rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. best company for travel nurses

    rjflyn replied to carrie123's topic in General Nursing

    That why when I was traveling my contracts had a pay guaranty. It basically stated unless I volunteered to go home, which I never did or called in sick I got paid for my 40 hrs a week.

  2. Was I out of line ?

    rjflyn replied to grantw9066's topic in Emergency

    Nice lively discussion. Anyway, I am not going to comment on the OP's original post but on the c-collar it's self. If you believe someone is injured and you feel the warrant a c-collar then you...

  3. Worried re Insurance/cobra woes. Advice?

    rjflyn replied to nurseaboveboard's topic in General Nursing

    Well it looks like the reason the first job didn't offer COBRA was that you had another job and had insurance coverage. Once they became aware of the loss of that coverage they then offered you. The...

  4. any advice on working a strike?

    rjflyn replied to Jennifer Couty's topic in Activism, Healthcare

    Like the other poster said dont. But having grown up in a midwest unionized family I can recall scabs having things get thrown at them or their vehicles. I would be prepared for things like

  5. I think this borders on malpractice? or not?

    rjflyn replied to DutchgirlRN's topic in Emergency

    Its probably what I would have seen in any ER i have worked in the last 20 yrs. About the only time I have ever seen an ED doc write a script for BP meds is after speaking to a PCP or on the rare...

  6. Cardiac patients in the ER - a poll

    rjflyn replied to NurseCherlove's topic in Emergency

    Actual vs suspected. We work up a lot of people in our ER. Many of then young as well, significant cocaine and meth problem in the area. Anyway we probably admit 20-25% of the pt's we see on a...

  7. Legal Advice

    rjflyn replied to eufox69's topic in Activism, Healthcare

    It against the terms of service for members to give legal advice. The best advice one can give is to contact a lawyer that has deals with nursing legal issues.

  8. Angry ER RN new n LTC

    rjflyn replied to DaretoDreamRN's topic in Geriatric, LTC

    Personally if I am going to moonlight its going to be in another ER not LTC.

  9. Emergency Room Charge Nurse

    rjflyn replied to Fiesta Red's topic in Emergency

    :yeahthat: :yeahthat: The ED is to busy a place not to have a charge nurse unless it is a unusually small for one. I have enough on my plate caring for the patients to not have to deal with the BS...

  10. Looking for A GN Job in Tampa

    rjflyn replied to soontobenurse2's topic in Florida Nursing

    My first instinct would be that you were not working at a facility as a nurse tech while you were going to school. Hence the difficulty in finding a position. My first question would be how are you...

  11. RN license fees? Still need an answer

    rjflyn replied to TracyB,RN's topic in Florida Nursing

    Endorsement $212 Renewal Q2yrs $120 One thing one could always try a travel assignment to see if one likes the area and the weather. And there are some travel assignments even during the summer just...

  12. "No Diversion" policy

    rjflyn replied to Fiesta Red's topic in Emergency

    What are they going to do when nurse patient ratios like California finally get filtered down nation wide. I can wait to see every medic crew in the county waiting on the dock for a free nurse to...

  13. Policies on Pt.s bringing Weapons/Guns onto facility grounds?

    rjflyn replied to MsPiggy's topic in Patient Safety Issues

    Actually I just found this post and another issue acutally comes up. The patient is being admitted of addicition to drugs. This according to US federal law precludes one from owning/ purchasing a...

  14. sacrifical lamb=triage nurse

    rjflyn replied to Uptoherern's topic in Emergency

    Firing the triage nurse its and always will be the chicken sh-- way out. Its going to take some heat off but i'm sorry but its not going to fix the problem. Its a system problem and until the whole...

  15. Phenergan Supp given to toddler; child dies

    rjflyn replied to Mom23's topic in Emergency

    deleted by member

  16. My MI by me

    rjflyn replied to teeituptom's topic in Emergency

    Why not to drive oneself or love one even 5 mins to the hospital: 1) Traffic- yes on a good a day it takes 5 mins on a bad one i could take longer 2) Last time I checked you cant drive and do CPR on...

  17. EKGs in triage?

    rjflyn replied to etceducator's topic in Emergency

    Everyone and their brother complains of chest pain because they think its going to get them brought right back to a room. I for one like the fact that facilities are finally doing EKG's on these very...

  18. Why don't the big boys understand??

    rjflyn replied to TazziRN's topic in General Nursing

    It gets real fun when one has to call 8 or 9 hospitals to transfer a neuortrauma or head bleed pt as there is no neurosurgeon or no neuro icu beds avalible. It is a funny feeling though going from a...

  19. Sleeping during nightshift!!

    rjflyn replied to helpinghands's topic in General Nursing

    No it is far from the norm. And in fact in one state it is grounds for license revocation- North Carolina. Personally I dont care what one does on their lunch break ie if they go to their car and...

  20. Highest BP you have ever seen on a pt

    rjflyn replied to nckayaker's topic in Emergency

    280/198 HR 140ish pt went about 280-290#, actually gave this pt nitroglycerin IV wide open- bolused a total of 125-150 ml of it before it and the 200mg of Lasix we gave him kicked in to help his...

  21. My ED can't decide what it wants to be.

    rjflyn replied to Email4KH's topic in Emergency

    No what needs to be done is if your going to have a fast track it needs to have a separate waiting area. The best I ever saw though was the hospital owned an urgent care clinic that was basicly...

  22. Meds 4 Laser Eye Surgery

    rjflyn replied to luv2shopp85's topic in General Nursing

    Kind of strange indeed. All I had several year ago was the antibiotic eye drops that I filled prior to the day of surgery and instructions to take tylenol for pain. I dont recall any pain at all....

  23. Chest pain protocol in the ER

    rjflyn replied to StillBelieveRN's topic in Emergency

    I agree with interesting concept comment. These days everyone and there brother that comes to the ED c/o CP. The triage nurse needs to be on the ball and should not be a nurse who has little or no...

  24. Chest pain protocol in the ER

    rjflyn replied to StillBelieveRN's topic in Emergency

    VS Monitor- 12 lead EKG with in 15m of arrival O2 IV labs CBC, CMP, Troponin, (PT, PTT if EKG changes indicate MI or on anticoags)- 2 and 3rd line if MI ASA chewed and swallowed if not had or not...

  25. Use of restraint on out of control pt....look out !

    rjflyn replied to lauralassie's topic in General Nursing

    Im in Florida as well as Tweety. Unfortunately the patients most likely to assault healthcare workers are psychiatiric pts. SO even if the states attorney charges the person often times the get off...