erniefu

erniefu BSN, RN

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All Content by erniefu

  1. Breathless, Coughing and Run-down: What's Going On? | Case Study

    erniefu replied to SafetyNurse1968's topic in General Nursing

    Rainbow special for labs. So many differentials with this one. Blood cultures x2 Blue (INR/PTT, D-dimer) Yellow (viral and bacterial serology say HIV, STD) to query sepsis. Green...

  2. Suicidal Ideation and Muscle Twitches | Case Study

    erniefu replied to SafetyNurse1968's topic in General Nursing

    I would ask the MD for a vitamin B and at thyroid panel, as well as an MRI, EEG, EMG if bloodwork is

  3. Hospice Patient’s Family Refusing Hospice Cares

    erniefu replied to SilverBells's topic in General Nursing

    I see these kind of people all the time when I worked in a stroke unit. These families are usually not nice people and pardon the term, Karens in real life. Even if they consented to hospice care they...

  4. Nurses are Pushed to the Brink

    erniefu replied to Nurse Beth's topic in Disaster Preparation

    Nothing is going to change as long as board of directors collect their dividends and not be personally liable for the deaths. Boards of directors are more interested in " We are Heroes" billboards...

  5. How much experience does your manager/assistant manager have?

    erniefu replied to DownstreamOcclusion's topic in General Nursing

    I think that having experience with the patient population is important in managing the unit. A manager should have knowledge about the kind of patients coming to the unit, when to use authority to...

  6. Does it annoy you when you see employees with little to no direct patient care wearing much needed PPE

    erniefu replied to DesiDani's topic in Disaster Preparation

    Yes. If people did proper social distancing and stayed home you are less likely to contract COVID-19. Have hand sanitizer ready and use it after you go touching things in public places. People...

  7. Lazy patient

    erniefu replied to Katie622's topic in General Nursing

    A lazy patient needs to be reminded that if they can't wipe their own *** then they can do it in a nursing home or a group home. If you can't show you can wipe your own *** inpatient or rehab, then...

  8. Just Say “NO” to Nurse Staffing Laws

    erniefu replied to SafetyNurse1968's topic in General Nursing

    The ANA approach is the acuity based staffing model. Guess what? Hospital employers will game the numbers and won't reassess the model once they get the numbers they want to show to the public. Show...

  9. PICC line dressing changes difficulty

    erniefu replied to Gyh's topic in General Nursing

    Anything more than 4-5 cm out and you need to x-ray. The danger with it being that far out is that it can coil, rendering the PICC useless (its out of position) and can cause emboli. A PICC pulled out...

  10. Just Say “NO” to Nurse Staffing Laws

    erniefu replied to SafetyNurse1968's topic in General Nursing

    Healthcare administration has no risk if a nurse is overworked with 10:1 ratios and a severe adverse event happens. In that situation the hospital is fined, the nurse is fired and suspended by the...

  11. PTO not in the budget for remainder of year

    erniefu replied to galaxygirl17's topic in General Nursing

    Companies usually budget for PTO so it wouldn't be a liability for vacation owing. That your manager denies your earned PTO means there are cash flow issues. This is just the beginning of more cuts...

  12. Do you think nurses aren’t taught enough about general emergencies/basic info about emergency medicine?

    erniefu replied to stacylethani's topic in General Nursing

    I think the most important emergency care you need is to not delay calling 911. Too many times families drive a stroke patient to ER when it was in the best interest to call 911 so an ambulance can...

  13. F.A.S.T. – Does not represent the time it takes to explain my role

    erniefu replied to Rn112389's topic in Neurological

    Very informative. In Canada in my academic hospital we have a dedicated stroke unit with a stepdown nurse from the hyperacute stroke unit that gives tPa (if indicated) and accompanies the patient to...

  14. Safe Staffing Levels for In-hospital Nursing Units

    erniefu replied to NURS5870's topic in Activism, Healthcare

    Until management gets hauled to a board of nursing/medicine disciplinary panel and faces charges of negligence and professional misconduct for chronic unsafe staffing ratios, staffing ratios will be...

  15. Comprehensive Stroke Units: What is your staffing matrix?

    erniefu replied to Rin287's topic in Neurological

    In Canada, a comprehensive stroke centre would be doing stuff like giving tPa, thrombectomies/embolectomies, along with providing stroke care for those outside the window. Patients that are given...

  16. What Do You Think? Can You Be A Nurse If You Can't Do Bedside Care?

    erniefu replied to Kooky Korky's topic in General Nursing

    Certainly there are positions that don't involve bedside nursing care (Infection control, public health), but every nurse has to learn to do the nursing process: Assessment, analysis, planning,...

  17. Catholic Nurse Sues Duke University Hospital After Refusing to Assist with Abortions

    erniefu replied to tnbutterfly - Mary's topic in Nursing News

    If you have religious objections, then Labour and Delivery may not be for you. There are plenty of areas like Med-Surg, Palliative, Rehab that you can work, and I'm sure Duke would not object to...

  18. Patient's "right" to abuse nurses...I need your opinion

    erniefu replied to MsNewbee's topic in General Nursing

    "it is her right to abuse you." It is also your right to e-mail the CEO, CMO, CNO that your supervisor said those words to you and that you expect a formal apology, and to go to the news outlets if...

  19. Non opioid pain options

    erniefu replied to JBMmom's topic in General Nursing

    Given that a lot of medical surgical patients are NPO before surgery in ER, I think that it makes sense that dilaudid is ordered as subq prn. Unless there is an abundance of IV Tylenol that can be...

  20. What was the age of your oldest surgical admit?

    erniefu replied to Gampopa's topic in Medical-Surgical

    98 year old lady that got endovascular coiling for a brain

  21. DNR/DNI: What Age Would You Choose to No Longer Be Full Code?

    erniefu replied to LollaPaupRN's topic in General Nursing

    I think that people have a problem with recognizing how do we quantify qualify of life such that we would make ourselves a DNR. For me, if my palliative performance scale was 40% or lower, I would...

  22. Be honest: do you feel valued by your employer?

    erniefu replied to sunnyskies9's topic in General Nursing

    During this Christmas, the CEO offered to give staff a free Christmas dinner to those that worked. Of course, none of the nurses on the floors got one as the dinners ran out before the nurses could...

  23. 3 or more staff forcefully providing care to cognitively impaired residents

    erniefu replied to cstober's topic in Canada

    This sounds like something that a geriatician or a geri psych clinical nurse specialist should be involved

  24. Amber Does the Unthinkable

    erniefu replied to Nurse Beth's topic in General Nursing

    What was learned was that the supervisor was the one who couldn't handle the pressure and did not prioritize properly. It seems that the supervisor had no idea what was going on in the holding area...

  25. How do you deal with verbally abusive pts?

    erniefu replied to Molly.RN's topic in Patient, Colleague Relations

    This is one of those patients where you need to implement a behaviour contract. If behaviour charting does not show there is an unmet need (toileting, pain, hunger etc), then this patient is clearly...