LerRN95

In our ER it can be as much as 1:7. However there have been times I had 8.

Well it is that time of year again for us. Boy, do I just dread this. We are also in the process of redesigning part of our Nursing Units. Anyway, what I was going to ask is, a few years ago I got a JCACHO Survery checklist from someone on this board. If anyone of you have it or something like it, I would appreciated a copy. Thanks!

I recently hired two paramedics in my ER because we could never find any nurse that wanted to work there. These paramedics also work with our local EMS and we get along very well with each other. They have been an asset to us and I would not trade them in for anything. We both have learned alot from each other and that only makes us to be better ER Nurses and Paramedics !!!

We do call backs on all AMA, LWBS and Elopement. However, we are to call the LWBS and Elopements as soon as possible,(the same day) then a F/U call in a day or two. The AMA's are just called back in 1-2days. What is the state agency that you have to report this? Lisa

I work in a rural hospital and we use to have this problem. The officers want is drawn as soon as possible. It didn't matter if you were the only nurse on duty in the ER and you had seven other patients to see about. Now the Lab draws them at all times. We now have 24 hour on site lab tech and whether the LBA is on an ER patient or as an Outpatient, the lab personnel draws the blood. The was a problem with the patient presenting to the ED without an MSE by the ED physician even if it was just a LBA. We would have to ask the patient if he/she needed or would like to see the physician and document this. Now we don't have to worry about this. Lisa

I am a ED nurse supervisor of a rural hospital we average 25-30 patients a day. We have only one RN at all times in the ER. They work from 7-7. There is an LPN that comes in to work 11a-11p. This is the only time there is help assigned to to assist the RN in the ED. We do not have a triage nurse. Over all our department runs fairly smoothly, but there is many areas to improve on. I will be glad to help if I can. Just email me. Lisa

Is anyone having problems with getting tetorifice in the ER? Our pharmacist states there is some kind of shortage and what once a multidose vial of 10cc costed 28 dollars is now costing over 100 dollars. He says he has a hard time finding some for the ER. If that is true, I am not sure what we should do about patients that come in needing a booster. Any input?

We had a EP that introduced us to what we called the "Migraine Cocktail". O2 at 2lmp via nc Toradol 30 IV Compazine 10 IVP (some added to 250cc NS) Decadron 4mg IV 90% were relieved of the pain.... Now we have a new group of EP and some will give the Narcotics injection or IV and NO RX for pain.