rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. Has anyone made their own scrubs?

    rjflyn replied to sarah_bellum's topic in General Nursing

    My wife made me some out of material that is 100% cotton and yes they do wrinkle like crazy, so much that I have to iron them. Being male and at #200 I wear large size so it took more material and in...

  2. overtime

    rjflyn replied to margeux's topic in Travel

    It goes back to a federal law/rule change this past fall. DO a search for specifics as it was discussed heavily at the time. The basic gyst of the rule is that since we are "professionals", and...

  3. Nurses Who Shouldn't be Nurses

    rjflyn replied to bobnurse's topic in General Nursing

    Seems to me there is an awful lot of hoops to jump through to become a nurse just for the money. That and for every nurse that completes a program how many more people wash out because they cant do...

  4. Nurse To Patient Ratio's in ER

    rjflyn replied to Jeff Bagley's topic in Emergency

    Have you asked for their input. WIth that small of ER i'm sure the staff is pretty close. Your correct saying that thats not alot of pts but what kinds of pts are they? Do you have to hold pts?...

  5. Trauma: Life in the ER.

    rjflyn replied to Jen2's topic in Emergency

    Have worked in an ER where they had filmed in the past. At the time I worked in this particular ER at the time they were filming Paramedic's. This was in Detroit. The way the consent process worked...

  6. Any RN refresher courses in Brevard County?

    rjflyn replied to beth1009's topic in Florida Nursing

    Dont know of any refresher programs so to speak. I know alot of hospitals have intern type programs for new grads. Basicly what they end up being is extended orientations. Some as long as 6 months...

  7. Colleague bitten by pt--what should be done for the bitee?

    rjflyn replied to chris_at_lucas_RN's topic in General Nursing

    I dont know much as far as any thing out side the acute hospital setting. Contrary to what one poster stated most states actually have laws that allow for testing of a patient of an exposure to body...

  8. Hospital approval for outside work???

    rjflyn replied to moz's topic in General Nursing

    Basicly if you work in an at will state which most are and you dont have a contract. An employer can do just about anything they want unless there is a law against it. By working where one does...

  9. ? Charcoal Aspiration?

    rjflyn replied to tridil2000's topic in Emergency

    Just curious how your hospital justifies the cost difference. The one ER I worked that had the IV (Acetadote) form but only wanted us to use it in very rare circumstances. The cost is something...

  10. ? Charcoal Aspiration?

    rjflyn replied to tridil2000's topic in Emergency

    I guess thats one of the reasons charcoal is on its way out. RE a Tylenol OD one has to weigh the benefit of the charcoal vs its absorbing the antidote Mycomyst, esp if one has to give it fairly...

  11. White Scrubs? Advice?

    rjflyn replied to pancake's topic in General Nursing

    Even though you plan on buying your scrubs online, still go to a uniform shop and try them on. Also you will get an idea of material weight with a certain brand. As the one poster mentioned you want...

  12. concious sedation

    rjflyn replied to canoehead's topic in Emergency

    To answer the OP yes I have worked where we have given IM Ketamine without IV access. But always with all the precautions one would use for IV sedaiton, ie monitor, pulse ox, O2, a qualified MD at...

  13. Forced to Orientate to ER

    rjflyn replied to nursesbca's topic in General Nursing

    Also there is a nursing shortage so no one is FORCED to do anything. If you dont like it let your feet do the walking. Now that may be easier to say than to do but its about time nurses quit being...

  14. suggestions on a EKG BOOK!

    rjflyn replied to janetrette's topic in Emergency

    Depends on if one is talking 12 Lead or rhythm strip. Like the otherssay Dubin is a good book. Also taking a 12 Lead Interpretation course goes a long way as well, I took an all day one several...

  15. I am going to have a serious meltdown

    rjflyn replied to Danianne's topic in General Nursing

    One word Lawyer. ME and him would be having a little chat with a few people. Starting first at the board of nursing and going from there. Hard to tell from the original post if any of this made it...

  16. What does this mean for Michigan LPNs??

    rjflyn replied to KrisRNwannabe's topic in General Nursing

    Not much more than things are already. Having lived and worked in MI for a total of about 5 years most hospitals dont have alot of LPN's working in them anyway. This is basicly a nurse patient ratio...

  17. Gastric Bypass!!!!!

    rjflyn replied to HONEYBEAR's topic in General Nursing

    As a matter fact the DW had the procedure today. SHe is 4-11 with a BMI around 41. She was DX with NIDDM 3 years ago this past January. She had attempted to diet on her own and lost about 20 pounds...

  18. Moving to cocoa

    rjflyn replied to JEEPS2's topic in Florida Nursing

    Im currently working as a travel nurse in that area. The hospital im at is a psych intake facility- ie they bring the commitments there for medical clearance. Give me a PM and i'll give you as much...

  19. ICU gets differential and not ER??

    rjflyn replied to jentenrn's topic in Emergency

    Just to make a comment. How many are getting a diff but it just doesn't show up on one check as a line item. For all you know it may be included in you base pay. Just because you say your not...

  20. where does the money go??????

    rjflyn replied to cardiacnurse's topic in General Nursing

    I guess it depends on the state. Some states it probably goes the same place your tax money goes- the general fund. Some states it goes to run the board of nursing and its enforcement functions. I...

  21. Moving to Tampa from NYC

    rjflyn replied to starbear999's topic in Florida Nursing

    While I am not specificly in Tampa, FL in has a lower cost of living in general. There are some exceptions to this Orlando currently from watching the news the housing is going crazy. You stated you...

  22. Firefighter to Nurse

    rjflyn replied to Firemedic7's topic in Emergency

    I am not a FF but was a Paramedic for 10 years who went to nursing school. My medic experence was as a hospital based one out of the ER so the transition was pretty easy. The only issue I see is...

  23. Canadian Nurses in Hawaii

    rjflyn replied to Wynne77's topic in International Nursing

    I can hear it how "Aloha aye". Good luck, its going to be some culture and climate shock for sure. If your actually moving there the advice I heard when there on vacation is don't pack alot of...

  24. Self Triage

    rjflyn replied to MoodyButt's topic in Emergency

    Your plan as noted below probably isnt going to fly as far as EMTALA is concerned. Once someone presents to the ED a medical screening exam is required. Having a sign telling someone to go elsewhere...

  25. Taking Pictures of wounds

    rjflyn replied to CapeCodMermaid's topic in Geriatric, LTC

    Because in the real world there are people out there that use Photoshop and ect to alter pictures all the time. You may not have the time but there is always someone who does.