TrafalgarRN

TrafalgarRN

Oncology, Emergency

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All Content by TrafalgarRN

  1. Rules about Social Media: 1. Never befriend any of your work mates...never ever...ever...ever . I have seen people get screwed about it. 2. If you need to vent on Facebook then have an anonymous...
  2. Your ER policy on giving rides home

    If they are younger than 65; didn't get any Narcotics and ambulatory i gladly escort them to the waiting area and tell them to call a friend or family for a ride home.Surely there has to be one...
  3. Your introduction to your patient

    We said no to AIDET in my department . No one can teach me how to talk to my patients. Next time they will be programming us how to respond to
  4. Your introduction to your patient

  5. When did I become an old nurse?

    You are not old:D just that people are leaving critical thinking at home with the advent of electronic systems. If i'm not wrong all systems i have worked with will automatically stop after the given...
  6. Nursing now vs. then

    Ruby, Xtrn and the rest of the nurses who have been doing this for a long time congrats and keep up the good work. I have been doing this for 10 years and enjoying every moment of it. When i started i...
  7. Hospital nurses - is it really that bad?

    NO based on my personal opinion ...wouldn't know what my team would say. I work in an ED in Northern California under CNA/NNOC where ratios are the law. The hospital i work for pretends to care but in...
  8. Family members that follow you

    Are there no visitor policies on the floors? Visitor policy has been my number one fight against so called family members. In my ED we have a 1 visitor per patient policy for adults and both parents...
  9. Never ever...ever...ever jeopardize your back because people want to take short cuts. The only people i will pick up are kids and 99.5% of the time i will always make sure there are enough people to...
  10. what is the top rate of pay for an RN in the states?

    Work in the Bay Area but live 40 minutes away with is never a problem since i work nights and there is no traffic. Making approx $ 140,000 a year working 64 hrs per 2 weeks. Mortgage is $ 1200 for a 4...
  11. "We want a nurse who speaks CLEAR English"

    I still have an English accent that i will never change but i am able to communicate effectively and never had a problem...and oh i hate it when you think my accent is cute. I expect everyone to...
  12. Oops i forgot to add that after they sign it i let the provider know whats going on and most if not all the times they are happy. If you can talk, walk and have stable VS see you the next time. And...
  13. Triage shifts: how long/how many pt.'s?

    Triage is my least favorite area in the department. Some people think its an easy job and i have seen people jostle to get the assignment and i gladly take my 4 patients at a time. We do 8 hr shifts...
  14. Let them not get to you...its just part of the job. I work in an ED where for the last 1 year we have implemented chronic pain protocols and we have seen our frequent flyer population drop by 80 %....
  15. Narcotic Administration in ER

    We have implemented a Chronic Pain Protocol since October 2010 so our frequent flyers no longer get narcoctics unless they have an amputated rib. If pain is their chief complain we administer...
  16. Narcotic Administration in ER

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  17. "I'm a Nurse Practitioner!"

    Haha...i like that..its happened once where this veterinarian was mad because i didn't flush her Saline Lock with Heparin and instead used Normal Saline. To make matters worse this was one of the ER's...
  18. MD: Why did you get a BG on this diabetic patient???

    As much as we are not doctors we need to have some independent thinking on our part. Last Friday we had an ambulance ring down and the patient was having TIA symptoms. Fast forward and they got to the...
  19. When is a patient your patient?

    From a legal issue and own perspective the patient is your patient when you get report. This does not always happen in the real world and i have have been mad when an urgent patient is placed in the...
  20. An open letter to the ER triage nurse

    After reading the post Fribblet has best summarized it from an ER nurse position. Apologies for any rudeness that you may have encountered; some people are just having a bad night or there is too...