ChuckeRN BSN, RN

Emergency Department

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All Content by ChuckeRN

  1. In defense of the flight crew, they NEVER talk crap about anyone (maybe because 99% of the patients are really sick), but this time they were TICKED! I wish I knew how they got the call and if they even have a choice to refuse to transport once they ...
  2. That's called Fatal Familial Insomnia. It's real. It's inherited and it's a prion disease. Very rare though.
  3. I work nites in a rural Level 3 trauma center. One night, we had the rotor crew fly in a 22 yo F for BACK PAIN! No trauma, she just woke up that morning with a back ache, but called 911 sometime during the night and somehow a helicopter was dispatche...
  4. ChuckeRN

    Cyclic vomiters (drive me up the wall)

    Yup Haldol.
  5. ChuckeRN

    Drink or Shake during work

    +1 BSN Syntha-6. My fav is Vanilla Ice Cream. I carry a shaker bottle with a metal ball in it and just add water when I'm ready to drink it. I also carry 2 or 3 apples to eat during my 12 hour shift. Still, I have lost around 30 lbs and 4" off my wai...
  6. ChuckeRN

    Rules for Triage

    I love it when they come in for dental pain at 6 AM when there's a FREE walk-in dental clinic that opens at 7AM.
  7. ChuckeRN

    Do Med Surg / Tele RNs still get hired into ER?

    We try out nurses from the different departments all the time: ICU, OB, M/S, etc. Whether they are able to keep working in the ED is entirely up that specific nurse. Most can't seem to or want to handle it. In their defense, if they are getting paid ...
  8. ChuckeRN

    New Grad in the ED

    #1. Ask LOTS of questions. All of the docs I work with love to educate and teach. Sometimes, our co-workers are too busy to explain everything, but Docs seem always willing to take the time. #2. Be enthusiastic and willing. You may not be the fastest...
  9. ChuckeRN

    student nurse precepting in ED...advice?

    +1 I've lost 30 lbs since I starting working in our ED last year.
  10. ChuckeRN

    Walk me through your ER

    I work in a Level III Trauma Center in a Navajo Reservation. The closest Level I is 80 miles away so for obvious Level I's, they are flown directly from the event site. Otherwise, we get everything. In a town of 10,000, we saw 35,000 patients in our ...
  11. ChuckeRN

    Corrections Nurse Interview-Tips?

    I was a nurse in a State Max Security prison. Prior to the interview, I read the thread here that has the most numerous responses and most of the questions posted were asked. You should find and read that thread. In general, depending on the number o...
  12. A 14 yo girl brought in by ambulance from the next city's small clinic*. Complaint: "lost her tampon". Turns out she forgot she had a tampon in her for 3 weeks. The ER doc removed it and he had a look on his face when he got out of that room. *I work...
  13. ChuckeRN

    New ER nurse...is there any hope for me?!?!

    A monkey can start IVs. Don't sweat the small stuff.
  14. ChuckeRN

    Have you worked for Wexford?

    It looks like I'll be working for Wexford very soon. Can anyone share any personal experiences? TIA
  15. ChuckeRN

    Decreasing Medication Passes to BID from TID

    We have 5300 inmates in our prison and TID for Watch Swallow meds are impossible for nurses and no go for Security so the meds are always divided into 2 doses.
  16. ChuckeRN

    Have you worked for Wexford?

    Sorry guys, but due to the transition, people have been quitting and getting fired so we are extremely short staffed and so I've been working 4 days every week = 100+hours every 2 weeks. As a private company vs a State DOC, employees are much easier ...
  17. Friday morning I had to send an inmate out to the hospital 911. The Dx was acute exacerbation of gallstones. As an ER nurse, I was not familiar with this inmate, but the yard nurse for his yard was in the ER at the time and explained the inmate's Hx....
  18. ChuckeRN

    Common Correctional Nursing Interview Questions

    I work in the largest State prison in our state (by population) - approx 5300 inmates at any given time. On weekends, it is just me and one other nurse until the pill pass nurses get to work around 11 am. So with no other nurses and no doctors, I ten...
  19. ChuckeRN

    Trying to get out of Correctional Nursing....

    I suppose corrections is as far from OB or NICU as possible. The part of corrections you hate is what I happen to love about corrections. What you see as a hindrance (aside from the boss and pay), I see as a positive that most nurses or people in gen...
  20. ChuckeRN

    Trying to get out of Correctional Nursing....

    What don't you like about CN?
  21. ChuckeRN

    Thinking of going to corrections

    This is very true, but I also find that where most COs are willing and able to jump in and help and protect you, a lot are also lawsuit phobic and will let an inmate get away with quite a lot. Just last night I had an inmate demand that I give him so...
  22. ChuckeRN

    How far do you travel to get to work?

    40 miles, 45 minutes. I also walk around 1/2 mile from my car to my "office" even when I have golf carts available to and from. I find it's a great way to wake up from the commute and decompress from the workday.
  23. ChuckeRN

    First Death Threat

    I've had a couple of threats, but nothing I would take as credible enough to warrant anything more than issuing a "ticket" to the inmate. We did have an inmate say in front of a CO that he was going to have nurse beaten up and shot. They transferred ...
  24. ChuckeRN

    Medical Privertization

    We finally got the "offer /new employee packet" from Wexford. I am not impressed and neither is a lot of others. Currently, we have State FT, State Pool and Agency nurses (both RNs and LPNs). Wexford has made it clear that they will be trying to mini...
  25. Remember YOUR safety is always #1. If you do not feel safe, don't be there, don't go there, and don't do it. PERIOD. My #1 rant regarding correctional nursing is that the COs seem so lax sometimes. For example, after hours, the protocol is that ALL i...