Nalon1 RN/EMT-P BSN, RN

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All Content by Nalon1 RN/EMT-P

  1. Nalon1 RN/EMT-P

    Excelsior and Texas - All good now

    Nalon1 RN/EMT-P posted a topic in Excelsior College

    Excelsior's web site has not been updates as of yet, but House Bill 2950 was passed this last legislative session and signed into law in June; it goes into effect in September. As a part of this...
  2. Nalon1 RN/EMT-P

    When will everyone understand things are different in the ER

    Nalon1 RN/EMT-P replied to ClayH's topic in Emergency

    While admin questions your parentage for taking to long to get the patient upstairs. Plus the 20 patients in the waiting room are getting mad for the 3 hour wait, and EMS is standing in the hallway...
  3. Nalon1 RN/EMT-P

    Multiple Offers in Houston/ Relocating

    Nalon1 RN/EMT-P replied to MommyRN15's topic in Texas Nursing

    2 hours a day, not each way. Spring to med center is probably an hour or so depending on the time. You will be able to probably negotiate some (like maybe an extra dollar an hour or so), but not...
  4. Nalon1 RN/EMT-P

    Multiple Offers in Houston/ Relocating

    Nalon1 RN/EMT-P replied to MommyRN15's topic in Texas Nursing

    I have several friends that work at MD Anderson and they love it. Facility is staffed very well, pay is good, usually get an annual bonus of a few thousand, great tuition reimbursement and great...
  5. Nalon1 RN/EMT-P

    Fire fighter to ER nurse?

    Nalon1 RN/EMT-P replied to Anthony11's topic in Emergency

    It is not that it is worse, just different. Some medics have a hard time with that. Some of them are frustrating at times, but overall, nothing that is a big deal to me. Working in the ER makes it...
  6. Nalon1 RN/EMT-P

    Fire fighter to ER nurse?

    Nalon1 RN/EMT-P replied to Anthony11's topic in Emergency

    You have a lot less autonomy as a nurse compared to a paramedic. It is a hard transition for some. Going from being able to give any med on the unit when you feel it is needed, intubating when you...
  7. Nalon1 RN/EMT-P

    Triage nursing: How do you keep your sanity!?

    Nalon1 RN/EMT-P replied to emergencynursy's topic in Emergency

    Exactly. Once on hospital property, any mention of going to an urgent care or another ER to be seen faster by staff would be considered a violation. Now upon discharge, you can mention that there are...
  8. Nalon1 RN/EMT-P

    NYT Article: Men don't want to be nurses, and their wives agree

    Nalon1 RN/EMT-P replied to Neuronurse1114's topic in Men in Nursing

    Very few male Advanced Practice Nurses do. I know many male Nurse Practicioners that refuse to acknowledge the "Nurse" part of their title, they call themselves a provider. These are usually those...
  9. Nalon1 RN/EMT-P

    Austin - Has anyone requested a higher salary from HR upon offer?

    Nalon1 RN/EMT-P replied to mmjp77's topic in Texas Nursing

    Ladies?
  10. Nalon1 RN/EMT-P

    Austin - Has anyone requested a higher salary from HR upon offer?

    Nalon1 RN/EMT-P replied to mmjp77's topic in Texas Nursing

    $28 in Austin is not bad. Austin is one of the lowest paying Metro areas in Texas (even though one of the highest cost of living). That said, you can always ask for more, usually will not cause the...
  11. Nalon1 RN/EMT-P

    Triage nursing: How do you keep your sanity!?

    Nalon1 RN/EMT-P replied to emergencynursy's topic in Emergency

    Ours has that option, but the charge nurse can "turn it off" for 4 hours at a time if the ER is busy. I have one charge that logs in every 4 hours to do this starting at 7AM. It changes nothing...
  12. Nalon1 RN/EMT-P

    ED Nurse Role Assignments

    Nalon1 RN/EMT-P replied to EmilyD722's topic in Emergency

    Charge for that shift makes the assignments, requests can be made by staff for specific assignments, but at times due to experience and staffing needs, you have to go where assigned. You don't get to...
  13. Nalon1 RN/EMT-P

    Big Trouble

    Nalon1 RN/EMT-P replied to Bentlysnurse's topic in MICU, SICU

    OK, just wanted to make sure I had not missed anything. Like I said, I would think Fentanyl would be high on the list of possible
  14. Nalon1 RN/EMT-P

    Triage nursing: How do you keep your sanity!?

