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er/icu/neuro/trauma/pacu

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  1. meditech edm help

    I am a per diem ER nurse, having trouble with Meditech. Would anyone know of or be willing to share a simple step by step walk thru of a patient in ER??? No problem with pt care, just the documentation keys and entries. Thanks
  2. JCAHO reqs for ER assessment??

    Help! I am currently in charge of submitting a new ER assessment sheet. We have a decent triage/history form, but our assessment is part of an old in-patient admit form from long ago. This is for the MOST remote ER in the state of FL--not kidding, w...
  3. Florida Salary vs Take Home

    Opti.. The best way for you to figure this is simply to eliminate the % amount of NY state tax. Your example would not hold true, ie claim married 5 or claim single 0, however both state and federal are % values, not flat percent, but based on tax b...
  4. Ok folks, from the ops profile -education is as an lpn/lvn. It does not say what state she is in, but many states only allow lpn iv cert after taking a class. Here in FL it is required that an lpn take a 30 hour course and get supervised sign offs, e...
  5. twist, clip, pin, headband,pony..anything that keeps it from hanging over pts or in unamed yuck. Hard to start an IV with long or half bangs across your visual field, too. Your school will have a strict clinical policy re: hair, nails, and jewelry.
  6. Oboy........how should this be handled?

    I did a stint in Home Health as a newcomer to a small town...everyone asked how I liked living in the ole Taylor place, if my son enjoyed Mrs Denman's 3rd grade class, etc, etc....apparently very few people moved there!!!!! I now live in a small town...
  7. Patients on Vacation????(long)

    Visitors are a problem here in the panhandle, too. But the ones that drive me batty are the locals who show up at 3am and smile sweetly...you have my records here. UHHH no I don't, and even if I could find your last visit(we don't have med rec or eve...
  8. ER Interview Question

    I always "dress up" for an interview, well except telephone interviews-lol. I have been a nurse for over 20 years and have gotten all but 2 jobs I interviewed for. I almost always wear nice slacks/skirt and a jacket. Really make sure you wear nice s...
  9. Hospital to charge employees who smoke

    Oh dear..seems I remember we as nurses have to be very careful not to make a 500 pound pt feel "bad" when we about kill ourselves turning them. And didn't they make obesity a disability.....oooh the lawsuits will be so much fun, and since HTN is mo...
  10. Best of my recollection...HHA can't see pt on day of discharge-not billable, we always saw pt next day to do intake/admit. HHA can see and eval pt prior to discharge so to have everything in place. No patient should ever be discharged without instruc...
  11. FL LPN's What drugs can you push??

    My hospital has finally gotten all of our LPN's fully med certified. Now they are getting approval/policy for IV push meds. So far all the bigwigs are looking to approve are : Lasix, Phenergan, Benedryl, Solu-medrol, and maybe Toradol. What drugs can...
  12. Ideally a float would be lateral or previously experienced, then maybe the ER nurse-but ER can't give up a nurse, they are usually short anyway. A tele nurse should have basic knowledge of critical patients, since many tele patients were in icu just ...
  13. I Would Like Your Opinion.... am I right?

    You were right to transfer. You felt unsafe in that position, and are now out of it. Good luck with your neww position.
  14. Need your policy on CANCELLATION

    Never got time and a half for coming in, we did get on call or standby pay and then regular pay if we came in to work.This usually occurred due to low census--but we usually had a list of nurses wanting the time off! The exception s were the traditio...
  15. so disappointed :(

    Julia, Sounds like you have more issues here than just a schedule change. You obviously do not like your job-the charge nurse being your biggest concern. the best way to deal with that-if is not just personality problems-is to document everything. IE...
  16. ER nursing...

    It all depends on the hospital. Call or stop by some in your area and ask the HR or ER manager
  17. Florida nursing salaries - seriously????

    The cheaper coa used to be true, but it keeps getting repeated ad nauseum and keeps the wages low! Don't know any bank that reduces your car payment, credit cards or mortgage rate cause you're in sunnyFL!! And speaking of mortgages.....houses are not...
  18. Experienced RN looking for answers

    Traveled for years before TaxAdvantage was being given. In order to claim the perdiem expense --you must not be reimbursed(lol) and need to accrue actual expenses or utilize the accepted perdiem rates(see IRs webpage fro links) SOOOO the 99 bucks a ...
  19. applying for job 6-month post cervical diskectomy.

    my DH had similar op but C5-6 only on June 3 and was cleared for full duty on NOv 12. This was several years ago, he took Vioxx as needed esp after a long trying day, but had no restrictions. Has your doctor not cleared you to go back to work? Do y...
  20. don't feel bad over getting that shift if it is something you want. The other staff members may be upset, and rightfully so if they are waiting for a dayshift job. However no one should blame you for taking the shift. I have been on both sides of thi...
  21. Need to vent about my horrible night!! UGGG long

    I live on both sides of this. I work nights in the ER, my DH is aPA-C and last night(my night off!) got 6, yes 6 phone calls from the same nurse. He only had 2 patients in the hospital! Does he get nasty? NO Did he give this nurse q1h VS/neuro checks...
  22. Unfair ADON

    slightly off topic, but, an LPN is your ADON? What state are you in? My sister in FL was temporarily placed in this position and AHCA fined the facility! An LPN can not supervise RN's in FL. on topic, I agree and see it all the time. Day shift missed...
  23. Career alternatives to traditional nursing?

    Mommy2-there are probably a kazillion jobs that would fit the bill! Have you looked into your county health dept, planned parenthood type places, ob docs offices-most of these pay a bit less, but benefits could be better. How about management or educ...
  24. What If....

    starting as a CNA could really help you decide! After all they get pure patient care, if you find you don't like bathing, ambulating, answering call lights and all the other "dirty" aspects of nursing care...well as a nurse you do all that and the mo...
  25. PITA ED patients - how to handle?

    When I have a pt complaining about d/c, I can usually just smile sympathetically and get them out. Now if they are really obnoxious or insistant, I get the doc to go talk with them-that way if they have a question or concern he can adress it and/or t...