rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. Natasha Richardson's TBI and demise

    rjflyn replied to rhon91's topic in International Nursing

    No no rotor air EMS system in that area at all.

  2. Does anyone have info on insurance?

    rjflyn replied to SunnyAndrsn's topic in General Nursing

    NSO as others have said. As it is you may already have and out. If not just say that your contract with your agency has a non-compete clause. Tell the family even if you quit the agency you could...

  3. Natasha Richardson's TBI and demise

    rjflyn replied to rhon91's topic in International Nursing

    Most likely the delay in getting care. Everything I have read makes it look like it was at least 2hrs before she arrived at any hospital. I get the idea that she was still conscious when the second...

  4. Question on Drug Screening, How, and Where to get one????

    rjflyn replied to MsHall47's topic in General Nursing

    Typically its a urine drug screen for drugs of abuse- they test for up to 10 drugs. Though they do have a test that they can use hair, it looks back over a period of time vs what urine can do. I...

  5. Lasik mistake??

    rjflyn replied to rn4babies63's topic in General Nursing

    I had mine on Thursday and worked Saturday if I recall correctly. Could have worked the next day actually if i

  6. IV Lopressor...who can administer it?

    rjflyn replied to HurricaneBreeze's topic in General Nursing

    Im just curious how that works when the the standard order is Lopressor 5mg IV repeat x3 q 5

  7. IV Lopressor...who can administer it?

    rjflyn replied to HurricaneBreeze's topic in General Nursing

    To add to the others 1) does your nurse practice act allow LPN's to give IV meds 2) I personally will not give it unless the pt is on a monitor, not just tele, but one I can see as I give it- that...

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

    rjflyn replied to llltapp's topic in Emergency

    A reasonable question. Hospitals have been mandated for years to ask with each admission of patients/families if they have any advanced directives. If so they then ask for a copy, most in my...

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

    rjflyn replied to llltapp's topic in Emergency

    Well I know its getting better with EMR's and the like, we can actually look up a pts chart and have a copy of the living will if they have been there before. If not its best to always bring a...

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

    rjflyn replied to llltapp's topic in Emergency

    See that was the problem, if someone ignored that yellow prehospital DNR in FL which is perfectly valid for the EMS crew and the nursing home it was not valid at the hospital. So unless we had...

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

    rjflyn replied to llltapp's topic in Emergency

    Depends on the state, depends on the form. For example I just recently moved from Fl we had a yellow prehospital DNR form that was only valid prehospital. If the family or patient wanted it extended...

  12. How much Xylo do you mix with Rocephin?

    rjflyn replied to monica969's topic in General Nursing

    How old are the kiddo's are you using it on? I had a pediatrician way back tell me not to use it on little ones as you are exposing them to it unnecessarily. He reasoned it as you could potentially...

  13. New Grad ER jobs

    rjflyn replied to LSUnurs09's topic in Emergency

    I would think one of your large facilities there in NO would have one. Call and ask, and not the HR dept, call and speak to the nurse manager or one of the assistant nurse managers. Talking to HR at...

  14. Is cath lab considered critical care?

    rjflyn replied to csm99's topic in General Nursing

    Well I have been in enough places that so I have seen enough things. Roy your flight nurse thing is very accurate as I was flying one place and needed different experience even before I thought of...

  15. Paramedics saying they are nurses---is this legal?

    rjflyn replied to nursebrandie28's topic in Emergency

    You bring up another thought though that comes from my flight nurse experience. A lot of states EMS rules and statues that regulate these programs require everyone one to have an EMS certification....

  16. IV Dilaudid problem patients!!!!!!!!!!!

    rjflyn replied to mina123's topic in General Nursing

    Lets see one facility I worked required a pain service consult if we gave more than 2mg. Mandated continuous pulse oximetry as well. My current ED I just started at but I am of the opinion that max...

  17. Paramedics saying they are nurses---is this legal?

    rjflyn replied to nursebrandie28's topic in Emergency

    Yes and no. Yes if you chart on the wrong pts chart. But a good system is only going to let you document what you want and need to document. It also is going to allow you to change any incorrect...

  18. Best ER in New York City?

    rjflyn replied to The_Squid's topic in Emergency

    The people in the ED in NYC would probably going to tell you that you are crazy. Be careful what you ask for. If your looking for something different you might find that in your own state. That...

  19. Paramedics saying they are nurses---is this legal?

    rjflyn replied to nursebrandie28's topic in Emergency

    One word Felony in most states. And thats coming from one as well as currently licensed as an RN. Its also a felony in a lot of places to call yourself a paramedic and not be one as

  20. Is cath lab considered critical care?

    rjflyn replied to csm99's topic in General Nursing

    The test would be this- would they take the experience for you to get in to a CRNA program ie most these require X amount of time in critical care. At one time I thought about becoming one. At the...

  21. Conscious Sedation in the ER

    rjflyn replied to Silktea3's topic in Emergency

    Well the ED I just left we used just about them all with our preference being Propofol or Etomidate, due to the fact that they were short acting and after the pt was recovered another 30 mins to an...

  22. A question for Michigan nurses

    rjflyn replied to MandyinMichigan's topic in Michigan Nursing

    I dont know about either but I would apply to both as there may be a waiting list. Some people have been known to have to wait a couple years if not longer. With that in mind if school A is your...

  23. Jehovah Witness patients refusing any blood transfusion.. Why?

    rjflyn replied to cameroondiva's topic in General Nursing

    But you also have to remember that the bible has been translated to English from its original language. So who know what it originally said. I do agree it is dangerous to pick and choose scripture...

  24. Can a Canadian grad get hired into an American ER?

    rjflyn replied to Vanillanut's topic in Emergency

    I was going to say what she said. I have worked with all kinds of Canadian nurses both here around Detroit, a couple down in North Carolina and a few down in Florida. The last actually took her US...

  25. Are call backs HIPAA violations?

    rjflyn replied to pm2rn's topic in General Nursing

    Its all a slippery slope, personally I would be calling and if the patient is not home or you get no answer I would leave it at that. When you start leaving messages thats when the potential for a...