Strep again

    rjflyn replied to jessiern's topic in General Nursing

    Probably one need to see your doctor. Two if you are getting it that often see an ENT if you still have you tonsils. Three if you have pets, get them to the vet and have them checked to see if they...

  13. Medicare: "Hospital-Acquired Conditions" and "Present on Admission"

    rjflyn replied to NRSKarenRN's topic in Activism, Healthcare

    No the LTC needs to be treating the pt for the stuff the pt has had for the last 3 weeks where they are instead of sending the pt to the ER at 3PM on Friday afternoon. Almost everyone gets a...

  14. Help I need some advice

    rjflyn replied to love2beanurse's topic in General Nursing

    I would ask the first employer who has offered the position if they can give you at least a couple of those weeks of orientation on the night shift. Why I say that is that the night shift is an...

  15. Family members that work your nerves!!!

    rjflyn replied to BluntForceTrauma's topic in General Nursing

    I probably would have even went as far as having the police called, having a trespass warning issued. Not that I would not allow him not to visit, but he would not be allowed beyond the waiting room...

  16. Anyone currently studying for the CEN exam??

    rjflyn replied to deeDawntee's topic in Emergency

    I just passed it 6 months ago. I used several books. One that is not a main stream one that you will find is this: http://www.mo-media.com/cen/

  17. Is it a HIPPA violation?

    rjflyn replied to DixieNurse2244's topic in HIPAA Challenges

    Simple answer- bringing up your information on a not need to know basis yes it is a violation. The speculation of why you need to talk to your manager and wether it the two can be connected, that is...

  18. Husband and Wife need advice!

    rjflyn replied to gospel Rn, BSN's topic in General Nursing

    My step daughter was covered and I never had to "adopt" her. I think thats an insurance company splitting hairs and attempting to dodge responsibility. Though small employers can and will have...

  19. Husband and Wife need advice!

    rjflyn replied to gospel Rn, BSN's topic in General Nursing

    I am getting what your saying and what others are trying to say but are not putting in solid numbers so you don't see in and under stand. SO I will try to explain it. Here goes: this is for example...

  20. Denied employment without checking excellent references!!!!

    rjflyn replied to kstec's topic in General Nursing

    The thing to remember her is that we provide references every day. These are people we pick who we want to portray use in a good light. Generally they would never say anything bad about us. Same...

  21. Hospitals supplying latex free gloves

    rjflyn replied to bethin's topic in General Nursing

    There are hospitals that have. And there are more that are every day. With mandates to cause pts no harm, and causing a patient an allergic reaction we might not know about pretty much forces the...

  22. Hospitals supplying latex free gloves

    rjflyn replied to bethin's topic in General Nursing

    By limiting me to scheduling you to x hrs for y days with z days off. Sorry the hospital doesn't work that way. No I don't do the scheduling and am not management so I don't even know if its legal or...

  23. Hospitals supplying latex free gloves

    rjflyn replied to bethin's topic in General Nursing

    the problem with this approach is you could find yourself unemployed, depending on the state. See the recent post ref light duty for nurses and loss of jobs. All though it may work and most...

  24. How do you treat headaches?

    rjflyn replied to Anagray's topic in Emergency

    LOL- we try to avoid giving narcotics and using the above but when the pt list as allergies of toradol, compazine, benadryl, imitrex, cafergot, and phenergan what do you do. I have 50 other pts in my...

  25. Where to look for a job 1300 miles away

    rjflyn replied to New2ER's topic in General Nursing

    Try here: http://www.theagapecenter.com on the left of the page is a link (United States) scroll to PA and click on treatment next to it. It will bring up the PA page and about half way down will...