Dixielee

Dixielee BSN, RN

ER

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All Content by Dixielee

  1. Night Shifts best for Night Owls??

    I am naturally more of a night owl. My husband is an early bird. If each of us did not have to work and could just go to bed when we were tired and get up when we were rested, he would still get up by...
  2. The night Shift

    You will find a rhythm that works for you....if you are lucky. Yes, you will have to guard your sleep time well. Your family will have to know up front that you must have sleep just like they do. One...
  3. I have not read all 11 pages of this thread, because I am tired and have to get up at 0500 for another 12 hour shift. Today was my off day, and I got a call at 0700, 0930 and 1100 to see if I could...
  4. Medical terms you'd rather see changed....

    I had to laugh at that one. I worked with a surgeon once who asked for an order sheet. He said, "I don't know why they call them orders, you guys (nurses) are going to do what you want to anyway"....
  5. That drive on I -26 is so beautiful, you really don't want it to end, well, maybe, you do, but it is quite scenic with the old farms and rolling hills. Another reason to live in this area, is of...
  6. Housing in Asheville is expensive, but the job market is good. Mission and St Josephs, VA, Park Ridge, Pardee, McDowell hospitals are all in the general area. Johnson City, TN is not that far if you...
  7. JCAHO and Time out

    We recently went thru our joint commission audit and dinged on some really stupid stuff....like having too many O2 cylinders and having a portable computer (on wheels) in front of a fire extinguisher....
  8. Do I need a suit???

    My husband bought 3 beautiful suits at a large thrift store for $5.00 each. One included a vest. You can get dress shirts for a few dollars and a tie for even less. Women's suits are equally...
  9. Your protocol/standard for head injury?

    And your post brings me another question--can I legally, according to HIPAA, go into the computer and pull up the records on my friend when I go into work, like you did on your friend? It would be...
  10. Your protocol/standard for head injury?

    I was/am very reluctant to pass judgement on the nurses/doctors, but since more info came out about it from the patient and the EMS crew, I had to ask all of your opinions on it. I would not talkabout...
  11. NP in the ER

    We have FNP's in our fast track. Great folks, do a wonderful job and help ease the workload. AND since they are nurses, they actually KNOW what nurses
  12. subQ narcotics?

    I don't think it is particularly common, but it does work. We had a poor guy who came to our ER almost weekly with horrible leg pain. He had the worst peripheral vascular disease I have seen and had...
  13. Nursing Shortage?

    lol, come on down. i will meet you at the waffle house at 0300! with 30+ nursing years each, we should be quite good at herding goats. now where did i put that number for the tibetan goat herding...
  14. Are you talking about injecting lido just under the skin, or topically like EMLA cream? They both have their place, but I rarely use either. I will use EMLA on a kid if I have 30-45 minutes to wait...
  15. Student Intern in ED-Can I be Productive??

    I agree with Eric....if you want to fit in and be helpful and not a burden, then don't be afraid to get your hands dirty. I have had students refuse to give bedpans because "that is aid work and I am...
  16. Nursing Shortage?

    Yes, a lot of it depends on what area of the country you are in, but a lot of it depends on what you are willing to put up with. Bear with me as I just worked four 12 hour night shifts in an...
  17. Hello, I'm your nurse today: get off the darned phone!

    I work ER and can't believe how many people yack on the phone the whole time they are there. I have called people from triage several times, consider them "gone" when they come up later and say, "Oh I...
  18. JCAHO and Time out

    They did do something smart with the med reconciliation at our place, maybe as a trade off for the time out stuff. In triage we ask the usual med stuff and get what we can. There is a spot to check...
  19. Any bedside nurses making over 100K ?

    I have come close as a traveler on occasion, but that is still with putting in a lot of hours, finding your own housing that is very frugal, and pocketing the rest. I can only do it short term for a...
  20. evaluations?

    I always give a months notice as a courtesy. I don't see a problem with mentioning it at this point if you have a chance, especially since you will have fulfilled any contract obligations. As far as...
  21. JCAHO and Time out

    I do think our hospital has gone berzerk over this thing. It has generated 4 additional pieces of paper. 2 for the doc, a consent, and the time out sheet for the nurse that verifies all this stuff was...
  22. patient belongings

    I worked at one very busy ER where we had to do just that....list everything they had on their person as well as everything in their purse or wallet. I would get crazy and list empty gum wrappers,...
  23. Looking for a change

    Echo what others have said about the docs. They are your allies, not the enemy. You work with the same ones routinely, and you get to know them and they know you. It is a very comfortable...
  24. ER that accept new grads

    Mission hospital in Asheville has a year long internship for nurses. Great program, great hospital, great town. Other than the cost of housing near town, I can't say anything bad about this area. I...
  25. JCAHO and Time out

    AMEN!!! It seems as though these regulators have nothing to do but make sure they ensure themselves a job. I am near the end of my hospital nursing career, and it makes me sad, but I am just sick and...