Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

    How do you work with the "SUPERNURSE"!!!

    cheers,
  2. Roy Fokker

    How are you with needles?

    Yeah, I know I'm a guy and all that...... but I don't think foleys hold a candle to NG tubes If I ever present to the hospital with a GI bleed or something, just shoot me and be done with it. Please....
  3. Roy Fokker

    I started my first IV last night

    Hey, at least now you won't be caught ala "deer in the headlights" when you have to start an IV on some one in the future :) 'Never discount experience'
  4. Roy Fokker

    Banana Bags. Etoh. Rate.

    That's an interesting question. Our banana bags in the ED usually consist of saline/LR bags with MVI, mag, folate and thiamine. As such - so long as the patient's fluids don't NEED to be rate...
  5. Roy Fokker

    How are you with needles?

    I donate blood and plasma on a regular, clockwork basis. I have great veins... they're just not "anatomically normal" (BIG surprise isn't it? "Gee Roy. Is there ANY part of you that IS normal?? Huh?!"...
  6. Roy Fokker

    IV start advice

    Frankly, in my personal opinion (and experience), hand/anterior-palm IVs hurt the most. I'd rather have the discomfort of ante-cube IVs versus hand IVs. I haven't had the displeasure of experiencing...
  7. Roy Fokker

    Is cath lab considered critical care?

    Yes - but not all CRNA programs/schools have the same "accepting parameters" - just as not all flight nursing programs have the same accepting parameters.E.g.: If I completed my CEN and went across...
  8. Roy Fokker

    IV start advice

    I'm just curious - may I ask your reasoning/rationale for this? :)
  9. Roy Fokker

    I started my first IV last night

    Congrats! :) May it be the first of many hundreds of successful IV starts to come
  10. Roy Fokker

    IV Dilaudid problem patients!!!!!!!!!!!

    I'd like to ask a few questions. I'm just interested in the responses. Please - no judgment, no 'implications' of anything. Just some questions and hopefully, I'll have some thoughtful answers :) Q:...
  11. Roy Fokker

    What's the craziest order you've ever seen?

    I still chuckle everytime I recall the "Activity: Up ad lib" order on the 89 year old hip fracture pt... :)
  12. Roy Fokker

    In need of a serious "rah rah" (long)

    Jean, You're story sounds EXACTLY like mine - about a year ago. I quit that job because I ended up having SVTs @ work. NO job, no matter what the economy - is worth the loss of your health and sanity....
  13. Roy Fokker

    Is cath lab considered critical care?

    I tend to agree. I think the general rule of thumb is "unless you work in a CCU, you're not CCU".If Cath Lab can be considered "Critical Care", then so can the "ED" (how many Cath Lab folks manage ICU...
  14. Roy Fokker

    Give Me The Cold Hard Truth About Nursing

    that's a commendable attitude - most of us start out with such inclinations. imo, it helps to hold on to them - especially when the going gets rough (be it school or working as a nurse). not sure i'd...
  15. Roy Fokker

    Any Trauma Nurses in here?

    CANNOT emphasize this enough!!!Don't build your life on what TV land promises. You want "reality"? Just turn the TV off... Trauma, even for trauma centers, isn't the norm. "Trauma Life in the ER"...
  16. most of us strive to do our best to get our alloted tasks done in the alloted time to the best of our abilities. and what we are unable to complete, we pass it on to our colleagues following us with a...
  17. Roy Fokker

    Semi-rant: There is a "reason" why...

    Hi Erik :),Believe it or not, I'm quote glad you started that thread. And what's more, I'm pleased that it has turned out to be a learning experience for all of us - ED nurses, floor nurses and others...
  18. Roy Fokker

    OK ED nurses, fill me in on the real story.

    That sounds quite depressing - all the more when you think about the fact that the floors getting slammed with admissions often end up getting 3-4-5 patients in a 15 minute space.Yech! You're...
  19. Roy Fokker

    Do You Wear Gloves When...

    I too, cherish and love human touch.... BUT, I've been "surprised" so often, by so many various things (needles, body fluids), in so many different parts of the body and by so many different patient...
  20. Roy Fokker

    bedside reporting

    We are trying to implement a new policy of the primary ED nurse for the patient giving bedside report to the primary ICU nurse of the patient when pt. is transfered from ED to ICU. Here's the pros and...
  21. Roy Fokker

    Maintaining Morale During High Census

    I think OP has a very valid question/request. While we all would like to be steadily employed, no one should be stressed out to the point of burn out. "What are you complaining about, be thankful that...
  22. Roy Fokker

    Long shifts---how long is too long?

    I've pulled 16s. The longest (and by far the worst ever) was this stretch where I found myself working 6 straight "12s" in a row (during superbowl this year). That was absolutely brutal - no shift was...
  23. I have 2 co-workers right now who are pumping. Yeah, when the ED is hopping mad crazy busy, it kinda sucks to handle your section by yourself.... ... but in the grand shceme of things, I don't think...
  24. Roy Fokker

    Contact isolation for MRSA question

    You're talking 'sense' now.Remember - nursing isn't supposed to "make sense". Our primary goal is to fill out papers. Stop questioning authority!! Must I send you to the
  25. Roy Fokker

    From med/surg to ED nursing

    I'm not surprised (and neither should you!) Think about it - ED nursing is obviously not the same as med-surg nursing. Each discipline brings forth it's own set of skills and thought process. I...