Dixielee

Dixielee BSN, RN

ER

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All Content by Dixielee

  1. Funny video explaining heart rhythms

    I don't know, but he must be in great shape. He made me tired just watching
  2. dumb conscious sedation questions

    You didn't ask, so maybe you already know, but... Always use a cardiac monitor, with O2 sat, RR and BP monitoring every 5 minutes. Make sure your suction set up is working, and have it ready to go at...
  3. Is this reputation true

    Payor source is not even listed on our charts. I am sure someone can see it, but the nursing staff can't. FWIW, just because someone is on Medicare, it doesn't mean they are low income. It just means...
  4. Is this reputation true

    error, see
  5. Time to Come Clean,,,,slips of the tongue

    i think i would have had to change churches after that one! thanks for the great
  6. Time to Come Clean,,,,slips of the tongue

    This happened to a friend of mine. We were stuggling to get a c-collar on a drunk MVC. He was thrashing around, cursing and spitting while 4 of us held him down. My friend with with the c-collar in...
  7. when a boxer is cut

    I thought you were asking about what happens when a boxer dog was being neutered! You can see what my life revolves around! Love my little dogs....boxing, not so
  8. Losing Accreditation

    I am not saying hospitals can run without the funding, I just think JCAHO has gotten out of control. I see them focusing on minutia and not outcomes. I agree there must be some regulation, but like...
  9. Too Old For Med/Surg?

    I am 54 and work in a very busy 50+ bed ER trauma center. Yes, I go home tired, but so do the 30 year olds. You may need to learn to work smarter and save steps a little more than if you were a 20 yr...
  10. Losing Accreditation

    The worst place I ever worked, most dangerous in terms of patient safety and nurses keeping licenses...passed with major commendations and lots of fanfare. Why? Because all they cared about was the...
  11. I don't think I can handle this!

    I feel horrible for you, but can't offer any help, only support. And administration (and others) wonder why we can't keep good nurses,
  12. hiring freeze

    I doubt that will ever happen! I worked at a hospital in the mid to late 70's (yes, I am old!), that laid off lots of people in a cost cutting move. They said it would not affect nursing, but guess...
  13. Needing a Tubex!

    I agree. About the only thing I give IM is tetorifice and it is in it's own syringe, and sub Q might be heparin, but then it is with a TB syringe, so I never need a tubex. I dilute almost everything I...
  14. "I do everything an LPN can do" Oh,my gosh !

    We have gone to all computer charting (don't get me started on that!), and one of the nurses was using the monitor directly across from a patient room because the one in the room was not working...
  15. "I do everything an LPN can do" Oh,my gosh !

    Generally RSR or NSR, means regular or normal sinus rhythm and the terms are used to report a benign or normal rhythm or rate. As far as MA's, CNA's feeling they can do as much as the nurse, I have...
  16. hourly rate/insurance negotiation

    We can decline the insurance and get a 10% increase in pay, or take no benefits at all and get 20% increase. The hospital figures that is what their benefits are worth, so you might as well get the...
  17. Your One Best Piece Of Advice Please.

    Treat your techs/CNA/unit clerks with respect and don't ask them anything you can't/won't do yourself. They will be your best allies, trust me, you need them. I have always known and acknowledged that...
  18. How would you summarize level 2?

    There can be a wide variety in level 2 ER's. In a large city where there are multiple large hospitals with a Level 1 center available, the level 2 will obviously not get the traumas but may be more...
  19. ED residency programs for new grads?

    Mission hospital system in Asheville, NC has a great one. I know they are looking for summer interns now. It is a very busy regional trauma center, 50 beds on the Mission campus and 26 beds across the...
  20. Suturing - Do you do it?

    Suturing??? PLEEESE do not add anything else to my already very full plate. I have no problem "letting" the docs do this
  21. How many lawsuits have you been involved in

    None in 34 years, thank goodness! I think it is going to get worse though with the computer charting we have to do in the ER. I am looking for a "safer" area of nursing to work the waning years of my...
  22. Jealous Wife!!!

    Probably! You will develop close relationships with your co-workers and co-students as a matter of survival. You will be working on group projects that require meeting after classes. If your wife is...
  23. Best place to start out: Level I vs Level III?

    I agree! As an ER traveler, I have had the opportunity to work at a wide variety of facilities. At the level 1, it will be a good while before you are going to be doing any trauma. Some of the worst...
  24. 12 hours vs 8 hours shifts

    As someone else mentioned, and you didn't ask, but this situation has more to do with your relationship than with shifts. Life is too short to battle over petty things like who works harder or more...
  25. Question for ER nurses?????????????

    It depends on your employer, but don't expect to get too much more for certifications. I have seen as much as $2.00/hr and as little as $0. It seems that most places are using certifications in...