Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

    Fast Food Medicine.

    Roy Fokker replied to rnjlin's topic in Emergency

    Sometimes the issue IS fixable. Lack of beds, for example. Or how empty beds get assigned... And since management is ALL about "informing patients" - well, "informed patients" is what they get......
  2. Roy Fokker

    when patients go off the floor...

    Roy Fokker replied to turnforthenurse's topic in General Nursing

    Uhhh, nobody with an IV/hep-lock is allowed outside. Anyone who is intoxicated (be it drugs or alcohol) isn't allowed outside - period. This is especially true of our psych patients. I'm not chasing...
  3. Roy Fokker

    Am I cut out for the ED?

    Roy Fokker replied to Hope.A's topic in Emergency

    Somedays I'm not sure I'm 'cut out for the ED'... and I've been doing ED nursing for a while now [ED = Emergency Department. It's a Department, not a Room. Just sayin' ] And on other days I feel...
  4. Roy Fokker

    What is the most interesting case you've seen in the ER?

    Roy Fokker replied to BigDiesel's topic in Emergency

    No idea. Sorry. She was sent to L&D right away. It wouldn't surprise me if both Mom and baby made it ok...
  5. Roy Fokker

    Sometimes it's hard to tell a drug seeker from a patient in pain.

    Roy Fokker replied to tiroka03's topic in General Nursing

    "Sometimes it's hard to tell a drug seeker from a patient in pain". Ummm, not really. Especially if you work where I work. The 95th visit in less than 22 months for "migraines"? The 55th visit in less...
  6. Roy Fokker

    When your the patient, do you tell the nursing staff your a nurse?

    Roy Fokker replied to DemonWings's topic in General Nursing

    Uhhh, I don't like to let on that I'm a nurse. The one time I ended up in the ER because of my SVT, I didn't say a word - either to the paramedics (didn't have to - he knew me but had the good sense...
  7. Roy Fokker

    Best thing you saw come in on New Year's Eve

    Roy Fokker replied to mybrowneyedgirl's topic in Emergency

    Other than the boat load of annoying drunks... .... kid with multiple stab wounds. Stable... but the ED staff was mad as heck that someone could do such a thing to a kid... -
  8. Roy Fokker

    What is the most interesting case you've seen in the ER?

    Roy Fokker replied to BigDiesel's topic in Emergency

    * Middle-age person complaining of bilat-ankle pain. Zero cardiovascular complaints (SoB, n/v, CP) Had been mowing lawn on a hot, humid day. Was tachycardic on initial presentation with diaphoresis....
  9. Roy Fokker

    How do you get thicker skin?

    Roy Fokker replied to Loves2Lurk's topic in Emergency

    Oh and by the way: Good judgment comes from experience, and experience comes from bad judgment.
  10. Roy Fokker

    How do you get thicker skin?

    Roy Fokker replied to Loves2Lurk's topic in Emergency

    I'm not sure a thick skin is going to help... much. I'm not even sure that's the issue... Rude people are rude people - be they patients or otherwise. Would you be wondering about this very question...
  11. Roy Fokker

    Any advice for a new ED nurse?

    Roy Fokker replied to al7139's topic in Emergency

    *looks incredulously at hiddencatRN* "Transport tech"? What's that? You mean you actually have staff members assigned to move people around?*sound of bone shattering as jaw hits
  12. Roy Fokker

    No more Mr. Nice Guy (New Year Resolution)

    Roy Fokker replied to AZO49008's topic in General Nursing

    I don't have problems with my fellow RNs. I DO have issues with some of my nursing assistants - asking them to do work, ANY work, is like pulling teeth... Get off you butt and do your blessed JOB!...
  13. Roy Fokker

    I am done with healthcare

    Roy Fokker replied to ksc0723's topic in General Nursing

    I love (most of) the people I work with... but I am sooooo done with bedside nursing! And it sucks because I KNOW that I'm good at what I do. Most of my patients love me. But management and the...
  14. Roy Fokker

    Do I have a sign over my head?

    Roy Fokker posted a topic in Emergency

    I think I've pushed/hung more Mannitol in the past three shifts than I have in the past three years! Makes me feel like there's a black cloud over my head with a sign saying "send all traumatic bleeds...
  15. Roy Fokker

    Rant: I will SHOW you where it is

    Roy Fokker replied to NickiLaughs's topic in General Nursing

    Plug/Put. ****. Back. In. After. You. Are. Done. Using. It!! Can't do that STAT EKG now because the battery is dead. Can't take a rectal temp. because none of the thermometers are anywhere to be...
  16. Roy Fokker

    Patient and family priorities

    Roy Fokker replied to hiddencatRN's topic in Emergency

    I love the people who complain about the wait time. Usually a few facts helps issues ("The national average wait time in the ER is about 4 hours" or "yes, it takes 2 hours for the contrast to travel...
  17. Roy Fokker

    When adults whine....

    Roy Fokker replied to Anna Flaxis's topic in Emergency

    We have a couple prize ones who think that if they whine loud, hard and long enough we'll cave in and give them what they want just so they'll shut up (and/or quit scaring my 3 year old pt.) The...
  18. Roy Fokker

    Prankster patients

    Roy Fokker posted a topic in Emergency

    Ever have a patient pull/say/do a good joke/prank on you? E.g. EMS brings in a 95 year old from local nursing home. Chief complaint is "fall". EMS tells us that it's unwitnessed fall and that Ms....
  19. Roy Fokker

    drawing labs in triage

    Roy Fokker replied to TeresaEDRN06's topic in Emergency

    We tend to draw labs in triage when the wait time (in the waiting room) starts to approach 30-45 mins [meaning: Pt. has been sitting in waiting room awaiting stretcher in ED for 30-45 mins. This...
  20. Roy Fokker

    overdose on RX meds

    Roy Fokker replied to pm2rn's topic in Emergency

    http://news.nurse.com/apps/pbcs.dll/article?AID=2011111140003 How's the "War on Drugs" workin' for ya? Personally (from an ER nurse perspective), * Most docs and nurses don't begrudge the obvious...
  21. Roy Fokker

    Are 12 hour shifts going extinct?

    Roy Fokker replied to MunoRN's topic in General Nursing

    Are they nuts? Who the heck wants to be at work 5 days a week??!!
  22. Roy Fokker

    501 ways to know you've been on allnurses.com too long!

    Roy Fokker posted a topic in Nursing Humor

    all right. i confess! i'm a proper addict! this is a fantastic website - filled with goodies and great people. and i know that i'm not alone :) so... i challenge forum members to describe 501 ways to...
  23. Roy Fokker

    "Did you see/Follow up with your Primary Doctor..."

    Roy Fokker posted a topic in Emergency

    Hey y'all How often do we ask patients when they come into the ER if they've seen their PMD for the issue? How often do we discharge pts. with the instruction to "follow up with your PMD?" See I was...
  24. Roy Fokker

    helppp, i think i hate nursing

    Roy Fokker replied to NursesRus's topic in General Nursing

    Oi!! You're working nights! Are you a "night person" ? I have a sneaky feeling that working nights is one of the reasons - if not the biggest reason - as to why you're feeling the way you do right...
  25. Roy Fokker

    When is a nurse considered experienced?

    Roy Fokker replied to MKS8806's topic in General Nursing

    Good judgment comes from experience. Experience comes from a lot of bad judgment.