rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. HELP Looking for Contraindications in placing NG Tubes...

    rjflyn replied to kitkat7077's topic in Nursing Student Assistance

    If the tube is made of latex, of which I personally havent seen one of in years. Wont place one down on a pt who has had gastric bypass or lapband surgery.

  2. Sickle Cell Crisis Question LONG VENT!!

    rjflyn replied to RN-TO-BE's topic in General Nursing

    Not to mention the neurotoxic effects of Demerol and that a lot of places are discontinuing the use of it. It is though a fine line between pain control and addiction for these patients. I...

  3. sublingual nitro

    rjflyn replied to tinyrita's topic in LPN, LVN Corner

    On that information I would call 911. Personally I dont give Nitro to any patient that has never had it before/chronicly taking it without IV access, seen too many BP's crash and

  4. staffing

    rjflyn replied to OB Nurtz's topic in Ob/Gyn

    Personally if one is not comfortable with the situation and management is turning a deaf ear I would be looking for work elsewhere. Seems to me the only way places listen is when we speak with our...

  5. Nursing Shortage

    rjflyn replied to kristi-lpn2's topic in Activism, Healthcare

    Id have to go with what the other poster said. If they are not keeping up with their promises. Leave. My question is what is administration going to do when all the states have California like...

  6. OR patients bypass PACU for ICU

    rjflyn replied to fedupnurse's topic in PACU

    I don't have much to say from the adult ICU prospective. But in a year of PICU time we would get a few children directly from the OR. More often than not as opposed to what the original poster noted...

  7. Would you buy one?

    rjflyn replied to Aneroo's topic in General Nursing

    Actually for what it's worth the first save with an AED at Ohare in Chicago was by an 11 year old who had learned about them in school. Also the particular AED most likely is the one by Phillips....

  8. "I'm going to sue you", What do you say?

    rjflyn replied to DutchgirlRN's topic in Nursing Career

    For what its worth my DW works as a legal assistant so I have a little insight to what goes on. The good thing is even if every one of those people say they are going to sue talks to a lawyer- the...

  9. Increase in I&D's in the South?

    rjflyn replied to LeahJet's topic in Emergency

    Personally I think it is plain and simply the lack of or infrequency of bathing. These patients need to learn what Dial soap is. Its rare that I see one of these so called risens is on someone with...

  10. vomiting blood and alcohol

    rjflyn replied to krisssy's topic in Emergency

    For what its worth I have seen first time teen drinkers present to the ER vomiting blood tinged GI contents. Alcohol is a GI irritant after all. The get so sick that they cant stop vomiting and...

  11. Evil People

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

    Sounds to me that maybe mom should have been having a little chat with the police about why her 16 year old daughter was out on new years getting drunk. There always more than one way to get an...

  12. Donating Scrubs

    rjflyn replied to LadyBugLass's topic in Scrubs, Uniforms, Gear

    Cant believe that you were unable to sell them on Ebay. Check your hospital, at the least they might be able to use them to give to indigent patients who arrive with nothing on or lose there clothes...

  13. Pensions

    rjflyn replied to kharma09's topic in Florida Nursing

    Nope- very rare in health care. Most places have 401b's or like programs where the employer matches what the employee puts in up to a certain amount. Others go farther and put in a certain...

  14. Triage short form

    rjflyn replied to rmcgrog's topic in Emergency

    Well there is triage and then there is information intake. Actual triage can only take a minute or two. The most efficient I have seen was when I was working at U of M. We used the Emergency...

  15. Meds you hate to give....

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

    Personally I kind of enjoy giving charcoal or mycomyst. I you are stupid enough to overdose then its the price you pay. The drugs I dont like to give probably are Solumedrol for spinal injury and...

  16. Oralando bound and need advice......

    rjflyn replied to Jenny C's topic in Florida Nursing

    I'll answer a couple posts. For one Lakeland/Winterhaven is about an hour drive to Orlando or Tampa on most days give or take. There is alot of road under constrution both ways. More than likely...

  17. ER the most physically demanding?

    rjflyn replied to dm22's topic in Emergency

    Toss in a little benadryl and your good to go.

  18. Where to work in Jacksonville

    rjflyn replied to bgood6's topic in Florida Nursing

    Try searching at this link. http://www.theagapecenter.com/Hospitals/Florida.htm

  19. Oralando bound and need advice......

    rjflyn replied to Jenny C's topic in Florida Nursing

    For Futurenurse and any others here is a link to an extensive list of FL hospitals. http://www.theagapecenter.com/Hospitals/Florida.htm

  20. Traveling with one years experience

    rjflyn replied to medicrnohio's topic in Travel

    Only one real way to find out talk to a recruiter or two. They will be able to give you an idea of what the demand is. The higher the demand the more likely someone with less exp would be able find...

  21. Florida licensure

    rjflyn replied to coldhandsrn's topic in Florida Nursing

    Generally its taking about 2 months to get licensed in FL from another state via endorsement. About a year ago I got a temporary in about a month. You can only practice on that for 90 days or so....

  22. Oralando bound and need advice......

    rjflyn replied to Jenny C's topic in Florida Nursing

    I work with someone who went to school in NY and moved here during the license process. He went with the direct FL licensure route, it took about 3 months to complete- had some issues with the board...

  23. propofol

    rjflyn replied to popbob's topic in Emergency

    Also theres always Etomidate. As for Diprovan I have only seen it pushed a couple times and both a CRNA from OR came and did it. It is wonderful for keeping vented patients down however.

  24. Florida Board of Nursing background checks

    rjflyn replied to kk2000's topic in Florida Nursing

    Im not really sure but for what its worth they only request one set of prints so they are running just one. When I applied to New Mexico a few years ago they requested two sets as one set was used...

  25. Calling family for TX!!!

    rjflyn replied to Antikigirl's topic in Geriatric, LTC

    Well unless the patient consents its a HIPPA violation to discuss care with the family. Last I knew people in ASL's still generally run their own affairs and as such are the only ones you need to...