rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. Is ER nursing Floor nursing???

    rjflyn replied to zaga21's topic in Emergency

    Um NO. It is not floor nursing, it is not even close.

  2. when will i receive my liecence?

    rjflyn replied to tobelpn's topic in Florida Nursing

    For what it's worth instead of applying for a FL license when you are moving to another state why not just get the orginal license where you are going to be. Nothing says you have to get the FL...

  3. Police Killed Our Patient

    rjflyn replied to Meerkat's topic in General Nursing

    Also maybe the fact that our revolving door psych system played a part. It still amazes me that we can comit a person to a 72 hour hold/evaluation on friday night and they are back on saturday night...

  4. Syringes with no needles - garbage or sharps container?

    rjflyn replied to Hoozdo's topic in General Nursing

    Actually in my experence it depends on the state. For example in MI it is/was illegal to throw a syringe in the trash- ie the hospital could get fined if they were found thereps box. We were even...

  5. It shouldn't be this hard to do ACLS!

    rjflyn replied to Rocknurse's topic in General Nursing

    You are probably having a hard time finding a class because of the changes currently being implemented. For example my local facility is requiring staff to go to the whole 2 day class if we renew...

  6. Questioning a Docs decision...long

    rjflyn replied to emsboss's topic in Emergency

    Personally I would be curious to know if the original doc was one trained in emergency medicine. This is a pretty basic call, fall in an elderly patient with a LOC gets a head CT almost universally....

  7. Local places to buy scrubs?

    rjflyn replied to SchoolRN,BSN's topic in Indiana Nursing

    No there is a shirt that is on ebay for that.

  8. another "ob pt in er" question...

    rjflyn replied to scrmblr's topic in Emergency

    Thats all fine but it still effects a 24 wk fetus. The standard dx test for an appy is an abdominal CT scan with PO contrast, which no Radiologist at my hospital or any other one that I know of will...

  9. help with tncc

    rjflyn replied to stphnrnm's topic in Emergency

    Actually when you get the course materials for the class it usually includes a pretest which is in my case the same as the post test with the order of the questions changed around.

  10. North Carolina New Grad Er Programs

    rjflyn replied to ltvixen's topic in Emergency

    Both hospitals in WinstonSalem did have ER nursing intenship programs. My hospitals was six months long. The first month or two involved alot of class room time and then the last four months was in...

  11. Going from SICU to ER?

    rjflyn replied to straba's topic in Emergency

    And no offense but only one year of floor habits to break.

  12. another "ob pt in er" question...

    rjflyn replied to scrmblr's topic in Emergency

    24 weekers are OB's patient. They get to work them up and the dont come back to the ER. And if the get discharged and come back the get sent back to OB. To answer your question though FHT's get...

  13. How does your facilty handle triage of OB pts?

    rjflyn replied to Pedi-ER-RN's topic in Emergency

    We have the OB at another campus situation here as well. So everything gets evaluated here. Generally if the moms life is not endanger and delivery imminate, and not involving trauma ie MVC,...

  14. Annoying, Pushy or Persistant?

    rjflyn replied to jennlovee's topic in Travel

    Depends. As an example some nurse managers are so busy that they are only able to check their voice mail once or twice a day. In your example he or she may have already done so yesterday and had not...

  15. full-time work?

    rjflyn replied to ron1980's topic in General Nursing

    Ours is 7 shifts every two weeks. Week one is M-Tues-F-Sat and Sun-W-TH the second week this being

  16. hydrocodone and pregnancy

    rjflyn replied to geekgolightly's topic in Ob/Gyn

    Here is a local support group as well. Clear Lake Regional Hospital 500 Medical Center Blvd. Webster, TX 77598 Cafeteria 3rd Saturday of every other month 1:00pm. Lou Stevens 281-488-0698

  17. hydrocodone and pregnancy

    rjflyn replied to geekgolightly's topic in Ob/Gyn

    I would think living in Houston with Herrmann (sp) being located there that it wouldnt be too hard finding a OB/GYN or a Urologist that has delt with this situation. Here is ther physican refferal...

  18. Local places to buy scrubs?

    rjflyn replied to SchoolRN,BSN's topic in Indiana Nursing

    Personally I wouldnt buy all white anyplace other than Walmart as often as I have to replace them due to stains and stuff. Activated charcoal doesnt come out. I know the last couple Walmarts I...

  19. Please be nice to medical students

    rjflyn replied to cantor2537's topic in General Nursing

    Just a couple thoughts. I know at the last teaching hospital I worked in our interns on their first day in the ER were told that the nurses here are very experenced and know more about emergency...

  20. Ekg Nightmare, Must B An Easier Way

    rjflyn replied to Furoffire's topic in General Nursing

    Yeah there is- dont go so deep. As I recall the last time I took an EKG test associated with ACLS there were only 23 or 26 rhythms on it. To go in to much more detail frankly may be over kill. Yeah...

  21. ER Nurses contracting MRSA

    rjflyn replied to ernurseodessa's topic in Emergency

    For what it's worth a hospital I worked at in NC several years ago was doing a study, every pt from a nursing home or another hospital had nasal, axillary and groin swabs collected. At that time one...

  22. After I graduate can I start right off in the ER?

    rjflyn replied to sphz9471's topic in Emergency

    Why wait until you graduate. Alot of places will hire you as a tech, nurse tech or aid. Coming from someone who has spent 18 years in the ER its total bull that one "needs to get floor exp". I have...

  23. Questionable Allergies?

    rjflyn replied to MS._Jen_RN's topic in General Nursing

    Generally it is easier for the patients if the keep medications they are allergic to and have undesired reactions to in the same class. As one other poster noted its our job to ferret out the...

  24. Newbie Question Re: License Portability

    rjflyn replied to kimsnothome's topic in Travel

    Something people also need to think about is with compact state licenses one needs to "reside" in that state. Each state has its own rules as what they require for one to be a resident. The federal...

  25. Profanity in nursing notes

    rjflyn replied to findingmywayRN's topic in General Nursing

    Its like the most frequent saying in documentation- if you dont write it down it didn't happen. Goes with what a patient says if you dont quote it word for word when it goes to court it was never...