rjflyn

rjflyn ASN, RN

Emergency

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All Content by rjflyn

  1. Double Glove with HIV positive patients

    rjflyn replied to abbaking's topic in General Nursing

    I personally double glove if I am going to be dealing with blood/bleeding on any pt. Thats because I have had many a glove fail in 20 yrs. Do I put on double gloves just to start an IV on an HIV pt...

  2. U of M Ann Arbor hospital pay question

    rjflyn replied to exairex's topic in Michigan Nursing

    They actually take it out of your check before your taxes so no.

  3. U of M Ann Arbor hospital pay question

    rjflyn replied to exairex's topic in Michigan Nursing

    But if your making 2,3, 4, 5 dollars or more a hour than any other place. Paying $170/yr on night shift for parking is not that big of deal, or that what it was when I was there 4 years ago. Beyond...

  4. How does working major holidays go at your hospital?

    rjflyn replied to HappyPediRN's topic in General Nursing

    Schedule preference book. Rate Thanksgiving, Xmas eve/day, and New Years day/eve from 1-5. 1 being the one you want off the most. And believe it or not, not everyone asks for Christmas. Then the...

  5. Worst doctors orders ever received

    rjflyn replied to jenfromjersey's topic in Emergency

    Actually on females of child bearing age i.e. 11 or 12 to 65 ish with an intact uterus or still has her ovaries we do get urine pregnancy tests on them. In my 20 years I have seen 2 ectopics in post...

  6. Is Anyone having trouble finding an assignment?

    rjflyn replied to kenesha212002's topic in Travel

    There are jobs out there one company may not have anything the next has lots. I was talking to a nurse tonight who is looking for some PRN work and a facility told her today they dont have much as...

  7. Free removal of stitches... in the ER

    rjflyn replied to vampiregirl's topic in General Nursing

    My experience has been generally most places I have worked we take them out in triage unless it is a complex issue. Typically we dont charge the patient another visit unless they have a complication...

  8. Travel contract dilema

    rjflyn replied to lightwalker's topic in General Nursing

    It also may depend on the states interpretation of contract law. . Depending on the state and what was said during any phone calls you may have a verbal contract. Since I wasn't there I cant answer...

  9. Is Anyone having trouble finding an assignment?

    rjflyn replied to kenesha212002's topic in Travel

    Well I know the ED I was a traveler at and now work as staff does not need anyone as we are fully staffed. That had been the problem for a few years. Even a recent as last fall/winter we had 5...

  10. Travel contract dilema

    rjflyn replied to lightwalker's topic in General Nursing

    Most pay a travel reimbursement. Some pay a lump some, some by mile up to a maximum amount. But there may be the odd company that will increase your hourly rate by 25 cents -$1.00 hr. So while...

  11. Hypovolemic Shock

    rjflyn replied to csisn08's topic in General Nursing

    Like MichiganRn said, basically if the tank is empty all the dopamine in the world isn't going to help. Giving dopamine is this instance generally is a last resort hope it works keep the pt from...

  12. Never felt so helpless in my life!!!! LONG

    rjflyn replied to AngelfireRN's topic in General Nursing

    For one she sounds like the last kind of pt who should have an insulin pump. Who was dump enough to give her one, adjust the flow to the sugar not the sugar to the insulin which is sounds like she is...

  13. Anyone out there? Please, need advice:

    rjflyn replied to biretta's topic in General Nursing

    I would not go so far as to say she is not bound to the commitment of 18 months on M/S just because she didnt sign anything. There are such things as verbal contracts. Just depends on how far people...

  14. New RN not safe

    rjflyn replied to SunnyAndrsn's topic in General Nursing

    I might add make sure you keep copies of everything. If management is turning a blind eye to this obvious a problem I would not go as far to say that they wouldn't make paper work disappear as well....

  15. No time for gloves??

    rjflyn replied to Ocelot's topic in General Nursing

    I think the correct idea to come across is that there may not always be time to put on gloves. But one should always, always attempt to if they can. And I will concur with unless someone is...

  16. everyone is afraid

    rjflyn replied to gonzo1's topic in General Nursing

    I know in some places it easy to get a permit to carry a weapon. If you would have been some ladies I know in the stall and someone barged in that person potentially could have been shot. This...

  17. HIPAA violation?

    rjflyn replied to ragingmomster's topic in Ob/Gyn

    From another threat in relation to HIPAA http://www.hhs.gov/hipaafaq/permitted/law/505.html One thing the OP notes though is that its a hospital police officer. This may or may not make a difference...

  18. ER's busy and a full triage

    rjflyn replied to TraumaNurseRN's topic in Emergency

    Actually it probably works well, I know an ER doc that loved the stuff when it was available in IV form. It was her nausea drug of choice. She ordered it a lot, she was not to happy when it was no...

  19. ER's busy and a full triage

    rjflyn replied to TraumaNurseRN's topic in Emergency

    these are the people you triage place in the lobby and make wait. After they wait they get seen in due course. When nothing is found wrong they are the same people who get called by our survey...

  20. reportable cases in the ER

    rjflyn replied to b eyes's topic in Emergency

    Generally MVC's that cause injury are required to be reported to law enforcement by the people involved. Even if not mandated by ones particular state I would think you would be covered from a HIPAA...

  21. Condition Help/ Rapid Response providers

    rjflyn replied to OhioCVRN's topic in Patient Safety Issues

    I have to say our facility has had it for a while as well and just found out about the stats a couple days ago. For one we need to give our pt's family a little more credit than we do. My facility...

  22. Need handwashing help !!

    rjflyn replied to sumas8's topic in Emergency

    Define washing hands, do you include use of waterless products? Maybe its the product. Has anyone done a survey of staff or is that just the product that has always been used? There in may be the...

  23. Assignments that you are not qualified to take

    rjflyn replied to mycatmax's topic in General Nursing

    I am with Kymmi on this one I would need a little more information on this one. Such as where is the respiratory therapist at in the loop? Most places I have been RT deals with the vent and its...

  24. Henry Ford Emergency Room

    rjflyn replied to amylburk's topic in Michigan Nursing

    Just wondering since you are at U of M why you are not considering working there. I worked there a few years ago, I know they do in fact hire new grads, have an ER intern program. At the time their...

  25. Vital signs after entering ER

    rjflyn replied to kjrn64's topic in Emergency

    In a tiny ER maybe. In mine no way. We can be 12 deep at times. We have pts that come in with chest pain that get their 12 lead EKG prior to seeing the triage nurse. And do you mean literally sit,...