rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. Best way to get rid of visitors

    rjflyn replied to Blackcat99's topic in General Nursing

    If polite doesnt work like what has been mentioned my last resort is security and the absolute last resort POPO and handcuffs always works. Its surprising how bad people hate

  2. What kind of injuries do MVA victims get?

    rjflyn replied to linda2097's topic in Emergency

    The most common if seat belted and the car has an airbag are simple contusions/abrasions and and aches and pains if the crash was minor. More serious impacts more serious injuries. In 20+ yrs as an...

  3. Got hurt at work, sad :( and a vent, too...(long)

    rjflyn replied to trudlebug's topic in Emergency

    Sharon Like suanna said you should have called an attorney the next morning. The hospital and its insurance company sure have their lawyers working for them. As just so you know your post/comments...

  4. Working after breast augmentation/implants.

    rjflyn replied to twilight85's topic in General Nursing

    I currently work in an ED with at least a dozen or so ladies whom have had that procedure. 75% are bedside nurses like myself. Being male I dont know what that is going to feel like. I can tell you...

  5. Nurses: Mandatory Vaccinations?

    rjflyn replied to hkwal's topic in General Nursing

    Yeah that was bad, I know someone in the late 80's they gave the HepB series to 3 times before they finally gave up on it. As far as the titer going away I have had be told it would be my option if...

  6. Nurses: Mandatory Vaccinations?

    rjflyn replied to hkwal's topic in General Nursing

    I am aware of that thats why I used the "mandatory" in my response. In other words if you wanna work here you get this otherwise you dont work

  7. Beaumont Cutbacks

    rjflyn replied to fetachz's topic in Michigan Nursing

    This seems to happen every other year at Beaumont. As soon as Winter is over they are hiring again. So who know what's going on. I dont know so much about Oakwood, they are still hiring travelers-...

  8. Nurses: Mandatory Vaccinations?

    rjflyn replied to hkwal's topic in General Nursing

    Generally no vaccinations are "mandatory". Then again if you don't have them the employer or school does not have to allow you to work for them or attend their institution either.

  9. Am I Wrong To Think This?

    rjflyn replied to Bugaloo's topic in General Nursing

    I agree sounds like they are trying to get the staff involved. I feel though that if you offer a weekend option then if you are going to have mandatory meetings then you need to have them on the days...

  10. Giving Vitamin K IV

    rjflyn replied to SweetTeaRN's topic in Emergency

    I had a discussion about this the other day with a newer nurse and a doctor who is on our P & T commitee. My facility has recently change its preferred route to IV vs SQ or IM. Heres why you are...

  11. Does anyone take Topamax for migraines?

    rjflyn replied to HappyPediRN's topic in General Nursing

    Everyones "cocktail" of what works for them is different. My doctor started my on it to cut down on the amount of NSAIDs I have to use due to my frequent complaints of GERD. I do find myself using...

  12. Largest ED in the US

    rjflyn replied to TeresaEDRN06's topic in Emergency

    Its not so much the number of beds, because if you build them they will come. I worked in a ER in NC, at the time we had about 40-45. The actually number was debatable because of hall spots and...

  13. Is it legal for a teacher to invite a student over to study?

    rjflyn replied to nautica843's topic in General Nursing

    True but my college/nursing class had and there are some that have high school aged students.

  14. Is it legal for a teacher to invite a student over to study?

    rjflyn replied to nautica843's topic in General Nursing

    As Tweety can attest to about every time you turn on the news here in the Tampa Bay area they are hauling another teacher off to jail for "inappropriate" behavior with a student. So while probably...

  15. Mandatory float to ICU?

    rjflyn replied to Larry77's topic in Emergency

    I work as a ER travel nurse at times, i have no float clauses put in there for a reason. So I can imagine that it will be about never that those positions will be filled. In fact I can guess that...

  16. Informed Consent Dilema!

    rjflyn replied to ecat81's topic in Emergency

    I explain that situation to my nurses like this. The piece of paper is a formality. Informed consent can be and is obtained without it. The paper is just documenting it, AND consent is not complete...

  17. Do you wear rings on your fingers to work?

    rjflyn replied to mondkmondk's topic in General Nursing

    As it stands most facilities policies I have worked in are written as such to allow for a wedding set and thats all. Have been in healthcare for a long time I have seen the gambit of rings. Small...

  18. asked to resign

    rjflyn replied to pedspnp's topic in General Nursing

    Now you need to call the regulating agency on them and have them do a visit. If you have ideas for improvement, maybe the state or feds can find some too. Like another poster said Slime balls.

  19. Any good reason to use IM injection for post op pain control when IV is available?

    rjflyn replied to charrn26's topic in General Nursing

    You mention Toradol, one of out surgeons uses it as well. He orders it IV pre-op. Have given to pt in the ER going for Appy's . He says it slightly increases the risk of bleeding, but it greatly cuts...

  20. Burned out traveler - need a home base - any recommendations on a great ED?

    rjflyn replied to ItsTime's topic in Emergency

    Well lets see so far no one has noted any area you mentioned in your post. SO I will probably rule out Tampa by pay. You will probably find everything else you would want here in fact Tampa General...

  21. U of M hospital

    rjflyn replied to RN1982's topic in Michigan Nursing

    Everyone alway mentions parking, about that cost also depends on the shift. Nights is going to be less. Was free up until a couple years ago. But like others said there are options. Im in FL now...

  22. Any good reason to use IM injection for post op pain control when IV is available?

    rjflyn replied to charrn26's topic in General Nursing

    You give it IM if thats how its ordered. That said it the IM route has a poor absorption profile for a lot of meds hence IV is usually a better choice for pain control. Also you mention Demerol most...

  23. scrubs and ironing

    rjflyn replied to CT Pixie's topic in Scrubs, Uniforms, Gear

    There called scrubs- wash dry and hang or thrown on the drawer.

  24. Scary Moment in Orangeburg SC

    rjflyn replied to neurorn6's topic in Travel

    Hope your ok. But nothings to say the same thing cant or wont happen at the new place. Thats why they are called random acts of violence. I know anyplace you have apartments you are going to have...

  25. U of M Ann Arbor hospital pay question

    rjflyn replied to exairex's topic in Michigan Nursing

    For what its worth there pay formula is complicated and subject to twists and turns. One manager will over one thing the next might offer more. Dont even get started about the contract it was 400+...