chip193

chip193

ER

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All Content by chip193

  1. Self Triage

    chip193 replied to MoodyButt's topic in Emergency

    Ah...most places the insurance information goes right on the chart (or an ER face sheet, if you will). That's where the problem comes in.

  2. Self Triage

    chip193 replied to MoodyButt's topic in Emergency

    Alex, Two problems: (1) The screening exam must be done by a physician, PA, or NP. (2) Case law has ruled that the screener (the physician, PA, or NP) should not know what the patient has for...

  3. what steps do I need to take to become a flight nurse??

    chip193 replied to nursejennie76's topic in Flight, Surface Transport

    Become a paramedic. Most places around here require the RN/EMT-P to be a flight nurse. It has to do with the scene flights and nurses not being in the EMS laws at all!

  4. restarting prehospital IV's

    chip193 replied to JillR's topic in Emergency

    IV starts here are q72 hours. EMS starts are changed in 24 hours. We still have an IV therapy service who does all the restarts and checks each IV in the place daily. The infection rate here is...

  5. ER violence

    chip193 replied to night fox's topic in Emergency

    Our drunks usually fall over on their own before they can contact one of us! They're not our big problem. The big city problems (guns, gangs, and drugs) are starting to reach our small city. We've...

  6. Self Triage

    chip193 replied to MoodyButt's topic in Emergency

    Per the EMTALA Gods, the triage nurse does not provide a medical screening. Yes, I know that patients are often waiting for hours in the waiting room (ours has become so bad that there is a "work...

  7. Verification of NG tube placement

    chip193 replied to Bwick's topic in Medical-Surgical

    We do a PCXR for all NG and OG tube placements where the patient is unable to talk to us. If there is to be a tube feeding, it is also xrayed. If we're simply doing a decompression or a GI bleed...

  8. any medics in excelsior?

    chip193 replied to tamzah14's topic in Online Distance Learning

    Graduated 4/04...worked as a medic for 14 years prior. Now doing ER in a Level II Trauma Ctr. It wasn't so bad to get through the program, except that the CPNE is a truly nerve racking experience!...

  9. ER RN salary

    chip193 replied to newfloridaRN's topic in Emergency

    $24.06 base with 1 yr and CCRN...extra $2/hr for nights, $1.25 for charge, $1.50 for eves. We also get a "bonus" quarterly - $500 for nights and $300 for eves.

  10. Aspirin before 911

    chip193 replied to LVN2006's topic in Nursing Student Assistance

    The only contraindication for aspirin in the ACS patient is allergy/known hypersensitivity. It prevents clot formation by a different means then coumadin or heparin, and, therefore, is not...

  11. suspension for refusing patient 9

    chip193 replied to amyliz976's topic in Patient Safety Issues

    That works if the next closest ER isn't 35 or more miles away! That's our problem - so we can't ever divert. It's a problem that more and more hospitals face as the number of ERs decreases. It's...

  12. Shaving cream bed baths?

    chip193 replied to HisTreasure's topic in General Students

    Shaving cream works great! It's the choice for those patients that we bathe in the ER. Well, that and baby shampoo.

  13. Time-Out/Surgical site marking....

    chip193 replied to ShirleyM's topic in Operating Room

    Our facility requires that we use a "time out" for any procedure where the physician obtains a specific consent form (LPs, reductions, etc.). It can be a pain in the rump - especially when we have...

  14. medical assistant?nursing assistant?

    chip193 replied to share's topic in First Year After Licensure

    Call Professional Credentialing Service in TN. They are the MA Board of Nursing reps for verification of license. They may be able to help you get you MA license before CA finishes their thing. They...

  15. NY LPNs: How are you coping?

    chip193 replied to tankity's topic in LPN, LVN Corner

    I live in NY, but work in MA. However, I can tell you this much about the NY BSN thing: It is a proposal by the Board of Nursing that was sent to the State Legislature. The Legislature must act on it...

  16. suspension for refusing patient 9

    chip193 replied to amyliz976's topic in Patient Safety Issues

    Keeping the patient in the ED is NOT the answer! The ED is probably just as busy as the Med-Surg. The ED cannot tell EMS to "circle the runway" when they don't have beds. The ED cannot tell Mrs....

  17. Shocked and angry. Need new job.

    chip193 replied to jrring1019's topic in Ob/Gyn

    Run as fast and as far away as you can from that hospital! To find out that you're out of a job in the newspaper is unethical and immoral. Unless you really need to work in that place, tell them to...

  18. Do or nurses do pacu after hours?

    chip193 replied to emmijay's topic in PACU

    At our place, PACU is staffed days and evenings. I believe that they are just starting to take call at night. Before they started call, our Critical Care Float (Crisis Nurse) would do the recoveries....

  19. HELP!!! with ACLS Drugs!

    chip193 replied to Town & Country's topic in Emergency

    I just got back home from teaching a two-day ACLS class. A few thoughts after watching the new Critical Care nurses (all 34 of them) and the 10 SRNAs: - Make sure that you know how to read the...

  20. Your help is much appreciated on this poll.

    chip193 replied to Jetman's topic in Emergency

    In Western MA, I get 35c/hr for CCRN and $1 for BSN. My ratio goes as high as 14:1!

  21. Be very Careful about considering Excelsior's Online ADN program...

    chip193 replied to ColoLPNStudent's topic in Online Distance Learning

    It depends on you. I was a Medic when I started - and it took me 9 months. It would have been less, but I got married in the middle of it, and took 3 months off.

  22. Licensing Question (Important)

    chip193 replied to jbjints's topic in NCLEX Exam, Programs

    Start here: www.op.nysed.gov That is the website for the NYS Education Dept (yes, they licenses nurses and a bunch of other folks!). Find the Board of Nursing there and ask them!

  23. Licensing Question (Important)

    chip193 replied to jbjints's topic in NCLEX Exam, Programs

    Start here: www.op.nysed.gov That is the website for the NYS Education Dept (yes, they licenses nurses and a bunch of other folks!). Find the Board of Nursing there and ask them!

  24. HELP!!! with ACLS Drugs!

    chip193 replied to Town & Country's topic in Emergency

    Take a look at how the drugs are actually packaged. Epi - 1 mg in 10 cc (1:10,000) Atropine - either 0.5 or 1 mg in 5 cc etc. This is how I taught the medics to do it. It also seems to work for the...

  25. HELP!!! with ACLS Drugs!

    chip193 replied to Town & Country's topic in Emergency

    Take a look at how the drugs are actually packaged. Epi - 1 mg in 10 cc (1:10,000) Atropine - either 0.5 or 1 mg in 5 cc etc. This is how I taught the medics to do it. It also seems to work for the...