Dixielee

Dixielee BSN, RN

ER

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All Content by Dixielee

  1. Disturbing incident in triage .....

    Dixielee replied to DiannaK's topic in Emergency

    I certainly had no intention to hurt anyone by my post, but just to point out something that I am seeing as an ER nurse with increasing frequency. I am not discounting true medical or psychiatric...

  2. Disturbing incident in triage .....

    Dixielee replied to DiannaK's topic in Emergency

    I, too, have noticed a huge increase in people in general diagnosed as bipolar. Our triage form requires us to ask about medical problems, surgical history, and psych history. I bet close to 50% say...

  3. As nurses are we just Trained well behavedMonkeys

    Dixielee replied to madwife2002's topic in General Nursing

    LOL, I agree with you! I have been accused of a lot of things, but being well behaved was never one of them! I was told once by an administrator that doctors were considered "revenue producers" and...

  4. Witnessed a terrible death last night--pls help me...

    Dixielee replied to Annebug's topic in General Nursing

    You are definately getting it. It does help to talk about it and get some perspective and coping skills. When you are in there alone with the patient and family it is not as easy as it is here, but...

  5. Witnessed a terrible death last night--pls help me...

    Dixielee replied to Annebug's topic in General Nursing

    It is haunting any time you hear it, and it seems to go on and on. I have already discussed end of life issues with my family and I have made my wishes clear. I hope that when the end is near, my...

  6. Witnessed a terrible death last night--pls help me...

    Dixielee replied to Annebug's topic in General Nursing

    I am so sorry you are having such a bad time, but I would be more concerned if you were not responding the way you are. You never get used to seeing people die. You never get used to watching loved...

  7. The worst or strangest orders you have seen...

    Dixielee replied to MadisonsMomRN's topic in General Nursing

    This was written by a very tired, but competant ER doc....we both had a good laugh about it when I pointed it out to him. (It was on a discharge Rx). Vicodin 1 gram IV Q4-6 hours as needed for pain...

  8. 12 Hour Shifts ?

    Dixielee replied to Lightning Bug RN's topic in General Nursing

    I am finally on day shift and do some 7a-7p, some 11a-11p, but I still get to sleep normally. I don't care when my shifts are done this way, split or in a row, it doesn't matter. When I did nights...

  9. Adenosine & Defib...

    Dixielee replied to ERRNTraveler's topic in Emergency

    I have given quite a bit of adenosine over the years and have never hooked them to the defib in advance....cardiac monitor, yes, O2, crash cart closeby, solid IV access, yes, but no defib. I have...

  10. Lessons learned from the other side of the call light

    Dixielee replied to grace90's topic in General Nursing

    I was a very young nurse when my grandmother was admitted to the hospital where I was working. I got a call early one morning saying she had taken a turn for the worse. I knew what that meant, and...

  11. caring for Spanish speaking patients

    Dixielee replied to Faith Eyer's topic in Patient Safety Issues

    I know the language line subscription is fairly expensive and many smaller hospitals do not think it is worth the cost for minimal use. I have found that most native Spanish speakers in this country...

  12. Wacko RN - Write Up vs. Direct Report

    Dixielee replied to antidote's topic in General Nursing

    Am I reading this right....this nurse went right up to the patient who was being coded and pulled out the ET tube? Then began yelling instructions to people in the room? If I am correct, then why was...

  13. Teamwork and Support in ED's

    Dixielee replied to PEDSVA's topic in Emergency

    I have worked ER most of my career and have found it to be supportive for the most part. I worked in one small ER where the "locals" wouldn't help the "newcomers" to the area, but I didn't stay long....

  14. Having Some Second Thoughts

    Dixielee replied to sissiesmama's topic in Emergency

    I am not really getting a feel on why you are not going back to work. You said your BP is labile and you have arrhythmias. Do you think being an EMT would be an easier job physically or is it...

  15. I am prejudiced...please read

    Dixielee replied to Kanani_Ikike's topic in General Nursing

    Interesting to see your thoughts. There were only 2 men in my nursing school class when I graduated in 1973. Both were headed straight to CRNA school as soon as they could, they never considered...

  16. How many 12's?

    Dixielee replied to fleur-de-lis's topic in General Nursing

    I did 6 on, 8 off 12 hour shifts for 2.5 years a few years ago. It worked because I lived 5 hours from work, and I got to go home every other week. I tried it in my current job, but it is just too...

  17. Violating a Code Status...

    Dixielee replied to Haunted's topic in General Nursing

    Please correct me if I am wrong, but I thought the advanced directive was simply a means to notify all of a patients wishes, but is not a legally binding agreement. The physician still must write a...

  18. Low census?

    Dixielee replied to miko014's topic in General Nursing

    WOW, now I know where all of our patients are coming from! We are packed to the rafters in all units, and routinely hold patients in the ER because we have no beds, and we have 800+

  19. How Much Experience Do You Need Before Working Registry/Travel?

    Dixielee replied to Pachinko's topic in General Nursing

    I agree that it may be closer to 5 years and having several jobs might also help. Ask yourself, "would I feel comfortable in a completely new hospital, receiving as little as 4 hours orientation,...

  20. Would this happen at your ER?

    Dixielee replied to AlisonBSN's topic in Emergency

    No, it would never happen in our ER, because we don't take patients who have already been admitted to the hospital. Sorry you had a bad experience, but as previously stated, the ER is usually already...

  21. Travel Nursing...

    Dixielee replied to DreamCastle's topic in General Nursing

    Try checking the travel nurse forum on this website. You will find a wealth of information from current travelers and future travelers there. I have been a traveler since 2000, and love it. You don't...

  22. I'M Back!, return to ER

    Dixielee replied to dnnc52's topic in Emergency

    Welcome back to the ER! I did the same thing....went to home health for 5 years after many years of ICU/ER. It was a welcome break and I enjoyed it throughly, but I went back to the ER for a number of...

  23. IV starts

    Dixielee replied to nurse79's topic in Ob/Gyn

    INT caps are called by other names, the INT stands for intermittent, but it is the cap you put on the end of tubing or the cannula to turn a regular IV into a saline lock so you can flush it...

  24. IV starts

    Dixielee replied to nurse79's topic in Ob/Gyn

    I have very good success with IV's, but I have been doing it for many years. I will run thru my technique: Assemble all supplies, tear tape, have everything open and ready on a tray next to patient....

  25. HOME HEALTH...Positives and Negatives

    Dixielee replied to pat8585's topic in General Nursing

    I've been out of home health for a while, but the positives were the autonomy over your schedule, the wonderful appreciation you got from your patients, being able to run errands while "at work", etc....