Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

    Wife with BSN with NO drive, what to do??

    When I read his post, it struck me that he's more bothered by the fact that his wife wants to have a certain standard of living (Cable) but doesn't seem to want to work for it. *shrug*I agree with...
  2. Roy Fokker

    Please dont hate me for saying this...

    The money maker part of your entire post, right there."Walk a mile in another man's shoes before you deem yourself qualified to criticize him". My only advice to you: Make a note of all these 'bad...
  3. Roy Fokker

    Documenting an IV insertion?

    I love ibex! ? We just click click about 5-8 boxes and here's what it read on the chart: the words in black are already present, the words in red vary based on what choice boxes we click. Example:...
  4. Roy Fokker

    Pt with fluid filled lung is urgent isn't it?

    There is a fine line between "don't fix what ain't broke" Vs "waiting till someone becomes symptomatic" before taking action. For all we know, Doc may have initiated some kind of intervention already...
  5. Roy Fokker

    Who is in charge of my pt

    memberes.Dictionary.
  6. Roy Fokker

    Which Strips Are MOST Dangerous?

    It's not just a prolonged QTc that's bad - but the one where the interval increases is worse (more susceptible to R-on-T). Had a case just last noc - very interesting presentation [coupled with the...
  7. Roy Fokker

    New IV pumps

    Are you talking about the "Plum" med-pumps?
  8. Roy Fokker

    "oh, by the way..."

    It took me almost 6-7 months to land my current job. By the 3rd month I was really frustrated and almost gave up hope. I feel your frustration! Hang in
  9. Roy Fokker

    Every other weekend- what century are we in?

    We do every third weekend (6 week rotating schedule).
  10. Roy Fokker

    What would make you say "I could never do that"

    Psych. Old folks/LTC From one nurse to another - a big "THANK YOU" to all your nurses who work these specialties Heck, gimme blood spurting from every where, mangled limbs, shock and split second...
  11. I started out on a super busy med-surg-ortho-gyne-tele floor. It was the biggest unit in the hospital (and also the most toxic work environment). Right now, I'm having a blast in the ED. I'm a...
  12. Roy Fokker

    CVC's and # of Lumens

    I may be speaking out of league/term here as an ED nurse but: The general argument/consensus I've come to see is: * The number of lumens inserted is directly proportional to the...
  13. Roy Fokker

    Combat Medic to Civilian Nurse

    *groan* I wish you hadn't reminded me of that...
  14. Roy Fokker

    How to cope with a drug error - destroyed confidence

    When I was a brand new noobie nurse, I worked an ortho floor. One of my pts. was having nausea. MD had ordered Inapsine... which I gave. It stopped the nausea.... .... but it also made the pt. VERY,...
  15. Roy Fokker

    Admitting Patients from the ED

    Our process: Once ED doc decides pt. needs to be admitted, he has secretary call/page the attending service (Hospitalist or XYZ Physician group). At the same time, he also informs secretary of what...
  16. Roy Fokker

    New Grad ER Vent

    On our "acute" side (non-Fast Track), we typically have 2 RNs + 1 Tech per 5 rooms. Of course, if you add the "hall beds", it rounds up to 8 spots per 2 RNs. Meaning, roughly a 4:1 ratio. Of course,...
  17. Roy Fokker

    Eeeeevil nurse stories

    :chuckle:chuckle:chuckle:chuckleThanks! I needed that!
  18. Roy Fokker

    Good nursing Supervisors

    I don't know about a supervisor but my ED manager is definitely a huge step up from my old manager. On average: * the unit is staffed decently * he's very approachable (no question/request/comment is...
  19. Roy Fokker

    18-gauge vs. 20-gauge

    *cringe* Good post
  20. Roy Fokker

    ER Nursing, Is it considered critical care?

    he same goes for certain flight/transport programs - some of 'em don't consider ED to be "critical care
  21. Roy Fokker

    PTSD in ED Nursing/ Critical Care Nursing

    Wow Mike! I don't even know where to begin! Thank you for sharing such an intimate, personal glimpse of your rials and tribulations. Not too long ago, we had a rather bad trauma [we aren't a...
  22. Roy Fokker

    ER or Medsurg first?

    I used to belong to the school of thought that said: "work a non-critical area of nursing before jumping into critical areas of nursing".When I started working med-surg, it further served to reinforce...
  23. Roy Fokker

    Highest BP you have ever seen on a pt

    245/120 - manual Of course, his HR was 24. Bought himself a shiny new pace maker....
  24. Roy Fokker

    IV size

    Interesting. Learn something new every day! Thanks fellas :)
  25. Roy Fokker

    Dying Pts who are still full codes.

    Like any other Code - by the book, mind the numbers and on the bounce.