chip193

chip193

ER

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All Content by chip193

  1. Triage at the bedside

    chip193 replied to MAISY, RN-ER's topic in Emergency

    Hi Maisy, It sounds like the problem isn't so much with changing the process, it seems to be the lack of input from the folks in the trenches. When we do something new (that we invent - remember,...

  2. Triage at the bedside

    chip193 replied to MAISY, RN-ER's topic in Emergency

    We see 65,000 a year, three nurses in triage - one out front, two triaging either in their offices or in the rooms (depending on whether there are rooms available). Ratio is 1:3 in the trauma/cardiac...

  3. Triage at the bedside

    chip193 replied to MAISY, RN-ER's topic in Emergency

    Let me tell you a little story... First a little background about me and the department. I've been doing ED nursing for about 5 years, the last 2 as a manager of the ED, and prior to that I held...

  4. Foley Balloon Test

    chip193 replied to OR male nurse's topic in Operating Room

    We had a whole batch of catheters about 18 months ago that were bad. I always have tested the balloon (which is the institutional policy), and we quickly found out who did and who

  5. New Grad ER jobs

    chip193 replied to LSUnurs09's topic in Emergency

    I am a big believer in going right to the ER when you graduate. Some of the best nurses that I work with graduated from school, took a position in our department, and were mentored well and have...

  6. What do you want O.R. nurses to do during a trauma alert?

    chip193 replied to linda2097's topic in Emergency

    Not in our trauma room! Seriously, make sure that all you have all the information that you need should a run to the OR be needed. Look at your paperwork while you look at mine - make sure all the...

  7. Nurse manager says you can't refuse iv

    chip193 replied to paintedbison's topic in Ob/Gyn

    Patients can refuse and/all care at any time. So why would the access be any different? Seems to me that the manager is

  8. er visitors...a funny

    chip193 replied to UtErRnEmt's topic in Emergency

    hey, hey, hey...watch those management comments...i resemble that remark

  9. Excelsior...how long did it take you

    chip193 replied to stephieannie's topic in Online Distance Learning

    I did it in '03-'04 in 9 months...and would have been six if I didn't get married in the middle! Two exams every Wednesday...then about 5 mo wait for CPNE.

  10. er visitors...a funny

    chip193 replied to UtErRnEmt's topic in Emergency

    Anyone want to take bets on how long it takes the "OMG, you're so uncaring, I can't believe that you're a nurse!" to show up here? I think the OP's work is wonderful...and will need to bring it to my...

  11. So lets say....(Paramedic EC questions)

    chip193 replied to rescuegroomer's topic in Online Distance Learning

    If you don't want to be a Paramedic, don't go to Paramedic school! Your EC base will be your Paramedic training and, if you really have no desire to be a Paramedic, you will not have the interest in...

  12. Do you let ambulances drop off in triage?

    chip193 replied to Anagray's topic in Emergency

    We start NS wells on patients in our waiting room, so this wouldn't really bother

  13. Excelsior FL nursing grad endorsement dillema

    chip193 replied to rizagirlRN's topic in Florida Nursing

    The clinicals are actually life-long. The competancy exam is three

  14. Excelsior FL nursing grad endorsement dillema

    chip193 replied to rizagirlRN's topic in Florida Nursing

    The reason for this is that the VA will employ you if you are licensed in any state, not necessarily the state where the particular hospital is located. The OP has an RN license somewhere - just not...

  15. Can RN's work on ambulances?

    chip193 replied to 2bmedstudent23's topic in Nursing Career

    Having done both jobs, let me give you a little of my insight. RN and Paramedic are two completely different jobs. Some of the skills may overlap, but the whole thought process, autonomy level, and...

  16. Do you let ambulances drop off in triage?

    chip193 replied to Anagray's topic in Emergency

    Whether you get an immediate bed or not is based on your complaint and what other patients are there waiting. It has nothing to do with mode of arrival. The detox patient, so long as he's cooperative...

  17. Accidental arterial stick !!!

    chip193 replied to Li'lOne's topic in Emergency

    I've done this twice in 18 years - both times in an ambulance. Both times it made a huge mess. You did fine with what you did. Crazy things like this

  18. How do you handle co-workers who...

    chip193 replied to hollyberry678's topic in General Nursing

    You're welcome. I'm actually at a conference right now discussing solutions to handle employees just like the one that you've mentioned. And good luck growing into the RN

  19. Is this a "no-no"?

    chip193 replied to beachbum3's topic in Emergency

    Was it the amoxicillin or the time that did

  20. Travelling with Excelsior Degree

    chip193 replied to ORRocksRN's topic in Online Distance Learning

    Disclaimer: I am a 2004 graduate of the ASN program at Excelsior College. California has a time limit in place - I'm not sure when it was - that states that if you are not enrolled in the EC program...

  21. How do you handle co-workers who...

    chip193 replied to hollyberry678's topic in General Nursing

    There are two kinds of people who are trying to climb the ladder. There are those who excel and do whatever it takes to make themselves better (like attend CME, conference, read journals, become a...

  22. Is this a "no-no"?

    chip193 replied to beachbum3's topic in Emergency

    Ear infections – well, most of them are caused by a virus. Using antibiotics immediately out of vogue per AAP and most of our ER docs are sending parents home with a prescription to be filled in...

  23. Disrespectful Employees

    chip193 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    I've read this thread with great interest. To give my background before I get onto my soapbox, I'm in a leadership role, at night, in a busy emergency department. In my past life, I served in all...

  24. Triage sucks!!! Any tips??

    chip193 replied to BrnEyedGirl's topic in Emergency

    I have firmly believed for a long time that there needs to be an ativan lick in the waiting area. And, the best way to get your Press Ganey scores up is to hand out crack at

  25. Triage sucks!!! Any tips??

    chip193 replied to BrnEyedGirl's topic in Emergency

    Nah, just late enough that the bars are already closed and a Saturday morning so there's no "I can't possibly work today with my..."