Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

    Intubation without RSI meds??

    Roy Fokker replied to BeachyRNn08's topic in Emergency

    Totally not
  2. Roy Fokker

    Narcotic Administration in ER

    Roy Fokker replied to silver2009's topic in Emergency

    Since I work nights: * If a patient drove themself over - no intoxicating meds unless a ride is 'recorded'. * Pt. somehow manages to scam me and the Doc for intoxicating meds and presents no ride but...
  3. Roy Fokker

    Does he need to be intubated??

    Roy Fokker replied to InmyblooD's topic in Emergency

    It ain't just 'combat theater' anymore! Everyone from providers to laypersons... :) Agreed. Don't mean to ask a retard question but - how many "questionable airway" cases do you folks opt to...
  4. Roy Fokker

    metaphors

    Roy Fokker replied to frisco96's topic in General Nursing

    I love metaphors! What better way to break down jargon to more understandable words?When I was a nursing student, I once explained atherosclerosis and coronary artery disease to a Navy veteran...
  5. Roy Fokker

    Using technical jargon with patients-EYE OPENER

    Roy Fokker replied to JeneraterRN's topic in General Nursing

    I'll never forget the card (and my co-workers enjoyed the box of chocolates) that the family of a patient sent in: "to Dad's awesome nurse Roy. Thank you for taking the time and patience to explain...
  6. Roy Fokker

    More attractive grads have better chances of getting hired?

    Roy Fokker replied to AddisonLawrence03's topic in Job Search, Interview, Resume

    *cha-ching!*Money statement right there! Besides, if you're shallow enough to judge me by my 'superficial charecteristics' - you're the loser, not me. For I can guarantee that you've never met anyone...
  7. Roy Fokker

    When is a patient your patient?

    Roy Fokker replied to shannonFNP's topic in Emergency

    *If I'm not in the room, I'm not charting anything. Period. You're essentially asking me to lie - by saying I witnessed things I did not. And I'm not lying, sorry. Even if I had an event such as an...
  8. Roy Fokker

    MD: Why did you get a BG on this diabetic patient???

    Roy Fokker replied to Murse901's topic in Emergency

    How many pleasant frequent fliers have you met in your ED? Do they out-ratio the unpleasant ones? Wooow!Just wow! So ED MDs are uncaring *******s who only give a **** if the pt. is insured and/or...
  9. Roy Fokker

    MD: Why did you get a BG on this diabetic patient???

    Roy Fokker replied to Murse901's topic in Emergency

    Sounds like an MD who doesn't want to deal with an unpleasant pt. Pt. maybe a PITA but even PITAs should get medical care. I doubt it matters. I doubt most ED nurses know/care if pt. is insured or...
  10. Roy Fokker

    Nursing Admissions/Admitting Nurse In Gay Marriage States

    Roy Fokker replied to DoGoodThenGo's topic in General Nursing

    I've almost always used "SO" in my documentation - even when describing heterosexual relationships. I'll occassionally throw "spouse". I rarely use 'husband/wife'.
  11. Roy Fokker

    What's your nursing kryptonite?

    Roy Fokker replied to ktliz's topic in General Nursing

    6 month (or greater) unwashed cooch... Just thinking about it makes me want to hurl!!
  12. Roy Fokker

    Are you an organ donor?

    Roy Fokker replied to LPNweezy's topic in General Nursing

    Organ, tissue, marrow and blood donor :)
  13. Roy Fokker

    Snack bar in the ER?

    Roy Fokker replied to Trekfan's topic in Emergency

    No. Flipping. Way.You've got to be
  14. Roy Fokker

    Anyone have to call back patients who have left without being seen.

    Roy Fokker replied to JessicRN's topic in Emergency

    There are places for people to lay down inside. On stretchers.If I start putting beds in the waiting room I'll be over-run by drunken college kids and the local homeless population.... And MUCH as I'd...
  15. Roy Fokker

    Anyone have to call back patients who have left without being seen.

    Roy Fokker replied to JessicRN's topic in Emergency

    Egads! I hope management isn't reading this and decide to implement it here! Because in the eyes of management, it's not a "needless visit" - it's a "billable event" (i.e. the more people we see,...
  16. Roy Fokker

    Social inadequacy and nursing.

    Roy Fokker replied to CaffinePrnPo's topic in General Nursing

    Really? 27 years old and you think you're mature?Just kiddin' :) Welcome to allnurses.com! Forgive me but am I to understand that with you having the CNA equivalent that you've had some kind of...
  17. Roy Fokker

    IM multiple med compatibility & technique

    Roy Fokker replied to flyingchange's topic in General Nursing

    There are times when neither pharmacy, not LexiComp, nor King's Guide or the blessed manufacturers can help you. Not because they don't want to but simply because there is "insufficient data". Here's...
  18. Roy Fokker

    Feeling useless...

    Roy Fokker replied to Lucia1's topic in General Nursing

    Lucia: I know you're looking for words of encouragement and I'm sorry if this isn't. But I believe in being realistic. This was way before the economy tanked. It took me about 6-7 months to land my...
  19. Roy Fokker

    Shadowing in the ED

    Roy Fokker replied to mehitabela's topic in Emergency

    This is probably a little too late...: 1. Get to know the person you are shadowing. As in ask them the same question: "Hey! I know I'm new here. I want things to proceed smoothly. If you don't mind,...
  20. Roy Fokker

    Diapers. Ice. Excuses.

    Roy Fokker replied to ErinBSN's topic in Emergency

    My Father subscribes to the notion that the primary function of school isn't so much to impart knowledge but to reinforce (and where lacking, instill) parental discipline. "Discipline is the...
  21. Roy Fokker

    Electronic documentation has stolen the human touch from nursing.

    Roy Fokker replied to Been there,done that's topic in General Nursing

    tntrn - sounds like the problem isn't computerised charting but PPP (**** Poor Programming) We need to get you guys a better charting system
  22. Roy Fokker

    Electronic documentation has stolen the human touch from nursing.

    Roy Fokker replied to Been there,done that's topic in General Nursing

    Yep, I agree. I guess it depends on which system you use. I can knock off a new admit in under 30 minutes, including history. And the plus point is that the next time they show up, I just have to...
  23. Roy Fokker

    Starting as an ER Tech, what do you nurses want from me?

    Roy Fokker replied to NurseMaybeBaby's topic in Emergency

    0. "Think first. Act second". 1. Don't pretend to know something you don't know. It's ok not to know the answer to every question. It's even better to own up to it with a simple "I don't know". Nobody...
  24. Roy Fokker

    How do you treat headaches?

    Roy Fokker replied to Anagray's topic in Emergency

    "Well let me put it this way, if you DO have an allergic reaction - you are IN an emergency department. The best place to go to if you have ANY kind of allergic reaction ... and you're already
  25. Roy Fokker

    doctors using to ER to adment ?

    Roy Fokker replied to Trekfan's topic in Emergency

    Even better? "Ok Mr. Smith. Have a seat in the waiting room and as soon as a spot opens up inside, we'll call you in". "Waiting room?! But I'm going to be admitted! My doctor already called ahead!"...