Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

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

    Excellent point!I think I should clarify -- I'm also directing this thread AWAY from folks such as: 30 yr old female, G1P1. Presents with Chief Complaint: "I feel movement in my belly. Just like when...
  2. Roy Fokker

    What's the easiest job you've ever had?

    Easy nursing job: haven't found any. Easy non-nursing job: haven't worked any that I know off. I held three 'part time' jobs simultaneously while in school: 1. Washing dishes 12 hours/shift. Also did...
  3. Roy Fokker

    Pregnant stroke pt!?!?!?!?!

    Yep.Can't help baby if Mama is dead... Besides - our pregnant mamas get a lead shield on their abdomen as an added precaution (we also place barriers over breasts when women undergo abdomen/pelvis...
  4. Roy Fokker

    Pregnant stroke pt!?!?!?!?!

    Yep.So a quick hint/tip of any "newbie" ED nurses reading this - if a pregnant female comes in complaining of SoB/CP/DoE or presents with hypoxia or other symptoms of cardiovascular compromise -- do...
  5. *emphasis mine*I agree that it's extremely poor judgment and it's not malice. Although I'm not sure about his 'character' - if he'd had a semi-decent one, he wouldn't have aired his thoughts in...
  6. Roy Fokker

    How do you do it?

    Not trying to belittle you or make light of your situation. Honest! Just relaying a personal anecdote (fair disclosure - I'm young, single, have no children): I quit moaning about school, chores and...
  7. Roy Fokker

    Pregnant stroke pt!?!?!?!?!

    No stroke. But had a pregnant woman with MASSIVE PE - ended up getting intubated after she lost respiratory function/drive. Got tPA. Last we know, she's happy to be alive and well (extubated next day...
  8. Roy Fokker

    Patient safety-escorted transport?

    Great replies y'all. Heck, if I think the situation warranted it, I've even had the MD come with me to CT (mostly semi-unstable-but-not-totally-unstable (KWIM?) traumas/bleeds). But generally: All...
  9. Roy Fokker

    To all the newbie ER nurses out there...

    IIRC, the movie was made but not
  10. Roy Fokker

    DNR means what???

    DNR means "Do Not Resucitate". True. But does it also mean that that 98 year old, with severe dementia, diabetes, heart failure, atrial fibrillation, acute/chronic renal failure who now presents...
  11. Bad enough that people call themselves nurses when they aren't - worse still IMHO, when they pass on blatantly incorrect information to patients! Or perform tasks waaaaaaaaay out of their scope of...
  12. I actually had to google "10 key punch test" - had NO idea what it was! -
  13. Roy Fokker

    From a student, to, hospital floor nurses...

    "You have power over your mind - not outside events; realize this, and you will find strength. The best revenge is to be unlike him who performed the injury. Waste no more time arguing about what a...
  14. Roy Fokker

    'cattle calls' in ER waiting room?

    I'm not a set of initials. And I'm MOST certainly not a blessed "number" - for I'm neither cattle not slave. Call me by my given name, please. Don't let "laws" and "protocols" stop you from being...
  15. Roy Fokker

    Needle Chest Decompression?

    Altra and GilaRRT kinda responded along my thoughts.
  16. Roy Fokker

    Can you be an er nurse with an assoc. Degree?

    Here's a few thoughts from my perspective as a quote-unquote BSN:: 1. As long as you're confident in your nursing knowledge and skills - welcome to the club!! You are A NURSE! I underlined it to...
  17. Roy Fokker

    To all the newbie ER nurses out there...

    Samuel Shem and "House of
  18. Roy Fokker

    To all the newbie ER nurses out there...

    It's related to the answer someone gave for "crump".Let me set up a scenario for you: Mr. Mark Smith is 30 years old, has no known allergies, no medical history, surgical history for tonsillectomy, No...
  19. Roy Fokker

    Backboards in the ED

    1. No change that I have seen. The c-collar I can understand but the backboard baffles me. 2. Nurses in my ED don't clear boards - PAs/NPs/Docs do. Usually when someone comes in boarded, there is a...
  20. Roy Fokker

    Mandated Flu vaccine?

    Not mandatory here... yet. Sign a form if you don't take it. I took it the first three years as a nurse - have had more problems with than without. I'm not against "vaccination" (I have my Hep B and...
  21. Just as governments can get almost any outrageous bill passed by braying "it's for the chiiiiiiiiillllddrrennn!", so too can all these idjits force more and more redundant, uesless paperwork by...
  22. Roy Fokker

    Ever see "FULL LET" for code status?

    Any doc who writes orders the nursing staff can't understand nor comprehend is setting 'emselves up for a world of trouble. -
  23. Roy Fokker

    Advice needed

    I understand. The first instinct seems to scream "RUN! Don't walk... RUN!" It WILL be hard no matter who your co-workers are! MICU is no joke! A. Stop comparing the two units.B. Stop listening to...
  24. Roy Fokker

    New Orientee Ticking Me Off

    Sounds like a couple "protocol happy" nurses I work with. I was "written up" by one of 'em and so was my pod partner over "inappropriate overuse of propofol". Basically this person claimed that...
  25. Roy Fokker

    Nurse pressing charges

    Ahhh, so the question isn't as much "should charges be filed" but rather "will any jury convict"??-