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pockunit ADN, RN

Emergency; med-surg; mat-child
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pockunit has 5 years experience as a ADN, RN and specializes in Emergency; med-surg; mat-child.

ED RN. Experience as Med-surg float covering burn; CV surgery; adult/child BH; uro; peds/PICU; L&D; NICU; PCCU; general surgery; rehab; neurotrauma; MICU; ortho. Previous RN experience in a public health clinic. Do you have a patient? I might could take care of them.

pockunit's Latest Activity

  1. pockunit

    Charge Capture at Discharge

    I would assume that a catheter was taken out and used if one was ordered and charted. If a pt got a neb, it seems to follow that neb treatment should be charged. That seems easy enough to figure out and charge for. My beef is that we end up double charting because EPIC doesn't drop charges when we chart. It's incredibly annoying. I have to chart the assessment; that should trigger a charge just like when I hang blood. On top of that, we receive very spotty education on how to charge for infusions/injections (if your preceptor thinks to do it, you might get some training). Facilities that want to be paid the max should have people trained to capture those charges. Since they don't offer that training, they lose a ton of money. When it becomes a priority, they'll staff accordingly. Until then, they get what they get and if it's crazy busy, I'm a lot less careful and thoughtful in how I charge, because patient care and all that silliness.
  2. pockunit

    How many patients do you see per shift.

    I can have anywhere from 1 to 12+, depending on acuity and how fast rooms turn over. I worked a double yesterday and had 3 rooms but that probably only turned into 10 or so pts because of bed space and holding pending discharge or admission (one was serial trops to see if she trended up or down, which dictated would dictate disposition). One was a roll-over accident who needed a bunch of imaging before he could be sewn up. He was probably there for 5-6 hours. I had someone in DTs, but no beds, so he just sat there waiting on admission. Other days I'll work our UC hall and have 20+ pts if we aren't boarding BH pts in those rooms. CSB: it all depends on the day.
  3. pockunit

    New to ED, not a new nurse though...

    I am almost aggressively upbeat and I have found that it wins people over in spite of themselves. It can be exhausting on some days, but it's generally worth it in the long run.
  4. I worked a year in community health out of school, then started as a med-surg float at a small hospital, moved to a bigger hospital (same organization) as MS float, then took a turn with Mother-Child. All of it has been helpful in the ER, from educating people on STIs, dealing with heart failure, to helping a woman through a miscarriage. ANY experience you get can be applied in the ER.
  5. pockunit

    Making the switch from medsurg to ED...

    I got my position because I had Peds/Maternal experience, which I had gotten *because* I wanted to move to ED and figured it would be good to be not scared of kids/pregnant ladies. Med-surg is a fine, fine base, but anything extra you can add on is only gravy.
  6. pockunit

    What goes on in an ED?

    MILK & MOLASSES, BABY. Pink elephant if we're feeling frisky.
  7. pockunit

    What goes on in an ED?

    Windows.
  8. pockunit

    What goes on in an ED?

    I assume your friend has never been a patient in the ER or they probably wouldn't have this crappy attitude. If they have, they might have rolled up with one of our bread and butter complaints, like "flu sx X 3 days" and gotten minimal interventions because really, you honestly probably just need to suck it up and feel sick for a few days until you get better. People who have NEEDED our services know that we do so, so much more than IVs.
  9. pockunit

    What goes on in an ED?

    WELL. The other day I cardioverted someone, got someone prepped for Ortho surgery after a nasty fracture, treated a pt for presumptive STDs, prepped for an eye exam for someone with a probable corneal abrasion (confirmed), Sent IDK how many people home after rule-out MI, and yeah, sent people to the floor. ER sees it all. Some stay, some go home, some die. It's not just starting IVs and turfing to the floor.
  10. pockunit

    What are patient ratios like for emergency nurses?

    We are generally 1:4 from 0300- 0900 1:3 on days and afternoons. NOCs are 1:3 until 0300 unless we're short. Floats take ECG, hall pts, and if we have a trauma they generally take that pt. So it can be UG.LY for a float if there are pts in ECG and the hall and we get a trauma alert. We're working on how to divvy that up better. Ideally, we have a float for each zone, and one overall float, but they're the first spot to go if we're short. If someone has a heavy pt, we'll all get together in that zone and cover their other rooms for them. I love how people just jump in and GSD in our unit. We have a pretty good crew rn.
  11. pockunit

    Lidocaine infusion for pain

    NYT published a story about an ER going mostly narc-free. It was pretty interesting. I'd like it if we gave it a try, but I don't think management would go for it.
  12. pockunit

    New Grad Starts in ED !!!!!! HELP !!!

    Our pharmacists draw up meds for RSI and other stat situations. It's part of our process. I won't just take a random syringe from another nurse if I didn't see them draw it up, but refusing to take a drawn syringe in a code is going to go badly.
  13. pockunit

    New Grad Starts in ED !!!!!! HELP !!!

    Volunteer to be the recorder in codes and sketchy situations. You will learn what the standard procedures are, what drugs are used, see people doing compressions and intubations, and get a good idea of how codes are run.
  14. pockunit

    Critical Thinking

    No, she knows. But you coming in asking for a definition without providing what you THINK it is is kind of a hallmark "do my homework for me" ploy. Also, google is a thing.
  15. pockunit

    Forced to get flu shot or wear a mask

    Do you choose to drive? Do you ever consume raw milk cheese? Do you eat raw cookie dough? All examples of activities that are acknowledged to be potentially dangerous but people still decide to engage in because they are terrible at judging risk. Also see: refusing vaccination. GB is an acknowledged risk, but it is far less likely to occur than the risk of complications from influenza.
  16. pockunit

    Forced to get flu shot or wear a mask

    I go by the $100 test. Would you bend over to pick up a hundred bucks? If so, probably not influenza.
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