rjflyn

rjflyn ASN, RN

Emergency

Member

  • Content

    1,240

  • Visitors

    8,213

  • Followers

    0

  • Likes

    15

All Content by rjflyn

  1. Please go home...you are stable enough to be discharged...don't make me call security

    rjflyn replied to abundantjoy07's topic in Emergency

    Often times there is no easy way and you just have to tell them in no uncertain terms that they have to leave. If i'm calling security i'm not telling them. My nurses have already given the pt there...

  2. ER computer programs

    rjflyn replied to gardengal1's topic in Emergency

    Having used 4 different systems i'm going to second the poster above's comment on Pulsecheck. 1)simple to use -can order labs and chart in the program, and 2)most all it virtually never and I mean...

  3. Can you hold an active license in more than one state?

    rjflyn replied to chaxanmom's topic in General Nursing

    Yes and no. Read up on compact state licensure. Iowa for example wont allow you to hold a license if you have a license in another compact

  4. Needle Chest Decompression?

    rjflyn replied to mwboswell's topic in Emergency

    Having worked field and ED in 23 years now probably have done it a little over a handful of times. Maybe a couple times in the ED. That said, you find yourself in a large trauma center with any...

  5. Why do hiring managers say they will call and don't???

    rjflyn replied to Marshall1's topic in General Nursing

    SOmething others are leaving out that can be an issue is a hiring manager can say one thing but their hands are ultimately tied by said facilities HR departments policies and procedures. So there in...

  6. Help! Info needed - Florida license by endorsement

    rjflyn replied to OR1998's topic in Florida Nursing

    You shouldnt need to endorse, you already were licensed and as such should just have to renew in some fashion. Have you actually spoken to someone with the board to see if you have to re-endorse or...

  7. Epi-Pen Auto Injector

    rjflyn replied to mwboswell's topic in Emergency

    Not starting, have been here for some time. Generally idiot prove save for the one or two that think the orange end is a button to push and have injected their thumbs. Only down side is that for...

  8. Just curious- When pt's are drug tested..

    rjflyn replied to Cat_RN's topic in General Nursing

    As Rob72 mentioned, while any lab testing in the hospital technically isn't for legal purposes any medical record can and often is subpoenaed for court proceedings. Maybe even more so in the case of...

  9. HIPPA violation??

    rjflyn replied to RFRN's topic in General Nursing

    Its really weird when you get a minor with a child it the ER, some states automatically emancipate them but others dont. So you get instances where you have a minor consenting for treatment for a...

  10. Pct refused delegation

    rjflyn replied to Manatee111's topic in General Nursing

    Sounds to me like a manager is dodging a problem employee who needs to be have counseling on failure to preform duties as assigned. It doesnt matter that the why the nurse is delegating the task,...

  11. Blood alcohol with patients refusing

    rjflyn replied to SCRAPPYRN69's topic in Emergency

    What Altra said. In my current state, it's most often the suspect/patient has refused a breathalyzer test. Hence they are in the ED for a blood test at which point they are obtaining a search...

  12. Can they make me stay at the hospital without pay?

    rjflyn replied to myoglobin's topic in General Nursing

    The facility I worked had the plan set up where it allows for one to have their family at the hospital there with them in a disaster i.e. hurricane or pandemic flu. The thought behind it was if their...

  13. R u guys running into bed bugs alot???

    rjflyn replied to bestrn11's topic in General Nursing

    Im in metro Detroit and bed bugs are a pain my ED you know what. For what its worth 9x out 10 when some one complains of bed bugs its bites and they are not actually bringing them with them. That...

  14. ACLS on-line review

    rjflyn replied to shearernurse's topic in General Nursing

    Personally I dont see what would be wrong with a completely online renewal if it were done properly and was interactive. As much "hands on" as my last renewal was, the mega-code we we went in as a...

  15. Narcotic Administration in ER

    rjflyn replied to silver2009's topic in Emergency

    As a general rule we keep them around for 4 hours like every one else. The actual written policy though in fact states the pt can be discharged when the provider i.e. doctor or mid level who...

  16. Time off for Funerals???

    rjflyn replied to ChristineN's topic in General Nursing

    I know in the 2+ years at my current job we have lost my mom, my wifes birth mother and my wifes cousin. I got for my mom and the wifes 3 paid days off- but my boss said " take as much time as you...

  17. What do you do with motorcycle helmets after a motorcycle accident?

    rjflyn replied to LegzRN's topic in Emergency

    In my some total of 22+ years I have only actually seen less than a handful of helmets actually make it to the ED. But as others have mentioned its treated like any other pts belongings- it goes to...

  18. Nurses,if it ok to be scared of the hospital ER?

    rjflyn replied to nobody067's topic in General Nursing

    "all it showed was supraventricular tachycardia,otherwise a normal ECG" IS not a normal EKG my friends in anyone, nurse or Joe off the street. We have Dr's offices that call 911 and have the pt's...

  19. Collecting co-pays at the ED registration desk.

    rjflyn replied to TlhRNED's topic in Emergency

    Our suburban hospital does this. Surprisingly most our pt complaints come from this process and in fact its considered a separate department. We see a lot of uninsured and private pay patients so...

  20. OB for ED nurses

    rjflyn replied to Cleveland ED Nurse's topic in Ob/Gyn

    NRP is about all we got at the ED I worked at where our systems OB was located in a building about a mile down the street. As it was the docs and clinics were pretty good at instructing moms to go...

  21. BP: how high is too high (at 2am)? i.e., when will Pt stroke out?

    rjflyn replied to allthesmallthings's topic in General Nursing

    I agree with the mention of the ETOH withdrawal comments, but what about the possibility of pain also causing an elevation of BP. Inadequate pain control could also be the culprit, you did say the...

  22. Minor things people get fired/wrote up over,,,give examples.

    rjflyn replied to northmississippi's topic in Nursing Professionalism

    Well in the first posters instance thats a valid reason for a write up, RT should not be giving medications outside their scope. In the second instance well people get consoled all the time for minor...

  23. Unsafe Assignment & Pt Abandonment

    rjflyn replied to GM2RN's topic in Michigan Nursing

    Seriously you most effective way to protest is with your feet. Go some place else. It's your choice if you continue to stay in an supposedly unsafe environment. If you dont want to leave then find...

  24. Discharging intoxicated patients

    rjflyn replied to Freedom42's topic in Emergency

    Everyone has pretty much covered it, 1) if they can get a sober ride and they are clinically safe i.e. maintaining their airway they can go at about anytime. 2) otherwise generally we don't let them...

  25. Large bore IV

    rjflyn replied to remf3's topic in Emergency

    And with the new sepsis guidelines out there that are calling for 2L of saline in the first hour that the patient is in the ED, a single 20 or 22 just doesn't cut it anymore. The bad thing is on a...