rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. Not getting paid when I call off...

    rjflyn replied to RocknRollYogaRn's topic in General Nursing

    We work in healthcare, we are exposed daily to all kinds of nasties yet we are expected to be at work every day. And then hit with asinine expectations like that. If anything personally we should...

  2. ER Questions

    rjflyn replied to punkstar's topic in Emergency

    STEMI's get as much done as the cath team lets us. We have had them literally take them off the EMS stretchers so about all we are able to do is and EKG and get them quick registered. The medics...

  3. Describe the ACLS megacode/certification

    rjflyn replied to LisaJanae's topic in General Nursing

    Now vs 20 yrs. ago way to easy. Then I worried about it like boards. Now its nothing. They test you as small a group like you would respond to in a real code, you can take 'reference material i.e....

  4. Best approach to patients and relatives complaining about "long wait."

    rjflyn replied to uniquenurse's topic in Emergency

    That takes money something most our patients generally dont have any of. Because also, when we get the to the back after pain meds the want something to eat as well.

  5. Man dies in snowbank outside Maine ER

    rjflyn replied to canoehead's topic in Emergency

    Competent or not only under rare circumstances does it warrant assaulting a patient to keep them against there will, AMA or not. Based on the limited information provided its hard to say if this...

  6. Electrocardioversion...

    rjflyn replied to ERRNTraveler's topic in Emergency

    I had a co-worker, in his early 50's, a number of years ago go in to a-fib on a Thursday. They spent the weekend using various agents attempting to convert him. All the time the were...

  7. Waiting Room Signage

    rjflyn replied to willa76's topic in Emergency

    Its sad we even need signs- even the Federally mandated ones. To the poster with the ruptured appy- it doesn't take a rocket scientist to pick out someone who is SICK vs someone who thinks they...

  8. Any tips for getting patients transferred faster?

    rjflyn replied to AggieD04's topic in Emergency

    Another thing that might help is a change in policy. Our facility RN's only have to transport monitored pt's going to intensive care units, unless a paramedic is working I might add. Otherwise the...

  9. sending nurses home early

    rjflyn replied to Uptoherern's topic in Emergency

    Fine you can send me home, but my contract calls for paying me time and a half when you call me back which ends up costing you more. It's your call. Or I show up for for a shift, you have to pay me...

  10. What would you do to get ahead in the Line at the ER?

    rjflyn replied to maybe1day's topic in Emergency

    Typically its if you are seizure free for 6 months or more one can get ones drivers license back/ be allowed to drive.

  11. Lots of reactions to the flu vax this year

    rjflyn replied to TazziRN's topic in General Nursing

    I was at a conference a couple weeks a go on the pandemic flu and learned a lot about the flu in general. First one cannot get the flu from a flu shot, it is made from dead virus protein pieces....

  12. MRSA question

    rjflyn replied to 08gradihope's topic in General Nursing

    MRSA is the HIV of the 2000's, it will be something else for the 2010's no doubt. Each facility has it's own way of dealing with the issue. Shoot in our ER our doctors don't even agree on how to...

  13. Does your hospital give DC instructions to AMA patients

    rjflyn replied to UM Review RN's topic in General Nursing

    It kind of a double edged sword. AMA pts are a potential liability risk each and every time you deal with one. The more documentation on can have the better. This includes instruction or the lack...

  14. Need opinions RE: Fetal Demise in ER

    rjflyn replied to dansmom6's topic in Emergency

    Most ER's don't have a plan. But putting a packet together and giving a little training is not a good plan either. This is one of those instances that needs to be individualized, there is a...

  15. Looooooong rant... Condescending nurse... advice please!

    rjflyn replied to alkaleidi's topic in Emergency

    This is part of the first sentence of your whole post "I am finishing my orientation as a new employee in an ER," Where is your preceptor? At 6 wks in the ED they should still be fairly close to you...

  16. Happy Emergency Nurses Day

    rjflyn replied to loricatus's topic in Emergency

    I would have told them happy Emergency Nurses day by not showing up. Considering the ENA's stand as far as pt ratios in the ER goes, which is 4:1, it would be a cold day in hell be for I would show up...

  17. Do you just turn the homeless back out onto the streets?

    rjflyn replied to HopeItWorksDNP's topic in Emergency

    Each given location and situation has its own logistics. As such one needs to to look at them individually. My current practice location does not provide cab rides period end of discussion.....but...

  18. ED Physicians with overkill

    rjflyn replied to ThisEDRNRocks's topic in Emergency

    Unfortunately ED medicine has turned in to CYA medicine. We see pt's everyday who we don't know any history about, others sadly who we are their primary care provider. We have to look at every...

  19. Transitioning from Level 2 to Level 1

    rjflyn replied to alkaleidi's topic in Emergency

    I worked in Detroit at one hospital we were a level 2 only due to the fact at the OB department was at our twin hospital 6 blocks away. I can assure you one needs to be ready to care for a level...

  20. Medi-Tech?

    rjflyn replied to emsboss's topic in Emergency

    My facility went with a program called PULSECHECK. The team looked at several different programs and chose this one. One of the main reasons was because of the rarity of down time- twice since we...

  21. No blood draw from IV starts?

    rjflyn replied to Larry77's topic in Emergency

    And then there are days I wonder what the lab is doing to our blood. One day you have nothing hemolyze and the next every other pt you draw on has to be redrawn. By the way an external jugular line...

  22. Lost Patient's Wedding Ring

    rjflyn replied to stoli's topic in General Nursing

    Let this be a lesson to everyone. It is for this very reason that we should not be indiscriminately removing patients jewelry unless it is medically necessary. Its the same reason patients coming in...

  23. Why is this?? fractured 1st rib...

    rjflyn replied to Monica RN,BSN's topic in Emergency

    For what its worth just took the CEN last week and I would concentrate more on the basic rather that the bizarre. IE its not going ask mortality rates, more likely know that a first rib fracture...

  24. What do you all think of tele patients drinking coffee

    rjflyn replied to RNCRNA2BE's topic in General Nursing

    I know alot of facilities a cardiac diet excludes coffee, tea or colas in any form. De-cafe coffee contains upwards of 5mg of caffeine by the way. My current one is not in that group however as our...

  25. ran out of O2

    rjflyn replied to jenna_rn's topic in General Nursing

    Well there is your problem right there only 4 tanks for 30 beds???? Almost every ER I have ever been in has a portable tank under every bed. Then there are spares to replace those as needed. For...