lckrn2pa

lckrn2pa

ER

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All Content by lckrn2pa

  1. HIPPA violation??

    no, the parent or legal guardian does not have the right to that info. You need to read up on policy and not what others tell you or ask the doc to clarify. Minor children seeking care for reproductive and pregnancy related issue have autonomy to dir...
  2. What is your policy for suicidal patients?

    I work at a hospital years ago where a psych pt came in to be evaluated. I was off but during his treatment he ran out the ambulance bay doors and 2 blocks over the pt got the gun away from a police officers and unloaded the clip in the officer who w...
  3. Is anybody else tired of the nurse practitioner craze?

    Hmm, interesting comment, please elaborate your reasoning for one over the other. I've worked with both over the years and found them equally competent. Just curious as to why people believe one to be better than the other. I've never seen it nor do ...
  4. Is anybody else tired of the nurse practitioner craze?

    Not gloating at all, I did the exam I felt was needed on the patient. Giving a reference to this case in this discussion is to provide the less educated OP with the "Data" he so desperately needs. Go back and read the post again, never mentioned test...
  5. Is anybody else tired of the nurse practitioner craze?

    one thing your totally missing is your only looking at this from an inpt setting. Are there only patients in the hospital? I've got a buddy that is a PA in central Cali and he is the only provider in his clinic. His supervising MD is in another clini...
  6. Is anybody else tired of the nurse practitioner craze?

    oh, and to give you some data on a pt I saw in clinic the other day. Follow up on PSA level with hx prostate ca, gleason 6, 1/10 biopsy. He was seen by the MD 3mo ago and his note was 4 lines long. My H&P on him was full ROS, PE I covered HEENT t...
  7. Is anybody else tired of the nurse practitioner craze?

    Ok, lets look at this from another angle. By your logic, Midlevel's can not give a level of care equal to a MD/DO. So get rid of midlevels. Now, same argument, CNA's, MA's, LPN's can not give the same level of care as an RN so why not get rid of them...
  8. Is anybody else tired of the nurse practitioner craze?

    I'm getting some popcorn and gonna pull up a chair on this one. Being a new grad, and by your statements, you really are clueless about the important role midlevels assume. NP's and PA's both serve to fill the gap left by lack of primary care docs. ...
  9. You can also tell your friend that this mess really isn't over for them, it's only beginning. The hospital must now report this violation and the ensuing investigation could lead to fines being levied against all parties. IF your in California then t...
  10. Convicted felons and nursing

    back in 1990 I worked at a nursing home as a CNA when I was in LPN school and I noticed when I left at 11pm always the same group of people out front. One night I was a little later than usually and I saw why, they were all on work release from the C...
  11. Catholic Hospitals

    Back east (I'm in Cali) the nuns roam around but not dress in nun gear so I had to watch my tongue and they did prayer over the PA. In Cali I've worked for a couple CHW hospitals and never saw any nuns and don't remember the daily prayers.
  12. Maybe they can use the title my better half has......designated check casher and financial utilization coordinator. She pretty good at her job too.
  13. What scares you most as a rn?

    How am I pushy or aggressive in the fact that I ask for proof? In my response I took no elitist attitude, no closed minded approach to the subject. Show me evidence and prove me wrong. If the link exist and is proven then I will take this information...
  14. What scares you most as a rn?

    Show me your facts. Show me the studies, show me peer reviewed documentation that directly links immunizations to autism. At this point there is no real evidence to the cause of autism and its only theory that has not bee proven. The one study done i...
  15. What scares you most as a rn?

    Then you know plenty of "educated" people that need to understand their actions can and most likely will effect others later in life. Take the recent measles outbreak in Minnesota and Utah. Both had multiple cases that were traced back to a single in...
  16. What scares you most as a rn?

    Yea, that's right, my mistake. Still somebody that got famous by getting naked. Shows how much I pay attention to what they are saying but unfortunately the general public listens to the one that screams the loudest. It's hard to sit in front of a pa...
  17. Just depends I guess. I worked with an ER doc that spelled Rocephin as Rocefin. I'd correct him, correct the chart and next one I'd pick up would be same Rocefin. One of the sharpest docs I've ever worked with and a miracle worker with sutures. He co...
  18. What scares you most as a rn?

    Idiots that don't get their kids vaccinated because some woman that took off her clothes and became famous said it was bad (Carmen Electra). Believe a stripper over a healthcare provider, unbelievable.
  19. New job if I pass the math test!

    It is 240 mL, not 240.0 mL. The trailing zero is on the do not use list for JCAHO because the decimal can be missed and its mistaken for 2400 mL.
  20. Unbelievable!!

    My school was the same way. I actually worked with one of my professors on weekends. I was a LPN in the ER working Fri, Sat and Sun and she worked every other weekend as ICU charge.
  21. IV infusion volume rate on Pump

    Every nurse does it different. I always set my volume less by 1 hour of the rate. If my IVF rate is 125, then I set the vol to infuse at 875, this gives me an hour to get a new bag. How many times has your IV vol infused alarm gone off at 3am and you...
  22. Ok, where do I start....the whole ideology of NP's taking care of the whole patient is perpetuated by the academic world in their efforts to differentiate themselves from others. In my 20yrs as a RN I honestly can't tell the difference in the care th...
  23. I was working a travel gig in Arkansas and the end of my contract we all went to some dive bar after my last day shift, as I was leaving I told the ambo crew stationed at the ER I'd be calling 911 about 230 from the bar for dizziness and then AMA at ...
  24. To me, I like the idea of smoke free campus. After almost 20yrs of ER nursing it gets really, really, really, really freaking old covering other nurses for smoke breaks. I worked with this one lady that took so many smoke breaks I'd finally got to wh...
  25. I had a county crew bring an old guy in with CC of SOB with mild exertion. I'm standing at the door to the room they go by me and the monitor is at head of bed and I notice 3rd degree AV with rate of 24. I look at the medic and asked "you think that ...