MikeyBSN

MikeyBSN

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All Content by MikeyBSN

  1. thinking about working as a volunteer emt

    MikeyBSN replied to EwokRN's topic in First Year After Licensure

    IMO, it's not an issue of the state BON. The BON investigates and responds to serious allegations of professional misconduct. In my experience, no BON would care about why you left a job at a LTC...

  2. New RN, First Job and SCARED!! Help

    MikeyBSN replied to GEM27's topic in First Year After Licensure

    What kind of job did you get? Is it at a nursing home? In a hospital? Those details help. If you are worried about med errors, there are a few good tips to go through but they depend on where you...

  3. Anyone have good resources for charting?

    MikeyBSN replied to shell1206's topic in First Year After Licensure

    Let me know if you find a good book on the subject, as I have never found any truly useful information. Let's face it, a major point of charting is for legal purposes. Although we want good...

  4. TNCC or CEN for new grads?

    MikeyBSN replied to mursecasey's topic in Nursing Career

    As an ER nurse, I am on the fence about your question. I think that, without a doubt, a new grad would have a leg up if he had ACLS, PALS (if your ER does peds), and of course BLS. However, I...

  5. what to put in "desired salary" box when selection is required?

    MikeyBSN replied to janice_c67's topic in General Nursing

    Nothing, if you want the

  6. ER nurse to patient ratio

    MikeyBSN replied to MGHERRN's topic in Emergency

    We are 6:1 in a trauma center which is way too much. We often hold critical ICU and CCU sections and then have all of our other patients. Completely ridiculous and unsafe. At one time it was not so...

  7. ED Safety: Assaults up, drug calls up, security down

    MikeyBSN posted a topic in Emergency

    Safety has always been a concern where I work and it is becoming more and more of a pet peeve issue for me. Even the national media is reporting that assaults against ER staff are on the rise. The...

  8. ED Safety: Assaults up, drug calls up, security down

    MikeyBSN replied to MikeyBSN's topic in Emergency

    i agree. unfortunately our police department does not enforce much of anything, and in my state you can't even own an antique gun without a permit. even if you own one you could never, ever, under...

  9. ED Safety: Assaults up, drug calls up, security down

    MikeyBSN replied to MikeyBSN's topic in Emergency

    I understand your view and I'm not disagreeing with you that personal safety is a personal responsibility, but it isn't and shouldn't be entirely your own responsibility. Yes, some laws are "feel...

  10. when to call a code

    MikeyBSN replied to kxvc's topic in Emergency

    We don't "call codes" on our ED, but I think you did the right thing. You needed help and the patient was in danger of coding, so calling a code will get everyone to the bedside quickly and prevent a...

  11. What Are THE Major Pediatric ER Points

    MikeyBSN replied to All4Seasons's topic in Emergency

    I agree with all of the above, and I have a few additional practice tips. I would also like to stress PALS and ENPC if you are working in the ED with kids. Breathing is going to be your number one...

  12. What is your Nursing Kryptonite?

    MikeyBSN replied to Lunah's topic in General Nursing

    I had a young 20 something yo guy once who was paralyzed by a GSW and had been living by himself. He had stage 4 ulcers all over his thighs and buttock. I think there were more holes than flesh...

  13. What is your Nursing Kryptonite?

    MikeyBSN replied to Lunah's topic in General Nursing

    It sounds strange because I'm good with just about anything, but what I absolutely can't take is the common horrible "feet" smell from homeless people. That's the only thing that ever gets to

  14. Glucose Levels

    MikeyBSN posted a topic in NICU, Neonatal

    Hi, I was wondering what glucose level would be considered "critical" for a 4 day old, and what would be normal. I have seen conflicting information.

  15. Glucose Levels

    MikeyBSN replied to MikeyBSN's topic in NICU, Neonatal

    Thanks, that is about the range I keep seeing, but so many people in my ED disagree with me that I'm starting to think I'm completely wrong, crazy and in

  16. Things you'd LOVE to be able to tell patients, and get away with it.

    MikeyBSN replied to AngelfireRN's topic in Patient, Colleague Relations

    One of our nurses told a woman who requested a made-to-order meal that the emergency room was not McDonalds. She got in

  17. chickenpox immunity

    MikeyBSN replied to rnto?'s topic in General Nursing

    Most people have lifetime immunity, but if you don't have your records then your employer will likely ask for

  18. Did I do the right thing?

    MikeyBSN replied to edrn09's topic in Emergency

    This is a tough call. As for leaving with an IV, we normally notify police but I cannot say with certainty that this is sound policy. I don't agree that it is "stealing" hospital property, but it...

  19. Dream Job as an ED nurse BUT I'm a new grad SO I need advice....

    MikeyBSN replied to PatiencePlease's topic in General Nursing

    I got a job in the ED after nursing school and have done fairly well for myself. The ED is more difficult than other areas so managers are reluctant to hire without experience. I know you don't want...

  20. Prescription fish oil? You have got to be kidding me!

    MikeyBSN posted a topic in General Nursing

    I thought this was a joke or some rouge gimmick company in an infomercial, but I just googled this and learned it's a real "drug" made by GlaskoSmithKline. This is "purified" fish oil that GSK...

  21. charting resting with eyes closed vs "asleep"

    MikeyBSN replied to smartnurse1982's topic in General Nursing

    I don't like writing that a person is "sleeping" or even "resting with eyes closed". Luckily, I work in the ED and most of my patients do not sleep. In the morning if I get endorsed patients I...

  22. Triage

    MikeyBSN replied to JOErotorRN's topic in Emergency

    We have a triage competency that everyone must go through. The triage nurses use an algorithm to send people to the main ED or minor care, and assign their acuity. The triage nurse can also start...

  23. Sketchy propofol dosing

    MikeyBSN replied to canoehead's topic in Emergency

    It is against my hospital's policy to administer propofol on non-vented patients. We had the policy in place long before Michael Jackson understood why. I do administer diprivan to my vented...

  24. What's your average nurse to patient ratio?

    MikeyBSN replied to loricatus's topic in Emergency

    We have a 1:6 ratio and, with the exception of trauma and minor care, our ED is not divided into sections. Personally, I think it is too much but it is better than the 8+ we had at one time. I think...

  25. What's in your pockets?

    MikeyBSN replied to tokmom's topic in General Nursing

    R upper cargo shirt pocket -Trauma Sheers R lower cargo shirt pocket -tape (the good clear kind, not that paper crap) L lower cargo shirt pocket -alcohol pads L upper cargo shirt pocket -1 black pen;...