Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

    blood sample with a butterfly needle

    Sometimes, I find that stretching/pulling the skin towards me, in the same direction as the needle/vein helps to ease blood flow. The "bevel"* is relevant only for penetration i.e. the act of...
  2. Roy Fokker

    HIPAA and talking about patients

    I work at "Crack City ER"... how about
  3. Roy Fokker

    HIPAA and talking about patients

    "The following is a work of fiction. Any relations to any persons, living or dead; is purely coincidental". How about "Name, age and other information have been altered to protect the person's...
  4. If I'm sleeping, I usually don't answer the phone (I sleep only 5 hours a day) - unless it's my parents (special ringtone) and they know NOT to call me unless it's an emergency. Anycase, my hospital...
  5. Roy Fokker

    Learn To Say It Correctly!!

    Yes. I knew that - but I figured folks were gonna be ridiculously confused about it anyhow....... so I chose the "easier option". cheers, PS: You're mistaken is stating (assuming?) that only "script...
  6. Roy Fokker

    Learn To Say It Correctly!!

    miranda, disagreeing with you about the english language is an expedition doomed to failure - especially from some one such as yours truly who has no where near the grasp on the language as you do....
  7. When I was in the Army, I learned how to cook, sew, wash, clean, do the laundry and tidy up (a buddy once joked that 'Man, would you make some woman a good wife' Don't flame please - it was a joke!)...
  8. Roy Fokker

    how do you take the BP in this scenario?

    *clears throat* Ladies and Gentlemen, Let's discuss the topic on hand - rather than each other. Please. Thank you :) - Roy allnurses.com
  9. Roy Fokker

    Learn To Say It Correctly!!

    Well, one of these days, your strict adherence to correct enunciation and pronunciation will come back "byte" ... err... "bite" you in the butt I won't even get into the whole "Tyre" Vs "tyre" Vs...
  10. Interesting - I've had 4 cases so far where we ended up using the arm for short periods (pts. almost always ended up getting central lines anyway). Haven't seen a complication so far - and it was all...
  11. "Better living through pharmacology".
  12. ok - let us assume that tomorrow all nursing immigration were to stop [which is already the case since october 2006 but that's a different thread]. let us also assume that us nursing schools were to...
  13. Roy Fokker

    What do you want from your hospital?

    * Respect me for the professional that I am. Acknowledge my crucial role and impact on patient outcomes. Yes, I'm not the physician who brings pts. into the hospital - but without me, both you and the...
  14. Roy Fokker

    Learn To Say It Correctly!!

    "Begging the question" is a logical 'fallacy' (also know as: "circular logic", "circular reasoning", "Petitio Principii")The expression also happens to be one of the most misused in the English...
  15. One of the biggest skills I never got to "practice" in school was NG tubes (all that more important now since we intubate a lot folks or see a lot of GI bleeds in the ED). My baptism by fire was...
  16. This is an old, tired argument. One that has been discussed multiple times here on allnurses.com. I'll refrain from answering save for a couple posts that bring up long discredited claims. Patently...
  17. I'm assuming the PICC was in the AC of the same arm? As far as I can recall, that was never taught to us - we were only taught to avoid blood draws/BPs/access on or above the PICC site with the...
  18. * I sing all the time :) I'm usually humming a tune or two and occasionally, one of the ER docs will chime in and we'll croon together (last night it was "Horse With No Name" by America). The hallway...
  19. Roy Fokker

    Fess Up! How much HSP stuff is in your drawer???

    IV caths (20s and 18s), tegaderm and tourniquets, saline flushes, alcohol wipes. I bring 'em home and then I take 'em back to work. cheers, PS: DO NOT wash clothes with a tegaderm still in your...
  20. Roy Fokker

    Body placement in hip fractures/screws

    Ahhh, I see.Got it. Thanks :)
  21. Roy Fokker

    Hospials, all about money?

    As with many things, "respect" and "trust" go a long way. Your hospital might have the latest "reception facility" and "flat screen TVs" and it might initially attract patients - but if it makes up...
  22. Roy Fokker

    inquiry regarding NJ licensing ....

    Unfortunately, NJ doesn't have a stellar reputation for paperwork - even by "bureaucracy standards" Good
  23. Roy Fokker

    Body placement in hip fractures/screws

    May I ask why? Your other points made sense (type, location etc.) - but I'm scratching my head over this one.If research says "Pts. with 'type A fractures' with 'type r procedure' and type 'x'...
  24. Ehhh, I'd say it's a little more 50/50 with me (ER/ED nurses will totally recognise* this) - You go into a patient's room and introduce yourself and begin the assessment process. E.g.: *Pushing on L...
  25. Roy Fokker

    Gave the MD the best answer ever!!

    Hey, if pts. rave about you months after they were under your care; I'd say you were doing something right :) Good show!