rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. Questions about working in the ED

    rjflyn replied to Kurious RN's topic in Emergency

    I wanna know where you are going to get paid more as an ER nurse vs a floor nurse cause in my world it aint happening. And don't go including certification pay, as I know MS nurses that get paid that...

  2. Titers, TB, etc...

    rjflyn replied to CorazonDeOro's topic in Michigan Nursing

    Probably not, they might just tell you to opt out of nursing. You typically can waive the Hep B shots. The point being is you are going to get exposed to these diseases. Do you really want to take...

  3. How fast do you push metopropolol

    rjflyn replied to Guest219794's topic in Emergency

    5mg over a min is pretty much slow push for this med. Any slower and your giving the next dose on top of the previous. The typical order is 5mg Q 5mins hold for HR less than 60 or systolic BP less...

  4. How does your facility handle Lidocaine?

    rjflyn replied to miwachiru123's topic in General Nursing

    Have never buffered lido. Have only seen it done on a rare occasion. Also if the doctors and PA's dont know how to do it then maybe they not ought to be doing it. Also maybe you need to get your...

  5. Florida Laws

    rjflyn replied to laurienurse09's topic in Florida Nursing

    The only concern would be if this person is falling asleep on the job. You might be able to make a complaint to the board of nursing. Also I do believe there are federal job laws that limit one to...

  6. Moving to Detroit, need help.

    rjflyn replied to OCUnurse's topic in Michigan Nursing

    I see the opposite of jabraham's observation- the unemployed autoworkers can't find work here so they are taking their healthcare spouse out of the area with them. The one's that don't leave are the...

  7. Policy on Tattoo's & Piercings

    rjflyn replied to kerric511's topic in General Nursing

    In my 20 years plus every facility policy has mentioned earrings. Several have mentioned hair and bathing. A few have mentioned uniforms, though most leave it to specific departments. I have yet to...

  8. Tell me if this is the norm in your er!

    rjflyn replied to missnurse01's topic in Emergency

    In my 21 ED yrs NO. If it were an ARNP yes. Techs might put on dressings or do splinting after the fact. There would be no way in hades any tech I know or have known that i would allow to suture...

  9. Roller clamp flowrate inaccuracy

    rjflyn replied to i.care's topic in General Nursing

    I couldn't agree with you more but i recently left a facility that look at it being 2009. Patient safety was number one. They have these red rules as they call them i.e. offenses one can be...

  10. **St. Johns, Beaumont, or Henry Ford...Job opprotunity question**

    rjflyn replied to Dream2011's topic in Michigan Nursing

    Beaumont just had a round of layoffs and hiring freeze so it might be thin as far as a jobs like that. St John's hire techs/aids but they require you have a CNA certification typically. Don't know...

  11. shift differentials not as common as i thought?

    rjflyn replied to lalalalexi's topic in General Nursing

    Yeah I know i kept my LPN for the year I had both RN and LPN but when the PN came up for renewal it wasnt and expense I wanted to pay at that time. I think it was $50 every 2

  12. shift differentials not as common as i thought?

    rjflyn replied to lalalalexi's topic in General Nursing

    My comment was not necessarily pointed at how the board or the employer would hold you, but if you had something bad happen, what standard you might be held to in court. Do a search on this very...

  13. shift differentials not as common as i thought?

    rjflyn replied to lalalalexi's topic in General Nursing

    Actually there probably isn't any laws but while working as a CNA but actually being licensed as an LPN or even an RN for that matter if you were to commit an error you could potentially be held to...

  14. shift differentials not as common as i thought?

    rjflyn replied to lalalalexi's topic in General Nursing

    I was going to say what maryilymom said. Places often pay bigger shift diffs to the higher skill levels to attract those people to those shifts. I can say most hospitals work that way, nurses in...

  15. Background Check problem & worried

    rjflyn replied to annasmomlisa's topic in Licensure: Criminal History

    Again talk to your lawyer, to assume like they

  16. Background Check problem & worried

    rjflyn replied to annasmomlisa's topic in Licensure: Criminal History

    The other thing to look in to is to contact the lawyer that handled the issue previously. Make sure that all the loose ends got tied up so to speak. Most likely what happened is there was a...

  17. RN moving to Detroit area, 2 yrs Burn ICU experience, need advice

    rjflyn replied to lamosher's topic in Michigan Nursing

    Also about 30 mins away by freeway would be the University of Michigan. They have a pretty good burn unit as well. Their pay and benefits are in line with everyone else. Though it looks online the...

  18. ER Cheatsheets

    rjflyn replied to **Kalko**'s topic in Emergency

    It's 2009 so its the

  19. "medical clearance" for jail....how to handle?

    rjflyn replied to JKL33's topic in Emergency

    It's the ole rock and a hard place. We have to determine if the pt is able i.e. competent to refuse treatment. If he is obviously chemically impaired or has a head injury we generally don't allow...

  20. Discharge

    rjflyn replied to tknrn's topic in Emergency

    Never worked a a place with such a policy. But what do you do when there are NO wheel chairs? Now a lot of places have policies that inpatients get discharged per wheel chair. As far as not...

  21. I burned my bridges 4 years ago....(need advice)

    rjflyn replied to raindrop's topic in General Nursing

    You potentially might be on their do not hire list for the issue. If you apply and dont get any call or response then you will know. If its a small town and the only hospital in town and you move...

  22. pls help. ER nurse interview questions: who is bernadette rowbo

    rjflyn replied to candy3318's topic in Emergency

    Beats me. I have been in ER/ emergency for 22

  23. My new "Urgent Care" job is like ER lite--anyone with the same experience?

    rjflyn replied to pennyg1's topic in Emergency

    5 a day is probably not many. It though depends on what they are. Being an urgent care you generally are not hindered by EMTLA, so doing what you do ie calling 911 is probably appropriate. As to...

  24. Signed State DNR form no good????

    rjflyn replied to llltapp's topic in Emergency

    They problem is the gray area. If one doctor or nurse for that matter gives even just one family member any faint chance of hope it well pardon me screws up the whole system. I still have my...

  25. Detroit Hospitals

    rjflyn replied to vivicaq's topic in Michigan Nursing

    I heard HF pays about the same as St Johns. UM was pretty tight with positions couple months ago. Beaumont laid off people (not nurses) and I oriented with some people at St Johns that are working...