Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

    Ummm..not sure how to ask this but who has experience "digging out" a patient?

    Roy Fokker replied to LucyLu's topic in General Nursing

    "Bobbing for apples"
  2. Roy Fokker

    To work or not to work while in nursing school?

    Roy Fokker replied to momma&nurse2B's topic in General Nursing

    5 days of the week, I scrubbed toilets and mopped up the dormitories. I washed dishes 12 hours straight each shift on weekends. Those two jobs taught me TONS. At the very least, they taught me...
  3. Roy Fokker

    How does your facility define "Lateness to work"

    Roy Fokker replied to NRSKarenRN's topic in General Nursing

    Hmm... HR recently changed our "clock in" times. Henceforth we will be scrutinized/penalized if we clock in more than "7 minutes" before the start of our shift (because of the 15 minute rounding...
  4. Roy Fokker

    D5W vs. D5 NS

    Roy Fokker replied to LucyLu's topic in Patient Medications

    Very good
  5. Roy Fokker

    How do you give morphine sulfate IV?

    Roy Fokker replied to Chris27229's topic in Patient Medications

    Most of our post-ops come up with pca pumps - so I just "bolus" a dose from that. If I'm giving someone ivp, it's usually a "breakthrough pain" scenario (or they have no pcs) and I give it undiluted....
  6. Roy Fokker

    Nursing students and new nurses.....about injection sites

    Roy Fokker replied to TazziRN's topic in Patient Medications

    Tazz: Not only were we taught the sites, but we were advised on a list of "prefered sites" in adults. We were also taught about "safe sites" for infants/kids. The explanation provided was that IMs...
  7. Roy Fokker

    Instructor says textbooks are wrong about urine output

    Roy Fokker replied to Alpha13's topic in General Nursing

    In other words "Treat the patient, not the monitor"Good post :)
  8. Roy Fokker

    Instructor says textbooks are wrong about urine output

    Roy Fokker replied to Alpha13's topic in General Nursing

    I don't nearly "freak out" about low u/o q shift now as much as I used to when I started working. Now I also factor in other things - like age, weight, fluid maintenance rates, cardiac and nephro...
  9. Roy Fokker

    Whoa! Crazy ProTime/INR

    Roy Fokker replied to Roy Fokker's topic in General Nursing

    Standard proceedure is to document Critical Lab value on EMR and date/time/MD paged and response.I followed that with a more detailed nurses note just to be on the safe side. In anycase, when I paged...
  10. Roy Fokker

    Horrid clinical uniforms

    Roy Fokker replied to KungFuFtr's topic in Male Nursing Students

    When I was a student: White vest, white scrub pants, white scrub tops, white socks, and white shoes. With dark blue university logo on an arm patch.
  11. Roy Fokker

    Just accepted, what to expect being a guy?

    Roy Fokker replied to deftonez188's topic in Men in Nursing

    I must admit though - having another guy nurse on the floor is a great experience. Easily doubles the fun The only other male on our department is an LPN (soon to be RN) - just got out of active mil...
  12. Roy Fokker

    What's In Your Pocket?

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

    Speaking of pockets: Am I the only one with a ritual? I've noticed that I almost always follow a pattern when I'm loading up stuff from my locker before my shift. As in: Steth first, then the right...
  13. Roy Fokker

    The most common form of SHOCK

    Roy Fokker replied to MM2007's topic in General Nursing

    I've seen mostly hypovolemic. Especially since a lot of the patients we see these days are the elderly (already dehydrated. Plus tend not to drink enough fluids.) See one anaphalactic. No septics....
  14. Roy Fokker

    Jcaho Medication Reconciliation

    Roy Fokker replied to SEOBowhntr's topic in Patient Medications

    Ditto here... and what a job it is in getting them to do it.Some of them don't even look at the damned thing - they just check "Continue" on all of them.... even if they are IV meds and the patient is...
  15. Roy Fokker

    Docs yelling at nurses....

    Roy Fokker replied to ClassQ1's topic in Men in Nursing

    Sounds like a wise
  16. Roy Fokker

    Website for acceptable IV insertion sites?

    Roy Fokker replied to javanurse2000's topic in General Nursing

    I put 'em where I find 'em My sites of choice are the dorsal and ventral forearms (the poor basilic vein is often overlooked/ignored) Dorsal wrists thumbs next. Ante-cubes are next in line (unless...
  17. Roy Fokker

    Lung Cancer Stigma

    Roy Fokker replied to Jayla's topic in General Nursing

    We had a specific part of our Pathophysio class in school on this very subject. I've always paid more attention since that class - and not just to lung cancer patients.
  18. Roy Fokker

    Tips for a newbie on dealing with mean doctors?

    Roy Fokker replied to thomask's topic in General Nursing

    I'm faaaaaaaaaaaaaaaar from an experienced nurse :uhoh21: But permit a fellow night shifter to share some thoughts: 1. Before you make the call - know what you are making the call about. Most MDs have...
  19. Roy Fokker

    Can nurses wear skirts?

    Roy Fokker replied to DaughteroftheKing's topic in General Nursing

    I'm sorry, but I don't think you really do.Here's why I think so: "I don't think all women are gossip-loving-*******, but most are - put a bunch of women together in a room regulalry and you will see...
  20. Roy Fokker

    Had my first doctor scream at me today

    Roy Fokker replied to TigerGalLE's topic in Patient, Colleague Relations

    There! All
  21. Roy Fokker

    Can nurses wear skirts?

    Roy Fokker replied to DaughteroftheKing's topic in General Nursing

    Your post leads me to believe you think "men are sexist because they are men" and "it's ok for patients to whistle at nurses because it implies they are doing better". Am I correct?
  22. Roy Fokker

    Share Your Saying

    Roy Fokker replied to angelique777's topic in Nursing Humor

    No time for losers, you make the call Believe in yourself. Stand tall! Another day, it's in your hand You can be the winner, in the end. You roll the dice, play the game The weak will fall, the strong...
  23. Roy Fokker

    My Life with a Nurse: A Man's Perspective

    Roy Fokker replied to StatBlues's topic in Nursing Humor

    Very
  24. Roy Fokker

    Change in IV Phenergan Policy

    Roy Fokker replied to RNKPCE's topic in Patient Medications

    I always dilute my doses in 20 ml syringes and run it using a mini-infuser. About the only thing I do without the infuser is Toradol (again, diluted because it burns like crazy as it goes in). I use...
  25. Roy Fokker

    Can nurses wear skirts?

    Roy Fokker replied to DaughteroftheKing's topic in General Nursing

    The Amish are a split from the Mennonites (when Jacob Amman couldn't resolve differences with the Mennonite Church). source: WikiPedia.I work for a not for profit Mennonite institution.