rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. You are probably a med-surg nurse if.....

    rjflyn replied to DutchgirlRN's topic in Medical-Surgical

    No offense to the med/surg nurses who dont- but whine when the ER calls with pt report.

  2. Talked with California BON; something *can* be done

    rjflyn replied to Jo Dirt's topic in Online Distance Learning

    Just a thought but wouldnt working for that many hours in another state as a RN be considered "clinical time". For example dive deeper in to alot of states license laws and you find such a thing for...

  3. How long between interview & job offer???

    rjflyn replied to USA987's topic in Nursing Career

    Just curious where did they fit the drug screen in such a short process.

  4. Are there ways around the dreaded waiting list?

    rjflyn replied to floridanurse2b's topic in Florida Nursing

    As they say location, location, location. I know when and where I went to school being male... sorry ladies... was all but an automatic in for the full two year program. It was a ladder program ie...

  5. How long between interview & job offer???

    rjflyn replied to USA987's topic in Nursing Career

    Depends on the kind of position management or staff. Personally I have never waited longer than a week to 10 days at tops before i call them. On the other hand I have had an offer phone call beat me...

  6. My bp is 160/120, go to the ER?

    rjflyn replied to Chad_KY_SRNA's topic in General Nursing

    Sounds like a MI to me. Besides that a supposedly healthy 23 y/o football player just died of..... egads heart disease. So it can and does happen to anyone.

  7. You know you've been a nurse for way too long when...

    rjflyn replied to jalvino1's topic in General Nursing

    When your old enough to be the new grads

  8. activated charcoal

    rjflyn replied to nursepenny's topic in Emergency

    Course there is alway black dye, then the rest of it will match the charcoal portion.

  9. activated charcoal

    rjflyn replied to nursepenny's topic in Emergency

    Charcoal+scrubs=trash. There isnt anything in my may years of emergency medical care that anyone I know has been able to get it out.

  10. ER Nurses Treated Different in my Hospital!

    rjflyn replied to Jen2's topic in Emergency

    AH maybe thats when the beds get assigned. Being doing the ER thing for 17 yrs and this hasnt changed much. We in the ER know there are open beds but generally because of staffing we dont get...

  11. Evacuation of New Orleans hospital...(link to article inside)

    rjflyn replied to HappyNurse2005's topic in General Nursing

    there is another way to get involved in disaster response. Join on of the national DMAT teams. DO a search here on the net, for example heres one of ours. http://www.dmat-fl6.org/ or another...

  12. Troponin levels

    rjflyn replied to mysterybe's topic in Cardiac

    It also depends on which troponin is being measured. Is it troponinT or troponinI. I did critical care transport for little over a year. We did followup visits to the floor on most of our pts- we...

  13. OB Emergencies- kind of long

    rjflyn replied to ERNURSE4MS's topic in Emergency

    You pretty much did the right thing. About the only thing that might have saved the baby in this case would have been her being in the OR long before she presented to the ER. On thing missed though...

  14. Night shift

    rjflyn replied to Spider Cat's topic in General Nursing

    Actually chronic Tylenol/ its generic equivlent use can actually cause liver injury if one takes it on a regular basis. That said how much and how long one takes it to cause that damage can vary....

  15. elevated liver enzymes, AST AND ALT

    rjflyn replied to cumberland40's topic in General Nursing

    It may be something or then again nothing as the other posters have noted. I had a physical a few years back about a week after I had been on vacation. My ALT was slightly elevated. Since none of...

  16. Help on a Pay Scale issue!!!

    rjflyn replied to Debbie1972's topic in General Nursing

    I agree with your post but the original poster was talking about a new grad. Most agencies and travel compainies want experence. That experence for most companies is at least one year in your chosen...

  17. Help on a Pay Scale issue!!!

    rjflyn replied to Debbie1972's topic in General Nursing

    My response to the original poster with the added information is that someone is blowing something up you skirt to put it polietly. If thats what the web site is listing there isnt anyway I can see a...

  18. Help on a Pay Scale issue!!!

    rjflyn replied to Debbie1972's topic in General Nursing

    Or you could email the hospitals HR department your self asking what there pay scale is. I will add however $17 hr is pretty low no matter where one lives, new grad or not. Another point its hard...

  19. what is the difference between BNP and pro BNP

    rjflyn replied to wrkoutgirl's topic in General Nursing

    i dont really know the difference between the two but i have heard the term used interchangablely at one hospital i have worked at. brain natriuretic peptide (bnp), or b-type natriuretic peptide, is...

  20. "Accurate" Charting of Profanity

    rjflyn replied to RNCENCCRNNREMTP's topic in Emergency

    Ditto- what the patient says if its pertinent gets put in the chart- be it profane or otherwise. My response to management is that I am not going to fraudulently document or alter it because they...

  21. working vs school, not seeing kids

    rjflyn replied to texas_lvn's topic in General Nursing

    From the original post with the kids ages I dont see you missing them much with that schedule, with one note is the 4 year old starting school now or not for another year? You stated school for you in...

  22. Am I just being overly sensitive?

    rjflyn replied to Jo Dirt's topic in General Nursing

    Not much to add to what the other posters mentioned but did see you felt the animals were in poor health. Maybe a well thought out anonymous call to animal control or the local human society might...

  23. use of oral syinges to administer oral meds

    rjflyn replied to vague1's topic in Patient Safety Issues

    Actually more than any thing its a safety issue. The medication can and has been inadvertantly given IV/IM with fatal results when it should have been given PO. If the proper syringes are not...

  24. IV Frusemide

    rjflyn replied to AussieKylie's topic in Nursing Student Assistance

    Ok that is a large dose, however I have given 200mg at one time. Also my reference calls for intermittent doses to be given at 4mg min. It also though lists a bolus does of 80mg over 2-5mins, the...

  25. Pre-hire drug screen question

    rjflyn replied to ljds's topic in General Nursing

    I have said this in another post before. A legal drug screen always, always, always gets reviewed by a medical review officer. This person has to be certified in toxicology. If you look at your copy...