rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. Unfair treatment by co-workers/boss

    rjflyn replied to MultipNP's topic in Ob/Gyn

    I was going to say I just left a place that I felt I was like part of a family. No one deserves to be treated like the OP was. If they treat staff like that I wonder what their pt satisfaction...

  2. Unfair treatment by co-workers/boss

    rjflyn replied to MultipNP's topic in Ob/Gyn

    You answered the question in your second to the last paragraph Lawyer Pregnant workers are a protected class and as such an employer has to bend over backwards to protect you and it sounds like the...

  3. Does anyone know which hospitals are good to work in as a new grad?

    rjflyn replied to anemanic's topic in Michigan Nursing

    With the economy anyplace one can get a job might be the best place. I just left an ER for example that was fully staffed. It was anticipated to have 7 nurse care techs who were due to graduate in...

  4. Wages

    rjflyn replied to clove123's topic in Michigan Nursing

    In my 20 yr plus career I have yet to find any place that pays BSN nurse anything significant above what they pay other RN's unless they are working in a management position. The only time I aee LPN...

  5. Police use excessive force, ER docs say- What do ER nurses think

    rjflyn posted a topic in Emergency

    Heres the article link. http://news.yahoo.com/s/nm/20081224/hl_nm/us_police_er;_ylt=AsdEgR5vSvYsZBHgBHfkzcOs0NUE My take is often as belligerent and uncooperative as they often are when the police...

  6. Police use excessive force, ER docs say- What do ER nurses think

    rjflyn replied to rjflyn's topic in Emergency

    The thing about it is the kind of person that it takes to be an ED nurse and a police officer are not really that far off. The biggest is people skills, leave out the actual pt care for us, law...

  7. template? matrix? How do you staff your ER?

    rjflyn replied to scrmblr's topic in Emergency

    Well it varies. Some places keep parts of the ED closed off and open that area up as staff come in and then close them off again later as then census allows and staff leave. Other places staff is...

  8. What is the best shift in the ER?

    rjflyn replied to divagirl's topic in Emergency

    It depends. Based on my 20+ years most EDs volume starts to hit around 10AM and peaks mid-afternoon. You can continue to have heavy loads all night but often it lets up around 1-3AM if you are lucky....

  9. Help! Am I employable? failed 6 interviews

    rjflyn replied to udsk's topic in General Nursing

    First take a deep breath and relax. Then realize that some of your problems may not necessarily been yours. Its hard to excel in a toxic environment sometimes. As an example an admitted pt should...

  10. Restocking Code Cart: Who's Responsible?

    rjflyn replied to retse40's topic in General Nursing

    The same central supply comes and takes the cart replacing it with a fully stocked one. I know someone is going to ask so to answer ahead of time they go right by the pharmacy on the way to their...

  11. Question: Is there a thread that ONLY belongs to nurses?

    rjflyn replied to sweetsounds's topic in Emergency

    I dont mind questions, but more often than not it goes beyond questions to telling me how to do my job. Generally when someone starts to do that if its family thats the time they get asked to leave....

  12. Drawing Labs without an order

    rjflyn replied to umnurs's topic in Emergency

    Or just bad luck I personally start anywhere from 2000-3000 a year, I am not sure what the nation infection rate is but I can guess one or two are going to go bad. My next question would be is are...

  13. Drawing Labs without an order

    rjflyn replied to umnurs's topic in Emergency

    What really helped us was for the longest time was that our nurse manager and the medical director (MD) are husband and wife. He's still there she's moved on but our protocols are as strong as ever....

  14. Question: Is there a thread that ONLY belongs to nurses?

    rjflyn replied to sweetsounds's topic in Emergency

    Sometimes I start to type a response to a post but the adult in me thinks better and I delete it and never respond. This probably happens at least once a week. I realize I am a professional and need...

  15. Drawing Labs without an order

    rjflyn replied to umnurs's topic in Emergency

    I was going to say like Jennifer mentioned we have a nice folder of protocols but everyone doesn't always neatly fit in to one protocol. Fortunately our doctors one understand this and two want us to...

  16. Eat Before You Get Here!

    rjflyn replied to NurseJacqui's topic in Emergency

    Yeah I know but getting rid of the obvious greasy burger joint and just having them in your cafeteria is a start. I can remember the 2 AM option was the vend-a-bait machine, Wendy's or something from...

  17. Eat Before You Get Here!

    rjflyn replied to NurseJacqui's topic in Emergency

    The University of Michigan hospital use to have a Wendy's in it. When the contract ran out though the felt better to have more healthy options so the chose to use the area for other vendors. I think...

  18. Beaumont Cutbacks

    rjflyn replied to fetachz's topic in Michigan Nursing

    That shortage is relative to where you are. The issue is nurses are leaving the field and the ones that replace them are not staying. For example here the average working nurse is 46. The programs...

  19. Teen's right to refuse?

    rjflyn replied to alkaleidi's topic in General Nursing

    Hard to guess based on the OP's information. With the vague information one would have to hedge a guess and say psych issues are involved and that the parents dont feel safe in attempting to give the...

  20. If I move

    rjflyn replied to doughboiwife's topic in Michigan Nursing

    You apply for the other states license via endorsement. The process dependent on the state. It can take a few days i.e. you may be able to go to the board of nursing, to as long as a couple months...

  21. Kayexalate + Hyperkalemia

    rjflyn replied to core34's topic in General Nursing

    I hate giving that stuff in the ED as they usually go with in a couple of hours of getting it. So to have a pt to no go at all you would get no complaints from me. I would after 2 days probably be...

  22. I Contracted HIV

    rjflyn replied to sarahwv's topic in General Nursing

    Sorry that this happened to you Sarah. Some one mentioned the facilities financial responsibility so this questions goes toward that. It may also prevent others from getting injured as well. So if I...

  23. Co-worker who calls me cutsie terms of endearment and pokes me a lot

    rjflyn replied to FireStarterRN's topic in General Nursing

    For what it's worth one female can sexually harass another, and thats what this potentially could be. If told to stop and they continue it most certainly can be, then the employer could be held...

  24. template? matrix? How do you staff your ER?

    rjflyn replied to scrmblr's topic in Emergency

    Its hard to say how to staff without knowing how many rooms you have. When the volume starts to pick up ie ours is around 10AM +- hr. When the volume drops off. Do you hold pts. What's the pt mix?...

  25. Beaumont Cutbacks

    rjflyn replied to fetachz's topic in Michigan Nursing

    Yeah I talked with a recruiter at another facility/system that has roughly 5,000 nurses and they only have 38 open positions. They are only filling absolutely needed things ie bedside nurses.