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abundantjoy07 RN

ER, Medicine
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abundantjoy07 is a RN and specializes in ER, Medicine.

abundantjoy07's Latest Activity

  1. abundantjoy07

    What's In Your Staff Bathroom?

    There's one sign in there that says, "If you sprinkle when you tinkle, please be neat and wipe the seat." At my other job, it's educational and policy posters galore. Oh and of course announcements for staff meetings. Joy.
  2. abundantjoy07

    TAXI DISCHARGES

    I'm gonna have to play Devils advocate here as my response is going to go against several posts. I dont care care how people get home. I'm the ER nurse. You're discharged and it essentially means from an ER standpoint that you are fixed. That is where my job ends. I'm not a social services person and I honestly believe that you should have money on you or someone to get you home. If you don't have money on you still get in the cab and pay the cabbie when you get home. Grown people should be able to take care of themselves. I swear it's annoying when people ask how They are getting home. Don't know, don't care. You found your way here Im sure you can figure it out. That issue annoys the living hell out of me. just to add on...for bedbound/incompetent/or morbidly obese to the point where the patient is non ambulatory that is common sense that transport will be arranged. For everyone else...figure it out!
  3. The carina is the y shaped junction at the bottom of the trachea. The muco-ciliary (spelling?) elevator brings up sputum and mucus up from the throat and the sinuses. Totally useless crap.
  4. abundantjoy07

    How does your ED address the Observation Unit?

    Our Obs unit is considered part of the ER. However we as ER nurses do not float to Obs and Obs nurses don't float to ER. Honestly, the ER staff regards OBs as a completely different unit. The acuity of the patients are lower, the patients are already packaged up when they get over to Obs and Obs nurses tend to not be able to handle critical situations the way ER nurses do. We see the OBs unit as a regular unit with just a shorter stay. Sad to say, but Obs has always been ER by name...only.
  5. abundantjoy07

    ER Wishlist Items!

    I would ask for more staff. Period. Allocate more money for more staff. That's all I want. Forget equipment, forget new machines, forget renovations...just give us more staff. Period.
  6. abundantjoy07

    Working in a Trauma Center but nervous about Traumas, advice appreciated

    Traumas are no different in my mind than any other case. I kid you not. You do all the basics and then troubleshoot from there. Monitor, line, labs, meds...ABCs...assessment...Usually when traumas come in everyone goes to the room to assist. Maybe I've just been doing it for a while that it doesn't phase me anymore. Granted there will always be iffy situations, but for the most part it's basic...especially after you've done it for a while.
  7. Pregnancy testing. Or a few weeks back a patient came in for a rash that had been there for 1 year (I kid you not). He waited in the lobby for hours only to get screened.
  8. abundantjoy07

    ER wait times

    I'm truthful. I tell them there will be at least an hour wait if there are 5+ people in the lobby. (Even if it will be only 15 minutes). If there are 15 people in the lobby then 2 hours. 15+ I'm sorry I can't answer that question, we are moving as fast as we can however due to the ambulances coming in the back I can't give you a time. I don't know how long it will be. If they still press I tell them that the longest wait is x hours and leave it at that. I don't tell them about acuity because they get pissy. Everyone thinks they are a level 1 and most are level 4s and 3s. If they knew about acuity they would ask theirs and I would have to explain way too much. Then they would be pissed if they knew they were a level 4 or 5.
  9. abundantjoy07

    What is your ER policy for lunch breaks?

    ER #1 sounds wonderful.
  10. abundantjoy07

    What is your ER policy for lunch breaks?

    We don't get lunch breaks. It's just not something that happens. Because of our high acuity and high census we are constantly busy. It's hard to ask another drowning nurse to help watch your patients for 10 minutes much less 30 minutes. Lunch typically consists of standing in the break room eating in 3-5 minute intervals during that time you are never free of patient care. It sucks being a pregnant diabetic...there is no mercy. And for 12 hours it's unfair to expect us to work without eating. But then too we are chronically short staffed so we don't have coverage for times such a break. Honestly when it's bad and I'm upset because I haven't had time to just sit for 10 minutes I usually just walk away. However that's never a good idea because inevitably there's someone calling for something or a new patient coming in.... I love the ER but what I wouldn't give to be entitled to my 30 minute break. It would be nice to have a time allocated where you could just relax. 12 hours again is a very long time...
  11. abundantjoy07

    HIPPA Violation Question: Triage

    I was told the other day that it is a violation for the triage nurse to tell patients waiting in the lobby what the wait time is or how many people are ahead of them. To give a brief overview of the triage process makes people feel like their problem is not serious and they get angry. To tell them I don't know how long the wait is but we will get you back as soon as possible despite them having already waited for four hours makes them angry. To tell them that there are 32 other people in the lobby and that they have been waiting for up to 4 1/2 hours makes them angry. To tell them that there are three other people in the lobby and that they will have to wait for the next bed makes them angry still. To tell them that the emergency room is not a doctors office and that we do not see people according to time again makes the patients upset. To tell a legitimely Ill person I have no beds available and they will have to wait adds to the frustration. Sometimes patients will tell me they have to be to work in 3 hours and cannot wait and that I need to do something now. Even if I could most of our ER visits average 4+ hours. How do you answer this simple question appropriately and with compassion?
  12. What is the best way to discharge patients easily? It seems like the hardest thing is discharge. People expect to be admitted for every and anything. Most of the time I as the nurse get the grief. I mean is it my fault that we aren't hospitalizing you for back pain or for a laceration to the head? We sent you to CT scan, MRI, and XRay. We drew labs, we stitched you up and made sure you were okay to go after 5 hours of work on you but yet...it's not enough. I try to explain that we cannot hospitalize for everything. Somethings aren't worthy of a hospitalization. You should get the prescriptions filled and follow up with your PCP in 2-3 days. Or employ conservative treatment such as heat and ice on ailment A, B, C and D. How do you gracefully explain and discharge a patient without them complaining, threatening, and asking to speak to the boss? How do you get them out the door sans security? I mean I understand fear, but if you weren't stable we would not send you home... Sigh. I need pointers.
  13. abundantjoy07

    ICE " in case of emergency " apps worth it ?

    It's no good for me because my phone has an automatic lock on it.
  14. abundantjoy07

    Why did you join allnurses??

    I joined because I was just entering nursing school at the time and thought it would be nice to have someplace to ask questions that I was embarassed to ask in class. Then, too I also wanted someplace where I could complain to others who were in the same boat.
  15. abundantjoy07

    Magnet Hospital Nursing Question

    At my hospital they are phasing out LVNs. I think by the end of the summer we wont have any LVNs employed with us. They are giving the LVNs the option of going back to school and staying on board or leaving. They are also not accepting any new hire that does not have their bachelors degree. So even RNs with an ADN wont be considered. I think to be safe you should go for your RN. Even if it's an ADN it might be safer in the long run.
  16. abundantjoy07

    So I am sitting here...

    Isn't our job great?
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