Roy Fokker BSN, RN

ER/Trauma

Member

All Content by Roy Fokker

  1. Roy Fokker

    when the day shift arrives

    Roy Fokker replied to nightengalegoddess's topic in General Nursing

    I find that it's not generally a question of "which shift" but a question of "which nurse." Some nurses are just unprofessional petty little tyrants - days or nights. I once had a martinet screw up...
  2. Roy Fokker

    No creativity in nursing? Hah!

    Roy Fokker replied to nurseprnRN's topic in General Nursing

    Our battalion medic always had a stash on hand. His claim was that they were perfect for bullet wounds (as an initial intervention - followed by conventional bandages on top). I have a good friend who...
  3. Roy Fokker

    ER nurse to patient ratio

    Roy Fokker replied to MGHERRN's topic in Emergency

    We must work in the same ED! 4:1 is what the assignment board at work says. Reality, naturally is quite different. We work 2 RNs to a pod on the acute section of the ED and if my partner nurse has a...
  4. Roy Fokker

    Physical Abuse against Staff

    Roy Fokker replied to ErinBSN's topic in Emergency

    Threats are met with attempts to defuse, then reason. If threats persist, warnings ensue. You assault me - I will defend myself. Nothing too gung-ho or anything. Security, restraints. Done. And if...
  5. Roy Fokker

    Difficult access: Would you go for EJ or pedal?

    Roy Fokker replied to Murse901's topic in Emergency

    EJ/Central line depending on pt. condition. We generally don't bother with pedal sticks. If pt. venous access is horrendous enough to begin with, pedal sites are going to be less useful - especially...
  6. Roy Fokker

    Protonix use

    Roy Fokker replied to laughingtoe's topic in Patient Medications

    Also - how many admitted pts. are kept NPO?
  7. Roy Fokker

    "New grad-itis"...

    Roy Fokker replied to scrmblr's topic in Emergency

    Sometimes it's not the attitude but how you come across. I'll forever be grateful to a senior co-worker that I worked with in the ED. He pulled me aside one day and explained to me that it wasn't...
  8. Roy Fokker

    A few questions:

    Roy Fokker replied to felineRN's topic in Emergency

    Remember, they ain't dead till they're warm and dead! God bless her! I loev me some Nurse K.Dr. Big Workups are bad enough. Worse still are Dr. BigWorkups who will just look at the CC on the...
  9. Roy Fokker

    Stupidest comlaint of the night award...

    Roy Fokker replied to JDougRN's topic in Emergency

    But what I really want to know is: What's the nursing diagnosis on this
  10. Roy Fokker

    Physical Assessment - What is CSM exactly?

    Roy Fokker replied to beatrice1's topic in General Nursing

    CMTS - Color, Motion, Temperature, Sensation. Neurovascular checks! :)
  11. Roy Fokker

    Asystole "observed" for 25 seconds?

    Roy Fokker replied to roser13's topic in General Nursing

    Never seen adenosine cause a pause that long. A couple seconds at most. Its half-life is way too short to be causing that dramatic an effect.
  12. Roy Fokker

    It's Not MY Responsibility to Get YOU Home...

    Roy Fokker replied to Music in My Heart's topic in Emergency

    I gave a cab voucher to a pt. last week - he was here to be seen because he was mugged (hence no wallet/cash) and had the crap kicked outta him. I didn't want him to walk home, alone, by himself.One...
  13. Roy Fokker

    It's Not MY Responsibility to Get YOU Home...

    Roy Fokker replied to Music in My Heart's topic in Emergency

    As I'm fond of saying: "You don't go to Walmart or TGIF and then expect 'em to get you home; do you?" - Roy PS: What cab vouchers I have are reserved for the living-all-alone-by-herself 89 year old...
  14. Roy Fokker

    No, apparently you don't know it all!

    Roy Fokker replied to himilayaneyes's topic in General Nursing

    My big peeve "know it alls" is with unlicensed care givers who talk to patients about their lab results, their condition, procedures, diagnoses, disease processes etc! And no, I'm not talking about...
  15. Roy Fokker

    How Often?

    Roy Fokker replied to virgo,student nurse's topic in General Nursing

    I used to be on here a lot (I think at one point I was making over 10+ posts/day). Then I went through a period. Kinda 'dropped off the face of the board'. Now I'm slowly inching back. We'll see...
  16. Roy Fokker

    I Feel Like The Most Incompetent Nurse Ever!

    Roy Fokker replied to tonet0908's topic in General Nursing

    Percedex isn't a paralytic. Might be more comparable to Versed or Etomidate. Sedation doesn't equal paralysis. OP: If it makes you feel any better, read through this thread, starting here (my story!...
  17. Roy Fokker

    This is making me nervous

    Roy Fokker replied to reddellrn's topic in General Nursing

    Same here. There has to be atleast two "BLS" (assuming non-monitored unit. If monitored pt. at least one the staff members has to be ACLS/PALS certified) trained personnel at ALL times. When one of...
  18. Roy Fokker

    what percentage of your job involves poop?

    Roy Fokker replied to onedayitllbeme's topic in General Nursing

    OP:: like others have mentioned, it depends. It's a little un predicatable in the ED. 20% sounds about right - but beware! Sometimes, all it takes is one patient [it's usually my drug overdose...
  19. Roy Fokker

    Is this backwards or is it just me?

    Roy Fokker replied to abbaking's topic in General Nursing

    No, it's not backwards. But it's hard to make your case against the magic words "because of the recent economic downturn and reduced revenue..." But just like every "temporary tax" or "limited...
  20. Roy Fokker

    Phrase of the Night

    Roy Fokker replied to ErinBSN's topic in Emergency

    Nope. I think last weekend was just a tad more "unusual" too... Have fun on
  21. Roy Fokker

    Tattoos and nursing

    Roy Fokker replied to ryanna112's topic in General Nursing

    I just found it interesting that amongst all the women in that list, the only woman who has my respect is Ms. Patricia Horoho.The rest are either lying politicians (who don't give a **** about guttin'...
  22. Roy Fokker

    Tattoos and nursing

    Roy Fokker replied to ryanna112's topic in General Nursing

    To the OP: Pay no heed to the doomsayers. Be discreet. Cover your tattoo. Wear sensible clothing. There's a German saying that says: "Arbeit ist arbeit und Schnapps ist Schnapps" (Work means work and...
  23. Roy Fokker

    At what point are employers asking TMI?

    Roy Fokker replied to KayRN910's topic in General Nursing

    At the risk of continuing a tangential argument: And if it'd stopped right there, I might have been ok with it. A. Don't know what forms you filled out - mine asked a lot more than just that.B....
  24. Roy Fokker

    At what point are employers asking TMI?

    Roy Fokker replied to KayRN910's topic in General Nursing

    *wry smile* Now how many of you folks answering this thread had a similar reaction to your "census forms" ?? Heck, how many folks on this thread even considered those forms "invasive" and/or...
  25. Roy Fokker

    Advice to the LTC nurse...

    Roy Fokker replied to southernbeegirl's topic in Emergency

    I genuinely hope it doesn't. While it's no secret that plenty of ED nurses (including me ) and EMS face frustration with LTC staff - I'm always inclined to give 'em the benefit of doubt. I've never...