Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

    Are Student Nurses Prepared for "Real Life?'

    Norrington: "One good deed is not enough to redeem a man of a lifetime of wickedness." Jack: "But it seems enough to condemn him."
  2. Roy Fokker

    Perineal anxiety

    Personally, I don't think it makes a difference if you're working the ED or ICU or the Floor. CNAs/Aides assisting or not - the procedure is still the same. I make sure I do a thorough clean up of the...
  3. Roy Fokker

    IV size

    I stick with 20g in general. I try to avoid the hand and the AC if possible. I usually don't put in 18g unless I'm sure the vein can take it.Traumas patient's obviously get 18s and 16s. If it's a...
  4. :yeahthat:I usually tell the ER attending and let him/her make the call. Usually they come over and stick an EJ (and very, very rarely - like some of our very frequent fliers; a central line).
  5. 1 GBP = 1.99 USD. That rate has stayed fairly the same over the past three months.So £ 5,500 = about $10,960 in US dollars.
  6. Roy Fokker

    Do you start your own IVs?

    I work ER and we do our own IVs. And since the Docs/Residents are right there, they end up doing our central lines/EJs. :) I don't think we have an IV team in my current hospital. I love doing IVs...
  7. Ladies and gentlemen, The war is a sensitive topic for many of us. But that's not what this thread is about. This thread is NOT about "right" vs "wrong". This thread is not about the politics behind...
  8. Roy Fokker

    Taking admission orders over the phone.

    *clears throat* Getting back to the topic of the thread, our facility uses "pre-cut" order sheets. One for Med-Surg, one for ICU, one for Tele, a general "blank" order sheet etc. The pre-cut ones have...
  9. Roy Fokker

    Can you guess what the doc I missed.

    Heh! I thought I was the only one Lungs, Heart, Abdomen and a quick neuro check. Old habits die
  10. Roy Fokker

    Taking admission orders over the phone.

    The minute I wrote that post, a little voice told me I should have clarified - but hey, it's summer, the pool was calling and I felt like a swim No, I mean direct admits to the floor (I worked an...
  11. Roy Fokker

    Taking admission orders over the phone.

    I've taken orders on "direct admits" plenty of
  12. Roy Fokker

    I hate it!!!

    Whoops! :imbar Thanks!But you get the
  13. Roy Fokker

    Holding our tongues vs things we really want to say!

    Before I graduated, I did a 6 week externship in the ER at a local community hospital. Right at the entrance, in big bold letters was a poster. It began thusly: IF YOU HAVE : ...and then proceeded to...
  14. Roy Fokker

    drugs w/ blood?

    :yeahthat:An ER doc I really like has a saying: "This is the ER. This is a code. Any port in a storm". Simple. Succinct. To the point. One of the many reasons we love him :)
  15. Roy Fokker

    I hate it!!!

    I think we should begin with baby steps. Such as: If we could successfully prevent even 50% of such "ER visits", I think we'd see a massive improvement...Then again, I think some folks just come in...
  16. Roy Fokker

    Taking admission orders over the phone.

    Same here. Our admitting docs are really nice though. cheers,
  17. Roy Fokker

    Are all floor nurses rude to ER nurses?

    I cringe sometimes when I hear some of my co-workers - the ones who have never worked on a floor - bad mouth floor nurses and call them everything from "lazy" to "incompetent". I feel bad when I hear...
  18. Roy Fokker

    social intubation?

    Not too much meth here - but way too many drunk/heroin/crack idiots with guns, knives, shanks and other assorted nonsense... and way too much time on their
  19. Roy Fokker

    New ED nurses who "know it all"

    I'm not a new grad but I'm new to the ED. I had a preceptor gently pull me aside one day and tell me to "You are definitely a "go getter" and you jump in with enthusiasm. That's great stuff and the...
  20. Roy Fokker

    Handover in ED

    The way our ED is set up, there is just no way to maintain total confidentiality - way too easy to overhear. :uhoh21: I would suggest using the med room or
  21. Roy Fokker

    charting"incident report filled" in nurse's notes

    some years ago, i was working on a post-op ortho-surgical floor. i took report on a pt. who had just had a knee replacement and who also had an artificial heart valve.i took report at 7:00 - 7:30 pm....
  22. Roy Fokker

    First Day in ED in 3 days!!

    Heh! I kinda know what OPs talking about. I just got done with week 2 of my orientation in the ED. TOTALLY loving every minute of it - have such awesome, wonderful folks to work with! We're a very...
  23. Roy Fokker

    Anyone have a dad for a nurse?

    A co-worker is a nurse who just got out from the Army (was a nurse/medic)... said he was inspired by his Dad (who is also a
  24. Roy Fokker

    PCA infusions

    At the med/surg floor I worked at in the midwest - no, transport didn't have to be done by an RN (except in special cases i.e. post-op transfer from PACU to floor. Transporting crashing/difficult...
  25. Roy Fokker

    Male Nurses/female Patients

    I am routinely assigned the OB/GYN patients on the floor (obviously, on the days they can spare me from Ortho).I've never once had a gyne pt. refuse care from me - be she 18 year old or 94 year old....