pkapple

pkapple

er/icu/neuro/trauma/pacu

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  1. inpatient vs er transfer forms

    pkapple posted a topic in Emergency

    Our admin just presented a new form-multiple pages- that we are to use to transfer a patient from our CAH to a certain tertiary facility. I have used a very similar form for inpatient transfers while...

  2. med reconciliation in the ED

    pkapple replied to ern91's topic in Emergency

    We always ask patient for list of meds and dosages, last time taken and why taking f it doesn't seem to fit history given. On earaches, toothpain,?fx/lacs we don't pursue it very far. I do try to get...

  3. Ethical Question and Concern

    pkapple replied to oncnursern's topic in General Nursing

    oncnurse you don't say what state you are in, but most states do not ask a family what to do with a "brain dead" pt. Brain death occurs when the brain stem ceases to function(simple explanation).This...

  4. Need Help Please-bandaid scrubs

    pkapple posted a topic in General Nursing

    I'm trying to find a scrub jacket and t shirt with bandaids on them. I saw some in a scrub catalog this summer, but now can't remember which one. The t shirt had a bandaid on it and said something...

  5. Collecting co-pays at the ED registration desk.

    pkapple replied to TlhRNED's topic in Emergency

    I work at a very rural ed. We have an admission clerk so to speak until 11pm. After 11p, we check them in on paper forms, copy id and insurance cards, triage, treat, medicate, transfer or discharge. I...

  6. Are there nurse shortages in the ER?

    pkapple replied to imastudent's topic in Emergency

    True...but a Nurse Practitioners title is ARNP which stands for registered. Here in FL ,according to the Nurse Practice Act, NP's are also certified and work under pre-agreed protocols. from the Nurse...

  7. Central Florida hospitals

    pkapple replied to BETSRN's topic in Florida Nursing

    Bets It all comes down to how far you want to drive, is this daily commute or pop over on the days off? What field of nursing? Tampa area is closer to Ocala than Orlando area. Are you seeking...

  8. Travel nursing experience

    pkapple replied to nursekrin's topic in Travel

    I agree the more experience the better! I worked at a level one trauma center and we used travelers often. Unfortunately it was difficult to have a traveler walk in to ICU and totally freak out. The...

  9. has any one taken the rn program through excelsior college

    pkapple replied to toegemojo's topic in International Nursing

    toege Took Excelsior way back when it was still Regents. Program is not traditional, there are no classes. You are responsible to find classes or self study and then take the required exams. There are...

  10. Are there nurse shortages in the ER?

    pkapple replied to imastudent's topic in Emergency

    Hi imastudent, We are all glad to help you understand the different fields and titles, but I can tell you that many if not most nursing students change their specialty once they get "out there"....

  11. Having hard time working night shift!

    pkapple replied to RN34TX's topic in General Nursing

    RN34TX- try the day job, you might find a great group of coworkers, if not you can still seek out another daylight position like op or homehealth. I have always been able to switch from days to nights...

  12. Differences Between LPNs/LVNs and RNs

    pkapple replied to TheCommuter's topic in General Nursing

    short answer-- RN's have more choices and ops for advancement, a broader scope of knowledge, and often more responsibility and autonomy. Oh and hopefully a bigger paycheck:chuckle (don't flame

  13. MRSA abscesses?

    pkapple replied to missionnurse's topic in Emergency

    Been seeing these for years. About 90% of our "risens" are staph, mostly resistant staph. luckily of those cultured most will respond to Clinda and Bactrim. We aren't even doing the cultures- just...

  14. Artificial feeding-Terri Schiavo

    pkapple replied to ktwlpn's topic in General Nursing

    I too have personal feelings and beliefs, but this post is just to clarify some misconceptions #1 the Catholic Church does allow cremation. #2 A coma is a profound or deep state of unconsciousness....

  15. Purchasing a House and Financial Aid/Loans

    pkapple replied to jillsy27's topic in Certified Registered Nurse Anesthetist, CRNA

    you can certainly buy a house easier if you do all the paperwork while you stiill have income. I hope your spouse/so is also employed while you are in school. My husband recently completed PA school,...

  16. Phone Triage?

    pkapple replied to RNinOZ's topic in Emergency

    jeez, everytime I call to give report on a transfer i get that famous message.......emergency-call911, ......no medical advice will be given....if you know your parties extension ......... no need to...

  17. undocumented immigrant wants to be a nurse

    pkapple replied to huladancer's topic in General Nursing

    huladancer, how young were you when your parents brought you here? Did they have children born in US ? I ask these because I am very familiar with 2 recent cases. My daughters dormmate had to go to a...

  18. LPN as Charge??

    pkapple replied to Nurse Hatchett's topic in General Nursing

    I guess if the responsibility of the nurse working the desk (in "charge") is to place calls to the doctor, then you are ultimately responsible to make those calls whether requested by an RN or an...

  19. Nursing student just got a DUI

    pkapple replied to joecalifa's topic in General Nursing

    Jo- I don't know Calif laws, but here in FLorida you have only 10 days from the date of the ticket to request a hearing to possibly save your drivers license. Get a lawyer today!!!!!! (and that...

  20. Should patients be allowed to refuse LPNs and CNAs?

    pkapple replied to flashpoint's topic in LPN, LVN Corner

    OK, we all have preferences. No one, except some folks with a royalty complex, feels comfortable being exposed or having a stranger perform "intimate" hygiene/procedures. We all learned to provide...

  21. Orders from a PA not co-signed by MD

    pkapple replied to kathys76's topic in General Nursing

    The co-signing really varies from state to state and from facilities within those states. Some PA's can provide hospital care with no cosignatures, some facilities require the v.o. MD/PA thing--which...

  22. Should patients be allowed to refuse LPNs and CNAs?

    pkapple replied to flashpoint's topic in LPN, LVN Corner

    here's an even sweeter way to handle a patient who has requested a specific caregiver or refused care by certain levels/races/genders: When call light goes off, the offending caregiver responds...

  23. ER nurse/pt. ratio,triage times, & EHS pt. responsibility?

    pkapple replied to nursegoodlove's topic in Emergency

    20 patients!!!!!!!!!!!!!!! 6-7 ambulances backed up?????????? y'all needed to go on

  24. SCARY drug exp post C-Sec - DROPERIDOL

    pkapple replied to alphafe's topic in Ob/Gyn

    ..... I complained of "fear", etc. and was given Droperidol through my epidural. I had the most terrifying response -- as though I was fading way down, evaporating. It's impossible to describe.....I...

  25. Transferring patients to larger hospitals...

    pkapple replied to deespoohbear's topic in Rural

    Canoehead Babs is right on it!! There is nothing sneaky about ER to ER transfers!! That is the EMTALA. Most specialists do not want to accept a patient and most hospitals shudder over direct admits...