rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. IV's- nursing or medical decision?

    Angie you would be a special case having worked in an ED at a transplant facility you presenting to the ER for any complain even remotely related to your transplant are going to get a full work up....
  2. How Much Pay Difference For No Benefits?

    Personally I would not reccomend it unless you have a spouse that has the benefits. As an example a coworker who is young and healthy just fresh out of school chose the no benefit route worth about...
  3. Student needing to transfer

    Is you husbands job in Orlando or a suburb. Also specificly where, as it wil have alot to do with where one is going to live and how far one wants to drive to school ect ect. Considering it is May...
  4. IV's- nursing or medical decision?

    Ah the delema, with my experence I have been in several different ER's. They run the gammet from the one where basicly nothing could happen to a patient to what do you mean that chest pain patient...
  5. Layoff

    I would be guessing a for profit hospital.
  6. Relo from Michigan

    Not sure about the nursing jobs in that area but more a concern would be what kind of work does your spouse to be do. Most hospitals in a given area generally pay new grads about the same. One might...
  7. M.O.M. enemas?

    They are the same thing. Generally used in children to induce BM's. We kept a gallon jug of Black Strap Molasses in the peds ER at the last level one I worked at. It was the one thing that in all...
  8. HTN urgency with IV Beta Blockers

    That is if they get admitted at all. We frequently have patients come in for non BP complaints who just happen to have hypertension. Sometimes they get something and sometimes they dont. Its a...
  9. My school had a handful of pins they used for pinning that once you were off stage you took off and they used over. I you wanted one contrary to what one poster stated, wasnt given to us we had to...
  10. Not picking up extra shifts

    Beyond the stress are they willing to pay you more other than the over time for working extra. Some places will and do. I would check and see. I dont know about you but I work extra via the agency...
  11. mumps...to vaccinate or not to vaccinate?

    I know about 10 year back I had to have documentation of 2 MMR shot or to have a titer done for a new postion. Well my issue ended up that my shot records were not the best and due to an allergy to...
  12. Starting my ER Preceptor

    Could not have said it much better myself. be the fly on the wall. Dont let the ER staff scare you away, we can be like that sometimes- goes with the territory. Also with the feeling ill part if...
  13. rapid response team.anyone using this?

    Ah yeah places are starting them its kinda like a JCAHO requirement or highly encouraged-- they big buzz words are patient saftey. Our hospital has a nurse from different critical care area respond...
  14. Tough for new grads to get experience?

    Tough comments by the OP. But anyway- its going to be tough to find NO nights, weekends ect unless one can 1) find an office job, 2) has senority via working as a clerk, then aid/tech and now RN or...
  15. OB pataients in the ER

    We have a like situation at my hospital. The campus with L&D is 5 mins down the street. Pregnant patients that just show up get evaluation per the ED physcians or on the 4 night a week she is...
  16. Like they were saying in the piece, what are the odds that someone is going to have an AED in their car. Pretty low unless its a trooper or other law enforcement officer. GOD definately has other...
  17. Try looking here http://bham.craigslist.org/ There are a couple sections to look under- apts/housing- which are people with places to rent. The other is rooms/shared these are people looking for or...
  18. ICU holds in the ER

    In this case it is the function of that particular ER. I have worked in a couple ED's where we "didnt do admit orders" the point being it forced the system to get those patients out of the ER and...
  19. ICU holds in the ER

    Simple answer resident needs to get his butt down to the ER and write orders. If they are reluctant calls every 10-15 mins for this and that generally gets them down here. As far as the nursing home...
  20. T system

    Have never used the nursing system but have been in several hospitals that the ED doc use/used it. My thoughts are with the push towards electronic documentation why your hospital didn't go that...
  21. Please Read (knee surgery)

    Another option- did he get hurt on the job at someones home. For example did he step in a hole and twist his knee. You might then be able to file a claim against that homeowners insurance. If it...
  22. causes for a non reactive pupil

    Sounds like malpractice to have not done a head CT on a person with altered mental status. I have seen them done on patients with less. Also from the description I might have scored their GCS lower,...
  23. Would You Press Charges?

    If that would have occured at my facility the patient would already be on their way to jail It would not be up for me to decide. Here violence against a health care worker is not tolerated for any...
  24. Mandatory Education for all nurses

    not required in NC either thought they ask how many you got as they track to see what the average nurse gets
  25. Blood Transfusions: How fast do you go?

    As far as pump use goes it depends on the pumps the hospital uses. I have worked in a couple facilities that their pumps were not to be used for