rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. My 3 year old has MRSA!

    rjflyn replied to Anagray's topic in General Nursing

    Considering Bacitracin is OTC probably not. More likely its Bactroban with is a brand of mupirocin as other posters have mentioned. We are seeing a lot of "spider bites", of which most of them are...

  2. V-tach question

    rjflyn replied to evans_c1's topic in General Nursing

    ACLS my friends calls for lidocaine or amiodarone for monomorphic VT. For polymorphic VT (torsodes)its asks one to look at the QT interval if its nomal/short the tx is the same, if long the...

  3. Restraining critical patients with heroin overdoses

    rjflyn replied to JessicRN's topic in Emergency

    Thats the key we dont use medications to control behavior only as medical treatment. We are also trained that medication is never used as a restraint and that is the answer to any surveyors question...

  4. lethal amylase levels?

    rjflyn replied to Paravell's topic in General Nursing

    Thats got to be a different scale or was a miss print. I have worked ER and seen many a case of both acute and chronic pancreatitis and have never seen a level that high. As I recall the highest i...

  5. Restraining critical patients with heroin overdoses

    rjflyn replied to JessicRN's topic in Emergency

    How about giving less Narcan. Back when I first learned about its use the whole point of giving it was to give it till respirations improved not until the patient wakes up. So I guess my point is...

  6. RN with huge medical debt, looking for high paying work

    rjflyn replied to neophyte's topic in General Nursing

    Generally collision covers ones own vehicle. Un/Under covers pretty much everything else. My wife works as a legal assistant and even had one instance where a passenger in a car of an uninsured...

  7. RN with huge medical debt, looking for high paying work

    rjflyn replied to neophyte's topic in General Nursing

    I guess everyone is blind and missed my post about making the debt go away instead of just trying to make more money. Also if the other driver was at fault technically its that persons debt not the...

  8. Ambulance Personnel and wait times

    rjflyn replied to Kince's topic in Emergency

    Here the police will arrest a patient if they leave the ED and call 911. Our medics on occasion 2-3 times a 12hr shift will bring patients to the lobby. Generally they have gotten the once over by...

  9. Desperately need your advice ED nurses!

    rjflyn replied to SteveNNP's topic in Emergency

    That and if they are that short you can surely do overtime shifts there is you like. I did the oposite a couple years ago left the ER for PICU and worked a shift every other week in the ED so i...

  10. Rescue 911---Staff Member Down!!

    rjflyn replied to VivaLasViejas's topic in General Nursing

    Good save. In light of this happening in a health care facility the first thought that comes to mind is a latex allergy. Next would be something he ate or inhaled. He probably should see an allergy...

  11. RN with huge medical debt, looking for high paying work

    rjflyn replied to neophyte's topic in General Nursing

    Instead of looking for a high paying job what about making the debt going away. The OP states the truck driver was uninsured. No mention is made of who owned the truck or what the truck was hauling?...

  12. No wonder people abuse the ER...

    rjflyn replied to hoppermom3's topic in General Nursing

    Unfortunately ours wait around much longer than that. Iv'e had them wait 8 hours for nothing complaints. As far as paging goes our pages in the house dont go out to the ED lobby.

  13. No wonder people abuse the ER...

    rjflyn replied to hoppermom3's topic in General Nursing

    Ah what about going to an urgent care clinic. As far as the ER unless there is apparent trauma, point tenderness or a deformity I wouldn't order a xray at triage either, which means a wait to see...

  14. Needle in a vein question

    rjflyn replied to Empress's topic in General Nursing

    Im going to disagree, in fact I have had pts tell me a 22ga cath hurts more than an 18ga. My theory is that the large bevel of an 18ga cath often times completely severes a nerve/nerve ending at...

  15. Question On Mi

    rjflyn replied to angelique777's topic in Cardiac

    I'm gonna go with A-flutter. Pts with chronic a-fib have MI's all the time. SVT generally is an acute problem as previously mentioned and frankly I personally havent seen it much in the instance of...

  16. Confused. Confirm or forget it?

    rjflyn replied to Nightcrawler's topic in General Nursing

    I would call and speak to the nurse manager. Places have "openings" all the time the HR doesnt know about. She may still want to meet with you.

  17. Moving to another State

    rjflyn replied to SteveNNP's topic in Nursing Career

    The bonus here is you reside in one compact state and are moving to another. I would go to the new state and work there and maintain residence in the old state until you got the new state license....

  18. how far is too far to commute?

    rjflyn replied to dolphindodger's topic in Nursing Career

    Or you can move. If that is an option. The OP doesnt provide enough information so its hard to tell.

  19. Your protocol/standard for head injury?

    rjflyn replied to Lurksalot's topic in Emergency

    Not enough information in the original post to give a truely acurate answer. No mention of symptoms, just mechanism and that there was a laceration. No mention if the patient had loss of...

  20. Do I need a suit???

    rjflyn replied to maledi's topic in General Nursing

    My opinion is what is the person you are going to interview with going to be wearing. If your going to interview with someone in upper management and they are wearing a suit then you probably should...

  21. future nurse with epilepsy, please help me...

    rjflyn replied to chopin06's topic in General Nursing

    Forget about discrimination from the employer you first have to get by the board of nursing. For example on Florida's application there are the following four questions, along with the request for...

  22. Help>>> In 2 Weeks I am moving

    rjflyn replied to SapphireRN's topic in Florida Nursing

    Did you request a temporary license? If so you can go here: http://ww2.doh.state.fl.us/irm00praes/praslist.asp and see if you have at least that. We in the Tampa/St Pete area as far as PEDS,...

  23. what treatment do patients who present with migraines......

    rjflyn replied to froghair's topic in Emergency

    Yeah but what do you give to a person like me. I took Toradol for an on the job injury- which triggered migraine headaches. Fortunately I have not had to go to the ER for my migraines, but I agree I...

  24. Is it possible to have a false positive PCP result?

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

    It also depends on the test. In my exp we are only doing the rapid urine drug screen on 99.9% of the patients we test. Adding serum ASA, Tylenol, ETOH and the usual routine med level ie dilantin ect....

  25. Have You Ever Refused To Accept Report on a Patient?

    rjflyn replied to Meerkat's topic in General Nursing

    Personally I would like to see the hospital try to fire her for that. It would be a slam dunk for any attorney. How does Meerkat Medical Center sound. Speaking of attorney Meerkat so you dont...