Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

    Do nurses really have any power

    Lots of good suggestions here. I too, second the suggestion to get a few of the docs on board. Believe it or not, they are as concerned about pt. outcomes as much as we are. Might I also add, if...
  2. Roy Fokker

    Nursing Tid Bits

    The vapor is "chlorine gas" (think chemical weapons ala World War
  3. Roy Fokker

    RNs eat their young... Not at my unit

    Olli - Pass it on forward. Let your co-workers know. Trust me, it helps :)
  4. Roy Fokker

    ER Nurse is Being a JERK to EMS...

    Well, someone forgot to mention that aspect in school! I didn't know there was supposed to be an animosity between EMS and RNs....Damnit! I'm always the last to know!!! *sigh* Oh well! Thanks for...
  5. Roy Fokker

    What about my pain!?

    well, what about "my" pain? i've been sick for the past week. belly pain and intermittent nausea. i was running a temp. last week; but that's gotten under better control. food/fluids taste like crap....
  6. I have a sneaky feeling it's because of the balloon and where it sits in the bladder (once it's inflated, doesn't it sit right by the sphincter?) This puts pressure on the sphincter and the sphincter...
  7. The American College of Emergency Physicians recently released their report on the state of Emergency Departments around the United States. Link to report We're in serious trouble folks...
  8. I felt like a fish outta water last night. Without getting into too much detail, I had a patient arrive by EMS last night. Very SoB, working hard to breathe, "one word dyspnea" (i.e. "I......
  9. Roy Fokker

    Hand Care

    Have you tried plain ol' petroleum
  10. Roy Fokker

    Young and Dont Know What to Pursue!!

    Unless we know what specific area of the United States you're talking about; it's next to impossible to state what nurses earn in the area.Nursing salaries and wages vary greatly by geographical and...
  11. Roy Fokker

    NEED nurses input

    In my Emergency Department, "techs": * Stock/prep rooms * Gather vital signs (especially on the squad/EMS pts) * Do EKGs * Do bedside glucose checks * Do bedside orthostatic vital signs * Specially...
  12. Roy Fokker

    Bad weather and getting to the hospital

    Last year, at my old job, when we faced record snowfall - the hospital had security come out in 4x4s to drive us in to work. Even then, we were short staffed... but we managed. :) The funniest story...
  13. Roy Fokker

    Pharmacology in Western Medicine

    Personally? Yes, I advise/teach patients about their prescribed drugs, medical regimen, side effects and other things. But it doesn't stop me from advocating for "alternatives" (i.e increase exercise,...
  14. Roy Fokker

    ED shortage?

    We are offered the chance (but not required) to go home - by seniority of course. I took the chance last month (too many obnoxious drunks in one night for
  15. Roy Fokker

    Highest BAL?

    888 (not kidding). Dood walked in @ 0730 am (not kidding either). Chief complaint? "I feel sick to my stomach" (you don't say :icon_roll)
  16. Roy Fokker

    Largest ED in the US

    Main rooms/"Beds" - 19 (including 3 trauma rooms) Attached "stretcher"/"hallway" beds - 12 Track - 13 Attached "hallway" track beds - 3 Additional hold/surge beds - 4 Total (beds) : 22 Grand total...
  17. Roy Fokker

    ER Nurse is Being a JERK to EMS...

    I got really short with a transport crew last week (nursing home pt. We were absolutely balls-to-the-wall divert, Long story). Anyway, it wasn't their fault at all (ummm, they don't get to decide whom...
  18. Roy Fokker

    Alternative to spanking

    Canning, whipping, hot-rod
  19. Roy Fokker

    Riding a Motorcycle to Interview. Good Idea?

    My sister-in-law (physician) is prejudiced against bikers - she thinks only thugs and gangbangers ride 'em. I've repeatedly pointed out to her that she's being prejudiced but it doesn't seem to phase...
  20. Roy Fokker

    Gay male nurse stereotype?

    *snort* You got that right!Just take my last job and my current one for example: Last job: I worked in the heart of the midwest. There were only three male nurses on our floor - myself, my good friend...
  21. I'd be more scared if you thought you knew it all... Confidence is great, don't get me wrong. But there is a difference between being "confident" versus "cocky know it all". I was a preceptee in the...
  22. I just remembered an old joke:Q: What is the surgeon's definition of the heart (function)? A: "An organ used to pump Ancef around the
  23. Roy Fokker

    Am I reading too much into this?

    LOL! Yeah, I just love the ones who say "That damned nurse never gave me anything for pain all night long"... and here I have my documentation showing I rounded at least every 20 minutes (thanks to...
  24. Hey there! :) I started out on an ortho floor. Very busy, very difficult... but also quite rewarding. Here's what I learned: * A good chunk of your patients will be elderly. Elderly means more...
  25. Also, flicking the vein with your finger or smacking it with your palm helps as well. Also, another trick I learned from observing my dentist* - for those of you who dither about using topical/local...