Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

    ADENOSINE ??

    Roy Fokker replied to laurainri's topic in Emergency

    I'll try to track down the latest version of the manual at work this week. I don't recall reading about such a maneuver but I could be mistaken. That's the story of 'science' in general. We don't...
  2. Roy Fokker

    Common drugs given in the er..

    Roy Fokker replied to sandypalma's topic in Emergency

    :smackingf Oh yeah! How did I forget that! Oh! Oh! And also: * Immune-related meds/shots (Rho-gam, Tetorifice etc.) * Psych meds (Zyprexa, Haldol, Ativan , Cogentin being the more common ones) * D-50...
  3. Roy Fokker

    ER tech forum.

    Roy Fokker replied to FirefighterDoug's topic in Emergency

    Please pardon my ignorance but how/why is a Tech different from a CNA?I'm asking because I'm genuinely curious. :) Thanks!
  4. Roy Fokker

    How to keep the faith in triage?

    Roy Fokker replied to EMTSNA's topic in Emergency

    i usually enjoy triage. a couple of my colleagues say that i'm temperamentally suited for it too (no dilly-dalying. get to the point and fast...) a couple others say that i'm still too "young and...
  5. Roy Fokker

    ADENOSINE ??

    Roy Fokker replied to laurainri's topic in Emergency

    (emphasis mine) That's an interesting statement/claim. To state that there is no 'evidence based source' as to the effectiveness of an intervention but still insist that providers 'should be taught'...
  6. Roy Fokker

    Help/Advice Needed - KCL without pump/Oncology clinic

    Roy Fokker replied to AliC's topic in General Nursing

    heron, That was a great post. Thanks!
  7. Roy Fokker

    What's your favorite "Done with a ton of shifts in a row" routine?

    Roy Fokker replied to AOx1's topic in General Nursing

    In no particular order: * Sleep * Clean my gun(s). Head out to the range. Shoot targets - with friends (if we can all manage to get time off). * Read a good book (one of the hundreds I have on my "to...
  8. Roy Fokker

    Computerized Charting ...

    Roy Fokker replied to Lunah's topic in Emergency

    She's 71 and still works the ED???!!! :eek:Ok. I get the message! I'll quit ******* and moaning about my job this very instant! DAAAANG!!! A quick word of caution - not all 'tablet PCs' are good...
  9. Roy Fokker

    Common drugs given in the er..

    Roy Fokker replied to sandypalma's topic in Emergency

    Geez! There's a long list! LOL IMHO (in no particular order unless mentioned)? * Pain medication (narcotic or otherwise - but I will say, I don't nearly give as much Toradol as I did when I worked the...
  10. Roy Fokker

    tiny vent

    Roy Fokker replied to Guest219794's topic in Emergency

    Me? I just dilute the Compazine in a bag of 50/100 ml of NS and hang it while I slow push the others :) But yeah, it did sound weird that the provider was more concerned about the Benadryl "reaction"...
  11. Roy Fokker

    Ethical/Professional situation....

    Roy Fokker replied to mwboswell's topic in Emergency

    I'll never forget this 'famous holiday' shift I worked last year. We were packed to the gills - absolutely packed. Triage was backed up by at least 20 patients (on average). The wait time was over 3...
  12. Roy Fokker

    ADENOSINE ??

    Roy Fokker replied to laurainri's topic in Emergency

    DAAAANG!!!! No
  13. Roy Fokker

    wedding dresses...

    Roy Fokker replied to Higgs's topic in Men in Nursing

    LOL. I have no interest either. I suppose the ladies similarly could care less when the police officer escorting a patient and I get into the strengths/weaknesses of the particular side arm he's...
  14. Roy Fokker

    Press Ganey

    Roy Fokker replied to cardiacmadeline's topic in General Nursing

    Please DON'T give the 'suits' any more ideas!!! We're swamped as it is!! I know we're 'jesting' (being sarcastic) in this thread. But seriously, printing that stuff in the paper will only 'worsen'...
  15. Roy Fokker

    Who needs to be seen first?

    Roy Fokker replied to Superlost1984's topic in General Nursing

    A little history please! :) But if you're asking strictly NCLEX type question: I'd assess the Morphine drip before the Magnesium drip, because breathing takes priority over circulation. Personally: It...
  16. Roy Fokker

    Guilt about using sick time

    Roy Fokker replied to ffweste's topic in General Nursing

    You're sick. Means you're sick. Please don't berate yourself - it's not like you went out, got drunk and then got into a car accident or something. Sick leave was invented so that when workers got...
  17. Roy Fokker

    Why yes I LOVE being Screwed over! How did you know?!

    Roy Fokker replied to Crux1024's topic in General Nursing

    If after paying $60,000 to some institution and they dragged their butt, causing me to lose time and money - due to their negligence/incompetence/laziness (or all three!) - you bet your bippy I'd be...
  18. Roy Fokker

    One year in, yet still making errors -- stupid ones!

    Roy Fokker replied to SoundofMusic's topic in General Nursing

    Humble suggestion:The next time you're taking report, ask the nurse giving report what the pt. has ordered for pain/anxiety/nausea/fever etc. If you feel something is lacking, just ask (hey, chances...
  19. Roy Fokker

    One year in, yet still making errors -- stupid ones!

    Roy Fokker replied to SoundofMusic's topic in General Nursing

    This is why whenever I take verbal/telephone orders, I always write parameters. To me it serves the following purposes:1. So that when the nurse has to administer the med, s/he has a clear guideline...
  20. Roy Fokker

    Your favorite nursing gadget?

    Roy Fokker replied to AOx1's topic in General Nursing

    It's not sad!!! It's wonderful! Rejoice! For now you know the endless possibilities .... In my ED, I re-check any abnormal BP manually. I trust my ears and my brain more than I trust...
  21. Roy Fokker

    Nurse and Firefighter

    Roy Fokker replied to mfisher6's topic in General Nursing

    I'll admit it: * I've often thought long and hard (still am - can't make up my mind!) about going to school to be a paramedic. * I've applied to a couple local fire stations as a volunteer. No doubt...
  22. Roy Fokker

    A Patient Made Me Cry Today

    Roy Fokker replied to flightnurse2b's topic in Patient, Colleague Relations

    *sniff* Blurry vision... I need to go see an eye doc, I guess. Allison, Your story was very touching. The circumstances saddened me - human cruelty is often as banal as it is vicious. Most of us...
  23. Roy Fokker

    Patient needs a CT angio but is allergic to Iodine

    Roy Fokker replied to helpnurse's topic in General Nursing

    The standard "cocktail" in the ED is Benadryl, Prednisone (sometimes Cortisol) and Pepcid.
  24. Roy Fokker

    cardiomyopathy with ef of 10%

    Roy Fokker replied to gentle's topic in General Nursing

    (emphasis mine) Depends on how the patient presents upon assessment (and history). Symptomatic or not is a big key.e.g.: If they're symptomatic and in the 80s/lower-than-baseline along with...
  25. Roy Fokker

    moving to a different state after graduation

    Roy Fokker replied to NurseyNurse7's topic in General Nursing

    Pass the exam then apply to 'transfer' your license wherever you choose. cheers, Roy (graduated - but never licensed - in NY. Have worked in 2 different states