Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

    Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    Roy Fokker replied to DutchgirlRN's topic in General Nursing

    Canoehead and Cotjockey nailed it. Timothy (ZASHAGALKA) - Thanks for the links.
  2. Roy Fokker

    why does the nursing profession have a lot of drama?

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

    I haven't worked many jobs (armed force, food service, garbage disposal, computer tech support and now nurse) - but I'm inclined to believe what you stated there is very true.There are unpleasant,...
  3. Roy Fokker

    Can students be helpful, or are they just in the way?

    Roy Fokker replied to Megsd's topic in General Nursing

    Meghan, 1. Congrats on sticking it through accelerated BSN so far. I knew some during my school days and boy did they have a hard time! 2. I applaud your concern. That it "bothered" you over the...
  4. Roy Fokker

    SCD's

    Roy Fokker replied to Scoobiedoo's topic in General Nursing

    Also known as: ALPs (Alternating leg pressure) Pneumoboots Pneumostockings Pneumatic sleeves Air hose LOL. It's almost as if every surgeon has his/her own term for referring to the blighters...
  5. Roy Fokker

    Inflatable mattresses for home use to prevent bed sores

    Roy Fokker replied to mikethern's topic in General Nursing

    I second that!We get some patients on these Bariatric-II beds and they are so completely awesome! I had one who had MRSA, a decub-pressure ulcer on buttocks with wound vac - and her back was in so...
  6. Roy Fokker

    nurses need more support

    Roy Fokker replied to medsirgrn's topic in General Nursing

    As limited as my experience is - I agree with this sentiment as well.In fact, when I was orienting, my co-workers stood up for me against some of the more condescending/arrogant surgeons. As a new...
  7. Roy Fokker

    Inflatable mattresses for home use to prevent bed sores

    Roy Fokker replied to mikethern's topic in General Nursing

    Mike, Even with soft care/air mattress - he needs movement. Air mattresses only help "distribute the pressure" somewhat - they don't make 'em go away. Even a quarter-to-half hour every four-six hours...
  8. Roy Fokker

    making enemies

    Roy Fokker replied to loridoo's topic in General Nursing

    Curious incident:A few weeks ago, management got complaints about 3rd shift (I work 3rd shift) from three different patients about the "lack of quality care" over night. They complained to their...
  9. Roy Fokker

    Thank you's - memorable ones you've received?

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

    A while ago, I took care of a patient - 84 years old, blind, hard of hearing, extensive cardiac history and other issues. He had a Fx of his L hip... but surgery couldn't be done because his Plt....
  10. Roy Fokker

    Grrrr scheduling!

    Roy Fokker replied to chenoaspirit's topic in General Nursing

    Ditto hereExcept that right now since I don't have many responsibilities/dependents in life ... I have let management know that my schedule is quite flexible and "open" to discussion. I end up doing...
  11. Roy Fokker

    How do you come to terms.....

    Roy Fokker replied to Curious1alwys's topic in General Nursing

    Heh! Now you know why patients like student nurses? I tend to lose track of time because I end up helping my CNAs too much and the following shift RNs/LPNs. Then, every time I start feeling over...
  12. Roy Fokker

    lovenox..and coumadin

    Roy Fokker replied to LisaRn21's topic in General Nursing

    heparin doesn't "bust" clots. along with coumadin, heparin "prevents" clots.see: and: cheers,
  13. Roy Fokker

    lovenox..and coumadin

    Roy Fokker replied to LisaRn21's topic in General Nursing

    That could be part of the reason.I've also had patients who have significant cardiac history (a-fib etc.) who get BOTH Coumadin AND Lovenox post surgery (most of these patients are post-ortho...
  14. Roy Fokker

    Vastus lateralis IM site

    Roy Fokker replied to Skwidward's topic in General Students

    Anyone taught to use a "preference" method when it comes to IMs? My school taught me to go: 1. Vastus Lateralis 2. Gluteus 3. Deltoid in order of
  15. Roy Fokker

    Need tips for working with student RNs!

    Roy Fokker replied to Fairlythere's topic in General Nursing

    Uhhh, where's the instructor?! We were told to not be afraid of asking the nurses - but get a hold of the instructor first. I remember my peds rotation clinical instructor (whom I love dearly. She was...
  16. Roy Fokker

    family advise

    Roy Fokker replied to jetscreamer101's topic in General Nursing

    LOL. Some of your responses/posts here have me cracking up. I sometimes joke and respond that "Listen, I can't tell you anything over the phone. Tell you what, come up as a patient onto my floor and...
  17. Roy Fokker

    What age were you when you went to nursing school?

    Roy Fokker replied to Imissthefall's topic in General Nursing

    I was 18 when I went to school Please - let us focus on the thread, not on the posters involved.
  18. Roy Fokker

    Shift and weekend differentials- what are yours?

    Roy Fokker replied to Chaoticdreams33's topic in General Nursing

    I work at a not for profit regional medical center. Base pay for days Base pay + 7% for eves Base pay + 13% for nights Nothing extra for weekends. Call-in/overtime/holiday pay is time (base pay+...
  19. Roy Fokker

    Why does Nursing put up with short staffing?

    Roy Fokker replied to elfinM's topic in General Nursing

    Bedside care?Listen - at our facility, we need another nurse to double check out insulin dosage before administration. We use the Innolet system - dial the unit dose, press the button and presto!...
  20. Roy Fokker

    ripivocaine toxicity?

    Roy Fokker replied to SNRCM's topic in General Nursing

    I'm with the ETOH withdrawal crowd. I see at least 15 patients with Ropivicaine Fem blocks/epidurals each week - none of them behave in this bizzare fashion. The give away is, as gasspasser pointed...
  21. Roy Fokker

    TPN and ABX

    Roy Fokker replied to sweetieann's topic in General Nursing

    Even with a pump set for "Primary" (NS) and "Secondary" (piggyback ABX) - it still depends on which bag is hung higher. Physics and gravity take precendence over machinery - remember, your pump still...
  22. Roy Fokker

    Oh God, A NURSE is my pt!!!!

    Roy Fokker replied to CaLLaCoDe's topic in General Nursing

    I took care of a nurse who worked evenings on my first week off orientation :uhoh21: Wasn't too bad - assessment was a cinch (she told me "exactly" in the manner it needed to be charted :chuckle) ......
  23. Roy Fokker

    Does Incentive Spirometer decrease a temp?

    Roy Fokker replied to chenoaspirit's topic in General Nursing

    I surprise myself (or maybe my patients surprise me!) but I've found that telling them to "think of it as a game" seems to work wonders most of the time! It used to work with me on peds - I had no...
  24. Roy Fokker

    backstabbers, 2-faced coworkers

    Roy Fokker replied to chenoaspirit's topic in General Nursing

    I follow a couple rules at work: 1. Don't respond in kind to provocation (I've had some staff constantly try to rib/provoke me but I just don't pay attention. One of them just observed yesterday that...
  25. Roy Fokker

    Does Incentive Spirometer decrease a temp?

    Roy Fokker replied to chenoaspirit's topic in General Nursing

    Ditto that.And given that I work surgical - I/S is our first weapon of choice in keeping temps. down. At the first hint of a rising temp. I'm in there encouraging increased use of the I/S and almost...