BillEDRN

BillEDRN

ED, critical care, flight nursing, legal

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All Content by BillEDRN

  1. How do you treat involuntary holds?

    BillEDRN replied to New2ED's topic in Emergency

    There are essentially two types of involuntary holds. Those associated with psychiatric issues or those with temporary decisional incapacity, usually related to alcohol or other intoxicants. Either...

  2. why??

    BillEDRN replied to Maco's topic in General Nursing

    I have worked in many areas, but mostly ED. Many of my collegues who work in other speciality areas feel the same way: they wouldn't want to work anywhere else. I think you have to experience the...

  3. HIPAA violation?

    BillEDRN replied to ragingmomster's topic in Ob/Gyn

    HIPAA allows limited release of PMI to law enforcement. Ususally it is limited to name and general condition, but may include more. See here for additional info:...

  4. My First Subpoena

    BillEDRN replied to sfsn's topic in Emergency

    At the very least I would request a copy of the medical records to review and re-familarize yourself with the documentation. While reviewing your charting, you might consider doing so with the info...

  5. My First Subpoena

    BillEDRN replied to sfsn's topic in Emergency

    Ms. Kelly: I apologize if I have offended you with the inferrence of any profanity. I admit that maybe I was inartful in the choice of "that" word to describe the caustic and denigrating response I...

  6. My First Subpoena

    BillEDRN replied to sfsn's topic in Emergency

    Wow. Are you always this helpful to those that ask for clarification of the advice you give, or are you in general just an *ss? I'm not sure what got you so riled up, but I can assure you that I was...

  7. Safe Harbor/Unsafe Staffing Levels?

    BillEDRN replied to Bortaz's topic in General Nursing

    I am unfamilar with the term "safe harbor" as it is not common here. But, I assume that it documents an unsafe staffing situation. If so, I agree that it should be filled out for each and every...

  8. My First Subpoena

    BillEDRN replied to sfsn's topic in Emergency

    RN 1989, I help prepare folks (nurses as well as others) for deposition and trial testimony and think much of what you say is very good advice. I would add that I would wait to respond to questions...

  9. My First Subpoena

    BillEDRN replied to sfsn's topic in Emergency

    That's too bad. I have had to work with corporate counsel and risk managers on several occasions with multiple facilities as a staff nurse, and found that each time they were most helpful. I am sure...

  10. Male RN-assist with pelvic exams?

    BillEDRN replied to walnuttree91's topic in Emergency

    I have worked in EDs for over 20 years and I can tell you that women can be every bit as "bad" as men when it comes to sexually explicit comments, inuendos, and behaviors. I suspect that some of the...

  11. My First Subpoena

    BillEDRN replied to sfsn's topic in Emergency

    I suggest you speak to your risk manager and corporate counsel as they will be representing you. Assist them as well as you can and be honest. Depending on who subpoenaed you, the preparation may be a...

  12. The Great Double Standard?

    BillEDRN replied to Doog's topic in Men in Nursing

    I don't know about the state of nursing care in the UK, except to say that lots of your nurses are coming here to practice and not many US nurses are flocking to the UK. So, take that observation for...

  13. The Great Double Standard?

    BillEDRN replied to Doog's topic in Men in Nursing

    I wouldn't "force" care on anyone at anytime...however, I have told patients that I was the only nurse available to do the procedure so they could decide to have me do it or not. I find it interesting...

  14. What do ER Nurses look for in a PCT?

    BillEDRN replied to MrsGPR's topic in Emergency

    As a former ER tech and ER nurse, I agree with the above....good

  15. The Great Double Standard?

    BillEDRN replied to Doog's topic in Men in Nursing

    "I dont think I am missing the point." I hate to berate the point, but I think you are. The discussion was about why this form of discrimination is tolerated when other forms are so vehemently...

  16. The Great Double Standard?

    BillEDRN replied to Doog's topic in Men in Nursing

    While you are entitled to your personal opinions and biases, you are incorrect about your discrimination. It does not matter an iota if your response is an "emotional" one or not...it is still...

  17. The Great Double Standard?

    BillEDRN replied to Doog's topic in Men in Nursing

    Karen, It seems you miss the point of the discussion regarding what is "acceptable" discrimination and what isn't. Why is it that female nurses are not so accepting if someone says they don't want a...

  18. Legal Nurse Consulting

    BillEDRN replied to margoprn's topic in Legal

    Margo, Since you took the Milazzo course, what was your opinion of it? And, have you been able to capitalize on it so as to provide legal consulting as an independent contractor? Thanks.

  19. Needle sticks (Question for all nurses, esp those in ER)

    BillEDRN replied to Jedi of Zen's topic in General Nursing

    Besides treatment to prevent infection, it is extremely important to document ANY needle stick for purposes of any future claim that may arise out of a subsequent infection. What happens if you do get...

  20. Like Water Off a Duck's Back.........

    BillEDRN replied to VivaLasViejas's topic in General Nursing

    Anyway, I'm making like a duck with water running off its back: it doesn't affect me personally. No, thank Heavens, I've finally gotten past the fear of offending the great god Doctorus Medicus Ad...

  21. "At will employment" have you heard of this?

    BillEDRN replied to holdensjane's topic in General Nursing

    Actually, you are partially correct. As you correctly state, "at will" means an employer or employee may terminate the relationship at any time, without cause. The one caveat to that is that the...

  22. Nurses who DON'T work in a hospital, what do you do?

    BillEDRN replied to RNfaster's topic in General Nursing

    My knees didn't give out, but I have a few scars and myalgias after 20 years in emergency medicine, including pre-hospital, flight nursing, and hyperbarics. I also did a few cases as an ER expert, so...

  23. caring for Spanish speaking patients

    BillEDRN replied to Faith Eyer's topic in Patient Safety Issues

    Having family interpret is not, in and of itself a Healthcare Insurance Portability and Accountability Act (HIPAA) violation, and by the way, neither is giving basic medical information to family,...

  24. Specimen Mislabeling- Help!

    BillEDRN replied to sumas8's topic in Emergency

    My initial thoughts are in alignment with the other posters, in respect to the premise that your staff are probably too busy, and stretched too thin in regards to staffing. However, you must also look...

  25. Need Help FAST Please. RE: Inappropriate discharge

    BillEDRN replied to Monica RN,BSN's topic in General Nursing

    Get everything in writing and request something from the Corporate Counsel (the facilities attorney) noting that he is aware of the requests from administration and the instructions to perform...