LerRN95

LerRN95

Member
  • Content

    47
  • Visitors

    1,954
  • Followers

    0
  • Likes

    1

All Content by LerRN95

  1. Spanish Anyone?

    I have been trying to learn Spanish to help talk care of my Spanish speaking patients more effectively. However, I can't seem to find an appropriate reference book to help me. Does anyone know of one that is geared toward the medical profession. I w...
  2. ER Documentations

    During our JACHO survey, we were sited for not using Pain Management scale on our assessment forms. We were aware that we needed to update these forms. The DON and I want to have an assessment form according to complaint. The ER physicians use someth...
  3. Jcacho Survey

    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 boar...
  4. whats your nurse pt ratio for ED?

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

    I am an ER Nurse Manager and I was wondering if any other nurses coded their own charts? My hospital have my nurses doing this, as if they had the time. I have tried to get them to hire a coder just for the ER, but that just went out the window. Als...
  6. E/M Coding

    Thanks! I would appreciate ANY help I can get.
  7. Annoying ER doc's habits

    I also work in a rural hospital 4-7 bed (7 at night) We have one regular doctor that does this and he was the ED Physician's Director until recently. He would order labs, xray's IVF over the phone for my staff to "babysit" so he could get sleep. Then...
  8. Spanish Anyone?

    Hmmm, I never thought of that. But I don't think they will have anything just "medically" oriented. But thanks. I will go look.
  9. Spanish Anyone?

    Well, I do know a little more than that, so I guess I shouldn't feel so bad.:roll
  10. lpn's in ER

    I have two LPN that work in our ER. They work from 11a-11p when it is the busiest. They are experienced nurses and I perfer them over calling some RN's from the floor for help in most situations. They do not all lack understanding of EKG's ect. These...
  11. Cen

    I just took my CEN in January (and passed) It was the hardest test I ever took. Made my boards looked like a piece of cake. What helped me the most was doing questions. I bought several test books . I took all the test. What I didn't get right, I stu...
  12. EMS Abuse

    We have three ER physicians that will just come out and tell these kind of patients that the ambulance ride was not neccessary and that they can cause harm to someone else if they really needed the EMS and they were tied up with a call like yours. Th...
  13. I never realized we are all in the same boat!

    ....the frequent migraine headache that is cured after five minutes of their DOC is administered... ...the non-working mother that brings her 2 years old out in the snow and cold at 4 am for impetigo of the head x 2weeks.... ...the non-emergencies th...
  14. Are You Board Certified?

    Well, I am proud to say that I just passed my CEN (Certified Emergency Nurse). I went to a review course and read thur the core corriculum. But what helped me the most was doing all those sample test question.
  15. EMS Abuse

    As an EMT I had several "abuse calls". As an ER Nurse, I still get to hear about them or witness them. Most recently being a patient drove herself to the ER and demanded the registration clerk to call her an ambulance to take her to another hospital.
  16. Anthrax in the ED

    We have also received updated information from the CDC. Very informative...I have even sent the information to my non-medical friends......
  17. Anthrax in the ED

    We have just started gathering information to set up policies and procedures. Haven't started getting calls yet, but our EMS did bring a patient in last week that had just left Florida, passed out at the Subway. Patient told the EMS that he had "Flu-...
  18. Team Nursing with Paramedics........

    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 th...
  19. Oxycontin abuse/ pain management

    What kind of information are you looking for? We have alot of patients coming in our ER that are on Oxy and they have ran out. The ER doctors refuse to refill any of this medications. They give them a shot and tell them to contact their physician th...
  20. Sacrifices for Freedom

    (((((cebo64))) AMEN!!!!!
  21. nurse:patient ration in the ED

    [. Who is the triage nurse? ME Who takes the cardiacs?ME Who takes the GI bleeds?ME. WhO Takes care of the phych case who is threatenining everyone, well I hope I get the haldol there fast enough.. Now the Amb is back with the last patient who seem...
  22. recruitment & retention best practices

    What makes you work at your current facility versus somewhere else? [/b] This is my hometown. I love working with people that I know. I don't care about the big city environment. Just a southern county girl is what I am. :)
  23. tar removal

    Mayonaise. (Did I spell that right?
  24. ID bands

    We use arm bands as well. Before we got an automated system, we has to hand write them. Needless to say that that was rarely done, except when the patient was admitted. We still don't use them 100%, but it is better. :-)
  25. recruitment & retention best practices

    Our CFO and DON did research on hospitals the size of ours and the pay scales that they were using. Found out that we were well below average and they increased everyones pay accordingly. Not just nursing. They did this because we were losing people...