    Nalon1 RN/EMT-P replied to emergencynursy's topic in Emergency

    And are pissed when it takes longer than what you said. I never give a time, because I can't. I sometimes tell them the longest time someone has been waiting, and tell them it is not an estimate when...
  15. Nalon1 RN/EMT-P

    Big Trouble

    Nalon1 RN/EMT-P replied to Bentlysnurse's topic in MICU, SICU

    Where do you get that from? I see no mention from anyone that it was Fentanyl. All the OP said was it was "The most prevalent pain med we give". It probably is fentanyl (I am guessing as a drip to...
  16. Nalon1 RN/EMT-P

    Triage nursing: How do you keep your sanity!?

    Nalon1 RN/EMT-P replied to emergencynursy's topic in Emergency

    I don't mind triaging, I loath when I have nowhere to put them. What you describe is what really annoys me. Even when you explain you have no beds/rooms to put them into and cannot give a time to get...
  17. Nalon1 RN/EMT-P

    Futile ressusitation

    Nalon1 RN/EMT-P replied to amzyRN's topic in Emergency

    Hundreds of codes in the 20 years I have been in EMS or nursing, know of 2 that have walked out. Was it a waste for those
  18. Nalon1 RN/EMT-P

    Big Trouble

    Nalon1 RN/EMT-P replied to Bentlysnurse's topic in MICU, SICU

    Hmm, when in Care4 (the floor nursing software) I can say I never bypassed it, so no idea what it does there for scheduled meds. In the ER I have had a few that I have bypassed in emergent...
  19. Nalon1 RN/EMT-P

    Big Trouble

    Nalon1 RN/EMT-P replied to Bentlysnurse's topic in MICU, SICU

    Does Epic mark it as bypassed then? I know in Cerner if you just check it it flags it as not scanned (but does chart it at the time clicked, defaulting to the top of the hour sounds
  20. Nalon1 RN/EMT-P

    The Schemas of Emergency Nursing

    Nalon1 RN/EMT-P replied to nurse2033's topic in Emergency

    Interesting article. I am working with a new grad and will share this with her. Good way to describe it. She is always asking me how I know what to do or how to do something, and I was finding it hard...
  21. Nalon1 RN/EMT-P

    Big Trouble

    Nalon1 RN/EMT-P replied to Bentlysnurse's topic in MICU, SICU

    So this happened 5 times and you think this is the "most logical explination? Either you scanned an empty vial or bypassed the scan. Which was it? I know in our system it shows if you scanned or...
  22. Nalon1 RN/EMT-P

    Can lungs be clear AND diminished?

    Nalon1 RN/EMT-P replied to Cvepo's topic in Critical Care

    Yup, they can be clear sounding but not a lot of flow so
  23. Nalon1 RN/EMT-P

    Pressure Infuser Bag and BP Measurement

    Nalon1 RN/EMT-P replied to argos's topic in Emergency

    I would think not aside from the overall increase in volume being infused. The fluid flowing from the pressure bag while obtaining the B/P would not affect it. As said, B/P measures the heart output...
  24. Nalon1 RN/EMT-P

    Pain management approach

    Nalon1 RN/EMT-P replied to Matt8700's topic in Emergency

    3 ways to chart this: Pt in room stating pain is 8/10. Notified ER MD, no orders received. Pt resting in room playing on phone in no apparent distress. Pt states pain is 8/10 and immediately goes...
  25. Nalon1 RN/EMT-P

    how much lifting/transferring in ed?

    Nalon1 RN/EMT-P replied to ivyleaf's topic in Emergency

    I type a lot, use a mouse a lot. Starting IV's, giving shots, pulling meds from bottles, pushing meds (D-50/bicarb IV or Charcoal NG are really hard on your hands), CPR, lifting, sliding, moving...