Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

    New admits at shift change

    Sounds like the day before yesterday In a 2 hour period, we had two stabbings, 4 chest pains, an acute MI (stabilized and flown out), an acute stroke (stabilized and flown out) and four abdominal...
  2. Roy Fokker

    "English Only" Rule at Work?

    At work I usually do not speak in any other language but English in patient care areas (this includes the nurses station) - at the most, it would be a short phrase or so and not as a matter of...
  3. Roy Fokker

    some younger male nurses.....

    Pardon me but... what the deuce is "ceil" ??Reminds me of an old joke: "ALL men see in only 16 colors, like windows default settings. Peach is a fruit, not a color."
  4. Roy Fokker

    UHC thread CLOSED Whaaaa! It was a great thread!

    It's hard to discern emotion through the written word - especially on message boards and on the internet. It may have very well been un-intentional ... but it's hard to tell otherwise. Please try and...
  5. Roy Fokker

    what do nurses hate about doctors?

    do not renege on verbal orders! not only will i remember - the two other nurses who were within ear shot will also remember. and the next time, no-one and i mean no-one; including the fresh as a pup...
  6. Roy Fokker

    safe harbor

    Here's an older - but related - thread about the topic.
  7. Roy Fokker

    Do you find it hard to leave work at work?

    I moved over a 1000 miles away for my new job. I still call every once in a while to keep in touch with old friends. There is a particular patient who affects me, to this very day. Her story is just...
  8. Roy Fokker

    IV air bubble compensation

    Yes - so long as the bottles/bags are not below the level of the heart. Venous pressure is higher than atmospheric pressure - which is why if you cut/enter a vein, the blood comes out.... air doesn't...
  9. Roy Fokker

    top dollars

    Hey tankar, I recently posted an email I'd received some months ago. You can check it here... Good luck with your search
  10. Roy Fokker

    Are these procedures so bad?

    I've assisted with plenty of bone marrow biopsies when I worked med-surg. Great post. I cannot stress this enough - please, please, please advocate for your patient.Conscious sedation is wonderful -...
  11. Roy Fokker

    money money money!!!!

    some months ago, when i was fishing for a new job, i got this by email. i have a brother working in the middle east - makes a very comfortable living :) i admit i've thought about it (i mean, 35,000...
  12. Roy Fokker

    Medicine vs. ER

    I like the reward/incentive idea. I agree. I really don't like that attitude from my peers - be they floor nurse or ER nurse or ICU nurse. Good point - but the trouble is, you never know who is...
  13. Roy Fokker

    Things Patients Have Taught Me NOT To Do

    Sooooo, of 'car surfing'.... does it?[YOUTUBE]
  14. Roy Fokker

    Medicine vs. ER

    * Where I work, we use what's called an "Admit nurse". They go around the ED and do the "nursing admission paperwork" (assess skin, get med list, go over detailed history etc. etc.). Every floor nurse...
  15. Roy Fokker

    BACK PAIN & going to the ED

    you would be wasting your time.i'm sorry you are in so much pain and discomfort - but follow up as the d/c note recommends. like blee, my ed doesn't do mris either [edit: unless it was something...
  16. Roy Fokker

    My two least favorite words

    *squeek* *squeek* Ok, not really words but the sound a 2 month old makes who has a horridly constricted airway. Can hear 'em across the hall through the din of a busy ER. Makes my blood turn to ice......
  17. Roy Fokker

    Confessions of a CNA

    I
  18. If it's JCAHO mandated, why shred the "evidence" ? Where I work, we answer to a higher god than JCAHO: Press-Ganey Woe betide the nurses who don't frequently round on their
  19. Because there are no usual "life threatening emergencies" that require the stat/override use of those drugs (save APAP for high fever I guess).I have a pet peeve about not being able to pull a bottle...
  20. Roy Fokker

    Couldnt put in a foley!!

    A Urologist once taught me to find the privy parts and to use it as an anatomical marker. Follow in a straight line down (and slightly up) and you'll almost never miss. Her little hint/trick has...
  21. SUNY Buffalo has an excellent nursing program
  22. Roy Fokker

    do you chart vent settings?

    Ditto that - along with a note about ETT cm mark at
  23. Roy Fokker

    Good Looking Enough to be a Nurse?

    I've been known to shatter mirrors from time to time But guess what? The Docs respect me and my patients trust me because of what I know and how I do my job. That's all that matters. :) Good
  24. Roy Fokker

    Can a nursing student use the word "code"?

    I'd rather call a Code and get chewed out if it were a mistake... ... than be all "dot your I's and cross your T's", not call the code and have a patient crash or worse. Don't sweat it. You did the...
  25. Roy Fokker

    NM->NJ how to transfer

    http://www.state.nj.us/oag/ca/nursing/inforequest.htm That ought to get you started. Please examine the packet closely. And please apply well ahead of time - NJ BON is notoriously slow! Good