Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

    Ratios? Do you have them in ER, or are they just for the floors?

    Roy Fokker replied to Lurksalot's topic in Emergency

    What??!!! I refuse to believe this! You're pulling our legs, surely! 5 Techs on nights!! 4 Secretaries till 0300!! Whooooa! Please tell us: How big is your ED (how many beds)? How big is your...
  2. Roy Fokker

    ER's busy and a full triage

    Roy Fokker replied to TraumaNurseRN's topic in Emergency

    Honestly, if there is something that surprises me about pharmacological interventions in the US it is this simple fact: There are no real 'good drugs' sold over the counter for nausea/vomitting. Save...
  3. Roy Fokker

    Patients who stick around after discharge/legal risks

    Roy Fokker replied to JKL33's topic in Emergency

    Mini rant: I am so SICK and TIRED of docs promising patients cab vouchers. "Oh don't worry. The nurses here will get you a cab voucher". Like it's a magic pill or something. Unless you were...
  4. Roy Fokker

    Patients who stick around after discharge/legal risks

    Roy Fokker replied to JKL33's topic in Emergency

    Discharged means just that - discharged. Sometimes folks end up waiting in the waiting room because we are a small town and have no taxi service after 1-2 am in the night. Some of our chronic homeless...
  5. Roy Fokker

    IV Phenergan and Toradol "Push"

    Roy Fokker replied to CrohnieToo's topic in Emergency

    I'm paranoid enough that I dump my 12.5 mg of Phenergan into a 50 cc bag of saline before infusing it. My Toradol gets diluted in a 5 cc flush (I've had Toradol IV and I know that sucker burns!...
  6. Roy Fokker

    Evidence Based Practice

    Roy Fokker replied to CraigB-RN's topic in Emergency

    I would say the biggest is time. When one simply doesn't have the time eat, pee or sometimes breathe; it is that much harder to concentrate on "evidence based practice". Yes (at least I think so )...
  7. Roy Fokker

    Ratios? Do you have them in ER, or are they just for the floors?

    Roy Fokker replied to Lurksalot's topic in Emergency

    Our Track area typically has 2 nurses (3 on good days when no-one has called out). Track has 16 beds (13 room plus 3 hall). On the acute side we staff typically 1 nurse to 4 beds (room or hall). On...
  8. Roy Fokker

    LPNS in the ER?

    Roy Fokker replied to BShelleyLPN's topic in Emergency

    No LPNs in my (57 bed ED, 300 odd bed hospital) ED.
  9. Roy Fokker

    Watch out - Its Death Angel!

    Roy Fokker replied to Pepper The Cat's topic in General Nursing

    I ain't known as the "**** (insert colloquial term for fecal matter) magnet" in my ED for nothing :icon_roll On the other hand - working shifts with me is never boring. Ne'er a dull
  10. Roy Fokker

    Blood draw from IVs?

    Roy Fokker replied to alkaleidi's topic in Emergency

    If I were in your shoes, I'd ask said manager for a copy of that "documentation".Not to be confrontational - but to 'educate self'. After all, your manager wants you to follow appropriate policy,...
  11. Roy Fokker

    Families can now call the code team

    Roy Fokker replied to rn-jane's topic in General Nursing

    I honestly don't have a problem with families calling Rapid Response .... so long as we are adequately staffed to accommodate and respond for it.
  12. Roy Fokker

    Metric system conversions..need I say more?

    Roy Fokker replied to Buffy31's topic in General Nursing

    I wonder if the British use the imperial system as much as we do.... :icon_roll All the world uses the SI system... .... except us, of course.
  13. Roy Fokker

    Questioning Our Compassion

    Roy Fokker replied to TraumaNurseRN's topic in Emergency

    Ladies and Gentlemen, This thread is temporarily closed pending Staff Review AEB membership complaints. Your patience in this regard is appreciated. Thanks, Roy allnurses.com
  14. Roy Fokker

    Nurses and Doctors Dating Each Other

    Roy Fokker replied to lunden's topic in General Nursing

    Please, for the love of sanity - ER is a "drama" show. Where else can you have stroke patients recover within half an hour and 90% of the codes suceed or where a general surgeon tells the senior ER...
  15. Roy Fokker

    We can't go on divert!

    Roy Fokker replied to RNcDreams's topic in Emergency

    Brilliant! I agree with 10mg-iv: "No good deed goes unpunished!"
  16. Roy Fokker

    Pregnant ICU nurses

    Roy Fokker replied to icyounurse's topic in General Nursing

    Congratulations! Please tell your Charge nurse/Supervisor :)
  17. Roy Fokker

    stress in er and icu

    Roy Fokker replied to Maco's topic in General Nursing

    Someone once mentioned that "ER nursing is jack of all trades, master of none". He meant it as an insult but I took it as a compliment. I truly cannot emphasize enough as to the whole deal behind "you...
  18. Roy Fokker

    5am "fog"

    Roy Fokker replied to newtelenurse's topic in General Nursing

    Ditto that.Activity! Activity! Activity! Yes you're tired and your feet are screaming - but I'd rather be in pain and stay awake long enough to reach home than become yet another 'statistic' about...
  19. Roy Fokker

    Detox against their will.....

    Roy Fokker replied to aerorunner80's topic in General Nursing

    I have carried out MD orders that said : "Beer 1-2 cans PO Q dinner". We've stocked Budweiser and Black Bush Whiskey in our fridge on the floor. I once joked with the MD (Urologist. Great guy,...
  20. Roy Fokker

    How are "never events" affecting your practice?

    Roy Fokker replied to november17's topic in General Nursing

    According to CMS, it doesn't matter. They are both "never events" - you won't get paid either
  21. Roy Fokker

    How are "never events" affecting your practice?

    Roy Fokker replied to november17's topic in General Nursing

    I for one, think this guy is on track: Read the entire post.It's certainly interesting. The whole problem with CMS' theory is the determination on whether a "never event" has occurred is...
  22. Roy Fokker

    My scare on 9/11

    Roy Fokker replied to heaverboo's topic in General Nursing

    I had an episode of SVT last year. My BP was 160/105 and HR was 165 and climbing (my baseline is usually 120/75, HR: 60)... Curiously, my episode occurred at work as well (some folks thought I was...
  23. Roy Fokker

    Survey for Sociology Paper...Will you help me out?

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

    answers are in "bold" font. 1. how long (years) have you been a nurse? a: i've been a nurse for over 2 years 2. what is your annual gross income? a: 50-60k per annum 3. do you have an associate...
  24. Roy Fokker

    So now I faint at blood/injury...

    Roy Fokker replied to ZionsWrath's topic in General Nursing

    Also, understand that if you ever feel a spell coming on, it's perfectly acceptable to ask for a time out or sit down. "Quick! Can someone hold this clamp please. I'm about to pass out" usually works....
  25. Roy Fokker

    First Shift on my own

    Roy Fokker replied to casperx875x's topic in General Nursing

    I've been "on my own" for some years now - and I still ask my co-workers about certain things. What's more, sometimes the nurses who've been around longer than I've been will occasionally ask me...