canoehead BSN, RN

ER

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All Content by canoehead

  1. canoehead

    Help my wife got caught diverting

    Great, lets get everyone who has never used to pony up $600 a year so those that get caught feel better. That won't make your tests any cheaper. She will get her second chance, if she follows their...
  2. canoehead

    Do all nurses make fatal mistakes?

    I've made an error that could have killed my patient, but we pulled her through. About every five years I hear of a mistake, and the patient ends up dying, though there's usually other factors...
  3. canoehead

    Be honest, what pt behaviors do you find annoying?

    In the ER we get the near death patient to the trauma room, and family insists the patient is thirsty, and needs lots of warm blankets. He may not be breathing effectively, but by God, he'll die
  4. That was rude and uncalled
  5. canoehead

    No Parking, Yes Problem!

    The agency or family could pay your taxi chits, if they want you bad
  6. If the patient wants to go, you don't have to help them. Yes, remove the medical equipment, but you don't need to assist them with dressing, call them a cab, or get them a wheelchair. It's not...
  7. canoehead

    Hate my new hospital culture 2 days in, is it me?

    I would have to go elsewhere, pay be
  8. canoehead

    Everyday Nurse problems

    New efficiencies tend to make things easier for other departments, but slow nursing down. Scanning meds, printing off chart sheets with the patient's name instead of just grabbing the form, its all...
  9. I would thank my lucky stars for a psychologist on the unit to give extra support to families, or help us care plan and stay consistent. I would never divulge my own issues to someone at work. Ever....
  10. canoehead

    Reported a nurse aide...

    Hold your head up. You reported something that needed to be reported. You did your job. I think that if you feel something is important enough to report you need to own it. Be willing to talk with the...
  11. canoehead

    Everyday Nurse problems

    We are supposed to scan armbands to identify patients, and they don't scan about 50% of the time. So we bring a sticker with a barcode to the bedside, or scan the chart before entering the room- which...
  12. canoehead

    Irritated MDs: to SBAR or not to SBAR?

    The original physician was a passive aggressive douche. Why didn't he ask you questions rather than complaining to the charge nurse about it? Why didn't the charge nurse recognize that, and tell him...
  13. canoehead

    Verbal order-Denied by resident

    I was in a situation with a resident where he wrote an order, and then denied that he had asked me to give it. There were a lot of ins and outs about the situation, but I was blamed for following what...
  14. canoehead

    ED nurses more educated than other specialties?

    We have to maintain a LOT of certifications. I have no problem with continuing education, but once you hit twenty years of BLS, and ten of ER nursing, either you got it or you don't. I'm starting to...
  15. canoehead

    ESI question

    I would also have made her a 1. If I am unsure that they will survive from triage chair to trauma room, they get a 1. I don't 1 for severe pain, or for febrile neutropenia, though some folks suggest...
  16. If I'm required to be at the hospital, they are required to pay me. That's labor law. They might be able to get away with on call pay, depending on the circumstances. In my opinion (not labor law), if...
  17. Don't give her report until you are finished with the MAR and the charts. Since she's coming in late, you should have lots of time to finish. Hassling over who does what task is nitpicky. You do a...
  18. canoehead

    this is why I want to call off on my last day

    Go for your last day, but do nursing the way you want to. No scripts, no Q15min documentation. Spend time with the patients, and if you get an admit during the last hour, tuck them in and leave the...
  19. canoehead

    Breaching StaRN Contract

    If they want you to sign a contract, that's a great time to add all your concerns about floating, ratios, breaks, mandating, and whatever else you can think of to protect yourself. Get all those...
  20. A $57 000 budget? Well darn, expand that program to the next
  21. I recently had to stay off work because of illness, and returned with a lift restriction of 30lb that would basically last forever. Occupational Health got the physician report and put me back on full...
  22. canoehead

    Suicide

    I have been there, on both sides. When I made the decision to kill myself, more than 25 years ago, it was a huge relief of stress and pain. I knew I had nothing more to worry about. I even went to...
  23. canoehead

    Children in ED when parent is patient

    We have a patient that comes to the ER monthly (or close to it) and brings his dog. EHS loads them up and drives them in because the patient has fits about having no one to care for the dog. He also...
  24. canoehead

    Paying to travel to other hospitals

    In Canada, if you were hired as a one hospital RN they can't make you change the job description or terms of employment (like take a 2 (or more) hospital assignment) without your consent. If you do...
  25. canoehead

    Hand Hygiene-PO Medications

    If a med cup makes things easier, just get the little condiment cups, and wash them between med