canoehead BSN, RN

ER

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All Content by canoehead

  1. canoehead

    Improved Trauma/Code Response

    This is very helpful, we are looking at not calling a code in the ER, we usually have enough staff, and we know where everything is. I expect that will make life
  2. canoehead

    Work refuses call out?

    Look up the facility's sick time policy, and the supervisor has to abide by the facility policy. If you HAVE sick time, you are allowed to call out sick. Some people will question you mercilessly, and...
  3. Buy your house knowing that you’ll HAVE to get out during Winter storms, get the best snow tires you can afford. Get 4WD in your next vehicle if possible. Pack a shovel, salt, warm clothes, snacks,...
  4. With a transfer to the ICU, the physician makes contact with the family, in all the hospitals I’ve worked
  5. canoehead

    Any other Nurses suspecting agency scams?

    I wouldn’t even answer inquiries with broken english, unless I was ready to move to their country. If a company has first contact with potential employees and they can’t communicate, it’s a...
  6. canoehead

    What to do about DNP and flu shot?

    In Canada, personal healthcare decisions are not mandated by your employer. It was litigated in BC, specifically around flu shots. Have you thought about moving? I believe in flu shots,...
  7. Write a letter to your supervisor detailing your concerns. If they keep her on, you’ve had your
  8. canoehead

    Cutting myself short?..but trying to make the best

    If you are bored in any ER as a new grad, you aren’t paying
  9. canoehead

    Systematic abuse of patient rights.

    If the patient challenges the hospital, saying they were under the influence when they signed, they may not have to pay. On the other hand, given the meds used to get through detox, and any other...
  10. Facepalm! It happens to everyone. If an IV is bad, just take it out at the time. Before you put the next one in. You or someone else could infuse into the bad IV, or you could remove the good on...
  11. canoehead

    How is Patient satisfaction measured in a comatose patient?

    The family will fill out the
  12. canoehead

    Reaching out to a deceased patients family

    I suggest making out a sympathy card, addressing it, and handing it to your manager, asking her to read and send it if
  13. canoehead

    Paperwork or punches?

    THREE MINUTES???? Get out of my ER. Your administrators arshole is tied tighter than a surgeons knot. What does one say when called into the office for something like
  14. canoehead

    Delaying of abx

    This is not a mistake. Maybe someone else would have done things differently, but just locking the line thinking they would need to have contrast is reasonable. Yeah people could pile on and make you...
  15. canoehead

    post COVID chaos??

    Make repeated and detailed reports of your shift in emails to your boss. Make sure your concerns are on record, and you'll be able to look back and say they are aware of the conditions if anything...
  16. canoehead

    Patient-Police Statements

    About 12 years ago in Maine I was the only nurse working a 7 bed ER. An intoxicated patient was brought in by police to be treated for injuries...a few hours later released into police custody. They...
  17. canoehead

    Preceptor is a bully....

    The unit staff knows darn well when they have new staff assigned to a crusty or ditzy preceptor. In my experience you get big points for being able to work with the challenging preceptor and learn...
  18. canoehead

    NICU babes dress-up for Halloween

    I’m too crusty as well, but if it makes someone else happy, go to it. I feel that way about unit decorations too. So long as I don’t have to clean it up, I can live with
  19. canoehead

    1-2 weeks pregnant

    I’m working in the ER, and get women coming in regularly claiming to be 1-2 weeks pregnant. They want a confirmation pregnancy test. Call me mean, but it just gets my goat that pregnancy test kits...
  20. canoehead

    Forced to Return to the Floor

    I recommend you look up the term "constructive dismissal" and consult a lawyer. I don't think they can change the terms of your employment so drastically without your consent. They'll definitely tell...
  21. canoehead

    IV insertion practice needed

    In hospitals where I worked you could speak to your manager about doing a morning in day surgery, and spend your time just putting in
  22. canoehead

    SI patient

    If a patient knows they are going to the ER and wants to hide something, you won't find it. I think we need to put more emphasis on building relationships and openness with our patients instead of...
  23. As long as the POA isn't activated, we have to respect the patients wishes, even if we think they are making the wrong decision. Once the doc comes in if we ask the patient again, or word it...
  24. canoehead

    A day in the life of Infection Control

    Every infection control nurse on the planet has had a breakdown in the bathroom in the last few months. That just means you care, and youre doing a good job. Hang in
  25. I hate floating, you just get on top of your assignment, and they move you to another floor for four hours to figure out their pit of hell patients. I want to know where I'm going and know that that's...