rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. Pt demanded a stronger pain med

    rjflyn replied to AstrosFan's topic in Emergency

    yes but when the pt is homeless or just gives you the address of the local vacant lot they dont get mail either. yes abd pain is a major work up. at least now a days we are a little more patient...

  2. Polling our male nurses: What area of nursing are you currently in right now?

    rjflyn replied to Thunderwolf's topic in Men in Nursing

    I'm suprised that there are 8 at this point who state they are in OB/materity. This begs the question what their practice is ie do they do everything OB related ie what every other OB nurse does or...

  3. Night Shift and Phone Calls from Family - Vent

    rjflyn replied to incublissRN's topic in General Nursing

    Its not an emergency unless the smoke detector is going off or the police/fire department are breaking down the door.

  4. Why do other floors think OB isn't real work?

    rjflyn replied to lannisz's topic in Ob/Gyn

    Hey folks the key here is in the first five words of the original post. "Got report from some guy" Since most places dont generally let male nurses work L&D/Gyn a comment as such might happen more...

  5. heplock needle size

    rjflyn replied to greenbean's topic in General Nursing

    My rule is what ever size gets the job done. My typical elderly ED pt it more often than not a 20ga one. Younger pts its an 18. Trauma get at least a 16ga and a 14ga if I can find a place for it....

  6. What would you do first?

    rjflyn replied to eden's topic in Ob/Gyn

    I just recertified NRP, Narcan hardly gets a mention. If the baby isn't breathing it needs as others have stated positive pressure ventilation. Also one needs a route to give the narcan, and you...

  7. Pt demanded a stronger pain med

    rjflyn replied to AstrosFan's topic in Emergency

    Personally I would have went to the doc, said something like they are not happy with the T3 rx. Get him to write one for motrin or naproxen and then enjoy walking back to the room asking to see the...

  8. wanting to travel but not quit where I'm at?

    rjflyn replied to jenjenrn_2004's topic in Travel

    Considering these terms get used interchanagably it may or may not work. Most places I have worked require a shift a per schedule period. As far as the leave of absense goes I personally would use...

  9. Assault Response Training for ER Staff

    rjflyn replied to Fiesta Red's topic in Emergency

    We have to take CPI here as well, the facility basically will back you as long as you follow it other wise one is on their own. As for violent/combative persons go in our ER at least on our team its...

  10. Boss Did My Annual Review--without Me..

    rjflyn replied to Meerkat's topic in General Nursing

    As the would say something is rotten in Denmark. Typically when one takes a leave of absence time lines get frozen or pushed back so I for one dont buy the it had to be done excuse. Also any place I...

  11. ER RN and Pregnant

    rjflyn replied to RN112's topic in General Nursing

    About chicken pox an adult never having had them and the fact we are vaccinating our children for them kind of scares me. We have alot of young nurses that have never seen it. On top of that we...

  12. ER RN and Pregnant

    rjflyn replied to RN112's topic in General Nursing

    First off congrats. As far as the restrictions you have mentioned you dont say if those imposed by you physican or other wise. If so your next trip should be to speak with you facilities...

  13. Approximate Narc. count?

    rjflyn replied to garciadiego's topic in General Nursing

    Another option could be to go by the weight of the bottle. There are highly acurate digital scales one could use to weigh the bottle and its contents. With the big push by joint commission on pt...

  14. Night Shifts - Problem with the new Manager

    rjflyn replied to NiteWalker's topic in General Nursing

    I would go with what the others are saying. One compicating factor I noted but the others might not have is that you are located in Canada and the laws re medical leave probably vary considerably...

  15. Creepy: and on Halloween!!!!

    rjflyn replied to Jo Dirt's topic in General Nursing

    Considering I often times work at triage in the ED and see pts getting quick regged getting asked SSN. They will key this number in and sometimes two or three names come up. One night it was so bad...

  16. How do you get a toddler to take fluids?

    rjflyn replied to TazziRN's topic in General Nursing

    A syringe 5-10ml at a time. Do it just like meds. Beyond that if they are severely dehydrated its IV time.

  17. Triage

    rjflyn replied to tweety55's topic in Emergency

    We generally place the patient in a bed after they have been seen by the triage nurse first. The problem of bringing pts right back in my experence is that if you get a big rush of pt that exceeds...

  18. Need help with article about EMS

    rjflyn replied to Ridryder 911's topic in Emergency

    Try this http://www.ferno.com/solution.aspx link for peds on the left. or here http://www.med-worldwide.com/pediatric-transport.html

  19. shy girl

    rjflyn replied to iluvmynavyman's topic in General Nursing

    Sleep disorders? Seriously, working in a sleep lab most the talking is at the start of the study and probably at the end. The mean time your patient sleeps or at least if I were the patient I...

  20. Too much pain medication

    rjflyn replied to Jennifer, RN's topic in Emergency

    Something is definately a miss here. Where i work its not unusual to see a Dilaudid 0.5-1mg q15 prn order esp from one specific doc. It is rare however to have to use it more than one or 2 doses...

  21. Admin Tyl and Vicodin w/ in 4 hr

    rjflyn replied to 1st edition's topic in General Nursing

    The other option would be to see if one can get an order for just the narcotic component of the Vicodin- hydrocodone. Most generally one should not be giving a repeat dose of acetomiophen in any...

  22. Best Underwear to wear under scrubs??

    rjflyn replied to Rn2bKatie's topic in General Nursing

    This subject has been discussed previously at length- do a search. Anyway, the others are on the right track. If you have to wear white scrubs, then stick with a color that matches your particular...

  23. Codes-ACLS drugs-reasons for the code

    rjflyn replied to vampireslayer's topic in Emergency

    As ACLS has been just recently been revised I am told that there is more emphasis on good CPR and less on drugs. In your example the doctor based on his experence chose not to give more atropine....

  24. When patients lie about rides.....

    rjflyn replied to TazziRN's topic in Emergency

    And nothing stops said ride from driving around the parking lot with said patient, dropping them off at their car. As far as getting sued, in this day and age anyone can sue you for anything. To...

  25. Secondary Mace exposure

    rjflyn replied to cathyinbfe's topic in Emergency

    Fortunately in my location they dont use any chemical substances. Its either Taser or bullets. As far as exposure most agencies are using only CS, aka pepper spray. Generally by arrival to the ED...