Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

    Do you sign "RN' after your name OUTSIDE of the hospital?

    Roy Fokker replied to uscstu4lfe's topic in General Nursing

    I don't. My "official signature" (the one I use on my passport, checks etc.) is completely different from my work signature. I use my work signature ONLY at work and it consists of nothing more than...
  2. Roy Fokker

    How does working major holidays go at your hospital?

    Roy Fokker replied to HappyPediRN's topic in General Nursing

    Every other holiday - but since I don't celebrate most of 'em (Easter, Thanksgiving, Christmas) I always volunteer to cover someone else. I figure it's win-win: they can stay home with family and I...
  3. Roy Fokker

    I have a IV insertion question :-)

    Roy Fokker replied to raindrop's topic in General Nursing

    There's nothing "dumb" about it. :)Access is access. What difference does it make if the cannula is pointing toward the heart or away from it? Venous blood flows in one direction - regardless of the...
  4. Roy Fokker

    Why do you never get sent home when you want to?

    Roy Fokker replied to locolorenzo22's topic in General Nursing

    Murphy's Laws of Nursing: cheers, PS: In case y'all haven't figured it out already: Murphy was an
  5. Roy Fokker

    dealing with perverted patients

    Roy Fokker replied to shock-me-sane's topic in General Nursing

    Wise words.I recently had a very belligerent drunk in the ER. He ended up being taken down by 4 security guards (and me!), strapped down to the stretcher and put in 4-point locked restraints. We...
  6. Roy Fokker

    Do Day Nurses Really Feel that Night Nurses Do Nothing All Night?

    Roy Fokker replied to Brita01's topic in General Nursing

    Off all the things in nursing, that is probably the one thing that REALLY chaps my hide too!!! One shift would use the "nursing is a 24-hour profession" excuse but refuse to acknowledge the same when...
  7. Roy Fokker

    Men intimidated by RN salary?

    Roy Fokker replied to ment2be's topic in General Nursing

    Personally, I'm marryin' a woman .... not her paycheck. cheers, PS: I've had one relationship not work out because she was 'conscious' about the fact that I made less than she did. I'm not complaining...
  8. Roy Fokker

    Casualties: Nurses struggling with burnout

    Roy Fokker replied to Xbox Live Addict's topic in General Nursing

    I know a nurse who refuses to use the term "burn out". She says that management uses that as an excuse to continue unworkable situations that causes frustration amongst nurses. Kinda like blaming the...
  9. Roy Fokker

    Patient choking on food

    Roy Fokker replied to rejoyce's topic in General Nursing

    Ditto that!2 weeks ago, I was working up a lady complaining of intermittent Chest Pain, relieved by Nitro (given by the medics). That pretty much nailed a cardiac workup for me. So there I was working...
  10. Roy Fokker

    Do you draw blood of peripheral IVs?

    Roy Fokker replied to blondy2061h's topic in General Nursing

    Here's what I do in my ED:* Before you begin, have the Vaccutainer holder (that clear plastic thingie into which you shove tubes. I'll try to see if I can post a picture LOL) with the Blue-hub BD (has...
  11. Roy Fokker

    "NEVER Events"

    Roy Fokker replied to megananne7's topic in General Nursing

    I made this post not too long ago:
  12. Roy Fokker

    98 hours this pay and $1000 taken off in taxes/pension

    Roy Fokker replied to missmiamoore's topic in General Nursing

    Yes they do - but remember, having the government take more money per paycheck than you need to simply means you're giving the government interest-free money for the tax year....Instead of it staying...
  13. Roy Fokker

    Safe, Dangerous, or Irrelevant?

    Roy Fokker replied to GomerPyle's topic in General Nursing

    1. how many techs/cnas do you have? what is the level of their experience?2. are we talking days, evenings or night shifts? 3. what are the other rns you work with - who can you call upon for...
  14. Roy Fokker

    Help...Resuscitation needed

    Roy Fokker replied to Iam46yearsold's topic in General Nursing

    Absolutely not joking. Despite all the hulabaloo being made about bad property puchases, the other half of the story is being conveniently ignored by the media - plenty of folks have made sound...
  15. Roy Fokker

    Patient demands fall precaution sign be taken down

    Roy Fokker replied to FireStarterRN's topic in General Nursing

    :chuckle :chuckle Thanks for the laugh!!! cheers, PS: I refuse to call them numbskulls "The Joint Commission". It's either "JCAHO" ... or ..... well, a bunch of epithets not fit to print here without...
  16. Roy Fokker

    Horrible care given to SIL post accident!!!

    Roy Fokker replied to barefootlady's topic in General Nursing

    This isn't unusual.All PAs/NPs in my ED run their cases by the attending but the attending doesn't see all patients. This includes some trauma cases as well. I know of at least 4 other area/regional...
  17. Roy Fokker

    Help...Resuscitation needed

    Roy Fokker replied to Iam46yearsold's topic in General Nursing

    Gold, precious metals and .... property. Yes, property. Owning land is never a bad investment. You may not make a killing - but what you have will always hold "true value". It is stable and retains...
  18. Roy Fokker

    Anyone heard of "Gale Charbonneau" disease???

    Roy Fokker replied to rehab nurse's topic in General Nursing

    No idea. The only Carbonneau I know is the indefatigable Guy Carbonneau!
  19. Roy Fokker

    Pt signed out AMA then died! what do you think?

    Roy Fokker replied to jenrn6282's topic in General Nursing

    Lawsuit? Why? Was he not competent (mentally alert, oriented) when he signed the form that said he was going home Against Medical Advice??? If he was competent when he signed the form and there was no...
  20. Roy Fokker

    Nursing is not always recession-proof

    Roy Fokker replied to TheCommuter's topic in General Nursing

    No job is immune to market pressures. The key is to understand developing trends and adapt as the need arises. The Market will always tend towards conservation of labor. Just take for example farming:...
  21. Roy Fokker

    ED staff not checking blood sugars

    Roy Fokker replied to ChocoholicRN's topic in General Nursing

    I echo Maisy. I check sugars on all those who I think needs 'em. If they are a diabetic but appear to be hemodynamically stable, then I usually wait for the BMP to come back. If the sugar is over...
  22. Roy Fokker

    Patient demands fall precaution sign be taken down

    Roy Fokker replied to FireStarterRN's topic in General Nursing

    i'm confused - how much 'personal information' can you give away by a sign that says "fall precautions" ???i guess i'm trying to understand your argument regarding hipaa violation here - since i don't...
  23. Roy Fokker

    Protocol question on suicides where they OD on sleeping pills..

    Roy Fokker replied to justme1972's topic in General Nursing

    It depends on their presenting status. All my OD patients get hooked onto a monitor. I'm not all too hung up on them wanting to sleep - if their hemodynamic status is stable enough to permit it, sure...
  24. Roy Fokker

    A name for Computer on Wheels

    Roy Fokker replied to butterfly9's topic in General Nursing

    The nurses on the oncology unit at my old hospital even went as far as painting "patches" on their "cows" and attaching tails and ears. Our oncology patients appreciated the humor - especially the...
  25. Roy Fokker

    Wenkebock Type 1 & 2

    Roy Fokker replied to LuvScrubs2's topic in Nursing Student Assistance

    that was pretty neat. do you mind if i pass that along at work?