Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

    My Pet-Peeve - Priming IV's

    Roy Fokker replied to Nurse_FF_EMT's topic in General Nursing

    I almost always back prime. The times I don't are when I have to infuse abx through syringe pumps - in which case I have a bag of NS running at TKO. Dry lines drive me crazy too! LOL. Such a pain in...
  2. Roy Fokker

    Learn From My Mistakes

    Roy Fokker replied to firstyearstudent's topic in First Year After Licensure

    Yes, it is the fluid credit you include in your I/O when patients come to the floor.Now apply the same principle to your report to the next shift nurse. For example, I hang a new 1000cc bag of saline...
  3. Roy Fokker

    The Retail Clinic Revolution, and Why Physicians (and Hospitals) Should Take Notice

    Roy Fokker replied to NRSKarenRN's topic in Activism, Healthcare

    Competition in the market brings forward products at more affordable prices? No kiddin'?! Where have I heard that before?
  4. Roy Fokker

    Dont know if I will ever volunteer to do overtime agarin!!!

    Roy Fokker replied to dmn1012's topic in First Year After Licensure

    This is very true
  5. Roy Fokker

    Confused about when my green card is coming

    Roy Fokker replied to mudiwa's topic in International Nursing

    I actually know some folks who got the Green Card first... and then the letter informing them that their petition had been approved arrived afterwords :chuckle
  6. Roy Fokker

    What does your login nickname mean to you?

    Roy Fokker replied to NNNikki's topic in First Year After Licensure

    Roy Fokker comes from the name of the swashbuckling fighter pilot Roy Fokker of "Macross" fame. Incidentally, Roy was my nickname in school. Bonus: The whole Gaylord Focker thing I guess
  7. Roy Fokker

    Controversial Michael Moore Flick 'Sicko' Will Compare U.S. Health Care with Cuba's

    Roy Fokker replied to HM2VikingRN's topic in Activism, Healthcare

    Excellent posts Timothy! I'd just like to add a couple points about "lobbyists". * I routinely read nurses comdemning the power of lobbyists and lobbying. Comments usually run along the lines of...
  8. Roy Fokker

    Coworker as pt??

    Roy Fokker replied to miko014's topic in General Nursing

    I've taken care of my hospital CEO and also a co-worker. Didn't feel awkward with the CEO but was a little apprehensive about providing care for the co-worker (she works eves. I work nocs). It all...
  9. Roy Fokker

    Learn From My Mistakes

    Roy Fokker replied to firstyearstudent's topic in First Year After Licensure

    * Night shift nurses, don't assume a patient is sleeping.... lest you discover that their "sleep" is because of a blood glucose of 42 or a systolic BP of 40.... * Be very careful of what ancillary...
  10. Roy Fokker

    IV pumps beeping during report,

    Roy Fokker replied to Lorie P.'s topic in General Nursing

    It doesn't matter how short I make my report - I almost always find them sitting in the report room chatting away. In the meantime, every pt. wants to get up and go to the bath room, every pt. wants...
  11. Roy Fokker

    Controversial Michael Moore Flick 'Sicko' Will Compare U.S. Health Care with Cuba's

    Roy Fokker replied to HM2VikingRN's topic in Activism, Healthcare

    "Attack the messenger. Forget about the message..." ?Ok, if that's your stake - would you take Dr. Ron Paul seriously? Link
  12. Roy Fokker

    Controversial Michael Moore Flick 'Sicko' Will Compare U.S. Health Care with Cuba's

    Roy Fokker replied to HM2VikingRN's topic in Activism, Healthcare

    Read full
  13. Roy Fokker

    Controversial Michael Moore Flick 'Sicko' Will Compare U.S. Health Care with Cuba's

    Roy Fokker replied to HM2VikingRN's topic in Activism, Healthcare

    Read Full
  14. Roy Fokker

    Mophine IM vs IV

    Roy Fokker replied to MrsMommaRN's topic in General Nursing

    I prefer IM doses to my pre-op (particularly hip Fx. I usually add 25-50 of Vistaril as well) patients. Most of my post op ortho patients end up having blocks/epidurals or PCAs so IM is kinda moot at...
  15. Roy Fokker

    Carpaject!!!

    Roy Fokker replied to smwhitson's topic in General Nursing

    I know a colleague who uses a filter needle to draw med out of the carpuject injector. Doesn't seem to make sense to me as I think it defeats the whole purpose of having preloaded syringes - but hey,...
  16. Roy Fokker

    Great inventions, only sleep deprivatio can stimulate

    Roy Fokker replied to Spritenurse1210's topic in General Nursing

    I'm seriously waiting for "cord free electrical power transmission". Something like this: http://news.bbc.co.uk/2/hi/technology/6129460.stm And while we are at it, can someone PLEASE design BIGGER...
  17. Roy Fokker

    heavy lifting

    Roy Fokker replied to nads786's topic in Men in Nursing

    :chuckle'round here, it's mostly "Hey, can someone help me with a boost?" and pretty much anyone who is just not completely pressed for time lends a hand.
  18. Roy Fokker

    A question about culture (what does string around the waist mean?)

    Roy Fokker replied to np2b's topic in Pediatric

    The "Sacred thread" is typically white cotton. Bachelors have three strings tied/twirled together. Husbands have 6. Husbands who have lost their father have 9 (this differs from sect to sect). It is...
  19. Roy Fokker

    Disposing of Used Suction Canisters

    Roy Fokker replied to capnnikkiRN's topic in General Nursing

    Some of the nurses on my floor dump the used canisters in "general waste". I've always made it a point to dump into a red "Bio Hazard" bag. We never ever REUSE a canister.
  20. Roy Fokker

    The worst or strangest orders you have seen...

    Roy Fokker replied to MadisonsMomRN's topic in General Nursing

    Post surgical patient. Morphine 1-2 mg IV Q30 mins PRN On a post ortho surgical patient - 45 years old, alert and oriented. Why the heck do they not order a PCA????!!!! AAAAAAAAAAAAAAAAAAAARGHG!...
  21. Roy Fokker

    do you give good report?

    Roy Fokker replied to MoopleRN's topic in General Nursing

    Ditto that! I hate that! Honestly, it doesn't tell me anything other than the bare-bones. It doesn't convey the "nurse impression". It doesn't tell me your assessment of the situation.I have my own...
  22. Roy Fokker

    Discontinuing Femoral Nerve blocks

    Roy Fokker replied to tracern77's topic in Orthopedic

    I'm pulled many a Fem block :) On a related note: I see Fascia blocks work better than femoral blocks (and of course, it depends entirely on who is the anesthesiologist who does 'em
  23. Roy Fokker

    Toradol

    Roy Fokker replied to BlueBear's topic in Orthopedic

    Toradol is actually on our standing orders for post-op knees and hips! The only guy I know who doesn't use Toradol is the ortho doc who does backs - but he liberally precribes Lorcets/Vicodin etc....
  24. Roy Fokker

    Administering blood w/meds via PICC

    Roy Fokker replied to IngyRN's topic in General Nursing

    wow! had no idea.learn something new everyday. :)
  25. Roy Fokker

    getting sick of it.

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

    Gimme some time, I'm workin' on