rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. Rectal temps in peds

    rjflyn replied to MrsWampthang's topic in Emergency

    Well my input is being primarly an ED nurse but just did a year in PICU we never did rectals in the unit. In the ER though we always did them. The major reason against them was that most of the...

  2. Nitroglycerin drips on telemetry units

    rjflyn replied to nicholasmjb's topic in Patient Safety Issues

    Another thought along the line of tele patients. Some larger hospitals are starting to do tele monitoring on patients in non tele units. These patients get monitored from a distant central location....

  3. Anybody waiting for RSV or rotovirus results before sending a peds pt to the unit?

    rjflyn replied to Vicki_RN's topic in Emergency

    No because it is typically back long before the patients gets admitted. But lately the internal med and family practice docs have been ordering flu swabs on our adult pts and since they have to go...

  4. Why do staff nurses resent us?

    rjflyn replied to VanillaPalamino's topic in Travel

    Being new to travel nursing I cant give alot of input. Most places are glad to have you as they would not need you if they had adequate staff. As an example last night where I am at there were we...

  5. Routine newborn blood glucose testing?

    rjflyn replied to bbnurse's topic in Ob/Gyn

    Just a though. Not being an OB/GYN nurse my only input is that its better to error on the side of doing one or two too many glucose tests than to miss a low BS. Coming for an ER environment its kind...

  6. Need advice on reporting incident with relative

    rjflyn replied to kbclary4's topic in Patient Safety Issues

    Im glad caroladybelle chimed in when she did. Everyone was blaming the nurse for something that may not have been in her control. Having worked at hospitals from 50 beds to over 1000 beds certain...

  7. How Much Info Should A Patient Be Given?

    rjflyn replied to following_faith's topic in General Nursing

    Im going to make a comment about imformation to pts in general and not specific to the original posted. Unfortunately as medical providers we care for pts and families with various levels of...

  8. How often is a TB Mask Fit Testing done?

    rjflyn replied to VivaLasViejas's topic in General Nursing

    It was as the orignial poster stated that fit testing only occured once or if any changes occured. Recently however OSHA- a federal agency mandated that fit testing occur on a yearly basis....

  9. Blood vs NS Question

    rjflyn replied to traumamedic's topic in Emergency

    Almost universally NS or LR has been used where I have worked. Mostly NS anymore as its the only thing you give blood with so your not having to change out lines or fluids to give blood. As when to...

  10. Relocating to Ann Arbor/Detroit Area--HELP!!

    rjflyn replied to military spouse's topic in Michigan Nursing

    Having just moved from MI in the last couple months I can tell you it is expensive to live in Ann Arbor- mostly because of the college. The pay in the area is higher because of the unions. Not all...

  11. HELP...Need info on Tampa/St. Pete Hospitals

    rjflyn replied to nursen_99's topic in Florida Nursing

    Another option for you nurse-99 that you may not have thought of but might be an option would be to look in to a travel assignment in the area. It would get you down into the area and give you some...

  12. CT scans and how long to wait?

    rjflyn replied to TexNurse's topic in Emergency

    Unfortunately is not a nurses choice. That is the radiologists protocol at this hospital. The patient can always refuse the barium and the rectal Hypaque/Gastografin- they then get explained the...

  13. CT scans and how long to wait?

    rjflyn replied to TexNurse's topic in Emergency

    Heres a different protocol. Just started working as a travel nurse. In my current ER the protocol is 16oz of RediCat/ barium, 15 mins drink the second 16 oz cup. Call CT when that cup is gone. Pt...

  14. Drawing ABG's

    rjflyn replied to newfloridaRN's topic in Emergency

    Well if its a new skill for you, someone at the facility should be training you on the procedure. I know for one it wasnt one we learned in nursing school. Certain skills need compentency documented...

  15. EMR in the ED

    rjflyn replied to ERnursie172's topic in Emergency

    I have been lucky or unlucky enough depending on ones point of view to have uses 3 different systems. Codonix- incidently at the hospital that originated it which of the ones I have used was the...

  16. Talk to me about ethical dilemmas in the ED

    rjflyn replied to beehive8's topic in Emergency

    It gets tought some times. If you are having difficulty resolving an issue in you specific department my best recommendation is to consult with your hospitals ethics board. Most hospitals have them,...

  17. Your Recommended Watch

    rjflyn replied to agent's topic in General Nursing

    I'll third the cheap unless you have some kind of allergy issue as far as metal on the watch itself goes. Also your watch tends to get bumped and banged around alot. I dont know how many I have...

  18. Help! I am very dizzy

    rjflyn replied to HarryPotter's topic in General Nursing

    More likely ruling out every thing but. Last i knew Meniere's is a diagonsis of excusion, you exclude everything else and its what is left. Also unfortunately there isnt really a cure just treatment....

  19. Is an hour too long to drive to work

    rjflyn replied to RnAngl's topic in General Nursing

    Alot depends on where you live as well. In rural America an hour is a long time and a long ways. In a metro area an hour might not be that big of deal. Having said that I have had coworkers travel...

  20. Trinity-Healthcare vs U of M?

    rjflyn replied to CarolineRn's topic in Michigan Nursing

    Having just left U of M the higher turn over is mostly a symptom of the volume of patients seen and the number of places to work. Also the number of hospitals in the general Detroit/Ann Arbor area...

  21. 10/10 pain..venting!

    rjflyn replied to NYCRN16's topic in Emergency

    Im going to put my 2 cents in to this thread. Its been here a while and now I feel I have something to add. We get so many patients now that claim this long list of allergies to various pain meds...

  22. Working off the clock??

    rjflyn replied to KacyLynnRN's topic in General Nursing

    Its not a in your state matter. Its against federal law to require someone to "work" off the clock. See my post above and read the page I have linked. We had to do the same thing at my last job but we...

  23. on the line bc advocated for pt

    rjflyn replied to canoehead's topic in Emergency

    Well considering he is under a probationary period, most places this means they can let you go with out giving a reason. Typically it goes like this- we feel you are not a good fit for our system....

  24. Help with Nursing expenses/Taxes

    rjflyn replied to fuerza757's topic in General Nursing

    This is a question best left up to each one indivdual tax professional. My self have claimed uniforms and their care ie washing- dry cleaning; CE that I had to pay for, along with related costs;...

  25. Working off the clock??

    rjflyn replied to KacyLynnRN's topic in General Nursing

    This one is pretty simple its not legal. see this site http://www.dol.gov/esa/regs/compliance/whd/whdfs22.htm and i will cut and paste as well Lectures, Meetings and Training Programs: Attendance at...