Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

    Sound pollution in your ED

    Sometimes there's just nothing you can do - there's just too many blessed people in one crowded ER! However, I have tried to get people to switch from "paging Overhead And Rooms" to "paging overhead...
  2. Roy Fokker

    ICE " in case of emergency " apps worth it ?

    I have ICE on my phone, my wallet carries all my relevant info. But 'my primary source' are my dog-tags: one tag with my name, blood type, and allergies; the other tag with "Contact" and following...
  3. Roy Fokker

    An ER "First" for Me...

    It is also very refreshing when you have patients who say: "Uhh, does the doctor think it's necessary? Is there something non-narcotic that might help? I have been clean for a while and don't want to...
  4. Resurecting an old topic but ... Can't tell you HOW often this has happened to me as an ED nurse - when dealing with CTAs of the chest to r/o PE [radiology nurses, help me understand this,...
  5. Roy Fokker

    Do you ever feel like a licensed drug pusher?

    Because you hear them snoring as you approach their room, you walk by on your way to another patient's room, they hear your footsteps, awake from their slumber and instantly begin wailing "Oh my god!...
  6. Roy Fokker

    Any advice for a new ED nurse?

    Hi Amy! If I may: * Prioritisation is THE key, and prioritisation is a little more complicated in the ED. Because in the ED, even your seemingly stable "admitted to Tele floor, waiting on orders"...
  7. Roy Fokker

    Fever vs. Warm Blanket

    I have gotten so much flak from so many colleagues about giving "febrile" patients a blanket... don't even get me started! I wonder if they all slept naked under a fan at home whenever they had a...
  8. Roy Fokker

    Time Management in ER

    Here's my take on the issue (keep in mind I'm still new in the ED). I work a Level II 50 bed (including hallways) ED averaging 200 - 250 pts. a day. - Always document as soon as possible. It's one...
  9. Roy Fokker

    Afraid of Nursing as a Male?

    I don't mean to be confrontational ... but I have to say - the stuff you've read, by and large, is nurses venting their frustrations. An analogy I can readily summon is enlisted men grouching about...
  10. Roy Fokker

    EMS abuse: The Ride to get High

    Wooooooooow! Full storycheers,
  11. Roy Fokker

    Work place violence

    A-ha! Someone who mirrors my own thoughts!My only question is - do you mind detailing all the "items" in that photograph (besides the sweet lookin' M&P )?? I've honestly been looking for a 'good'...
  12. Roy Fokker

    ER Burnout

    Just to clarify: I'm assuming you mean "25+ patients on average PER RN during the entire shift" and not "25+ patients assigned to EACH RN during the entire shift". I know it sounds absurd but I...
  13. Roy Fokker

    New Grad Woes

    motivatednurse, First off, let me congratulate you on surviving nursing school and passing your boards! Please believe me when I say - if you can get past THAT, you can truly do ANYTHING you choose!...
  14. Roy Fokker

    So... How real is the show ER?

    I liked the first few seasons of ER. I liked Dr. Greene. I liked the "tension" between Dr. Carter and his 'mentor' Dr. Benton [an under-rated character IMO]. Then I kinda quit watching it regularly...
  15. Roy Fokker

    Meditech ER Software

    Another Ibex/Pulsecheck fan here. Despise Meditech. Too horrible for words!
  16. It's no longer just "media hype". It's "all around hype". I've had MANY patients being discharged from the ED with discharge papers clearly stating "Flu like symptoms (H1N1)". What I want to know is -...
  17. Are green nurses better educated than purple nurses? The OPs question (and some of the responses in this thread) make just about as much sense.
  18. Roy Fokker

    Would you have given the meds??

    The BS was 127... not 27. I can understand MD being miffed at not being notified for a BS of 39 (and no, I wouldn't have given anything PO for that - stat IV D50!) ... but I see no reason for you to...
  19. I'm ALL for involving family in care - many a time in the ED confused/combative patients often calm down/co-operate when family is around. BUT, you cross a line when you step in and do stuff like...
  20. Roy Fokker

    Is it a sin to want a day off?

    I can't believe I used to feel guilty about taking time off :icon_roll It's called "Paid TIME OFF" for a reason ya know...
  21. Roy Fokker

    Where do you wear your stethoscope

    I have a little clip-like thingie I use [see: http://www.allheart.com/pm755.html ]. Hangs off my scrub bottoms on my left side [stetho on the left, hemostat+tape on the right] :)
  22. "Thank you for not being the arrogant, irritating, whiny, petulant, immature little drama queen that you usually are".
  23. Roy Fokker

    Cardiac to ED

    This is just my opinion: * I would wait till you have atleast a year in the ED before you sit for your CEN. * Same for the TNCC (unless it's a requirement for the ED your switching to). * I strongly...
  24. Roy Fokker

    Advice for First Night on the Floor?

    Here's my ritual at the start of each shift: * Check crash carts in your assigned pod (especially if working the acute side). At this time, also check airway kits. Make sure the blade/scope lights are...
  25. Roy Fokker

    hour long seizure-what was this?

    Steven Grayson talks about an experience he had in his book. It was about a 7 year old kid that kept sizing for hours on end despite continual adminstrations of Valium etc. Hours later, when the kid...