pm2rn

now that i say it out loud, thought same thing. good laugh.

thank you

I am looking for a healthy drink or shake to use during those days that never end. No time for breakfast and lunch never happened. Have small blender at work, but can't find anything that sustains me. Any input is much appreciated .

I have anal glaucoma. I can't see my *** coming into work today.

there was an article last week that student loan dept turned a profit last year. spent all year battling prostate cancer and trying to work. took tax return. Had surgery that went bad. Currenting under cancer radiation tx and they went after payroll deduction to collect. I could appeal but that takes 2-3 months. they are unreal.

indiana

big debate in ER today. 16 y/o preg in for general flu-like sx. Is she emancipated because she is preg or do you still need mother consent? I called mother anyway to cover myself but brought up debate. thanks.

having hard time finding men's scrub tops. 5'11" 240 gym rat. any ideas?

i could care less about punching "no lunch". have never done it, it's the principle. work 12 hour shift with no lunch. watch charge nurse go home after 8 hour shift or pt complain about their lunch. don't want to cause fuss and get bad name but this is getting out on control. brought it up last year in 3 unit meeting with two seperate meeting with unit manager. any thoughts. worried about getting bad name.

Dealing with "no lunch" alot. Unit manager says it's an ER, sorry. There is no system to allow for lunch like flex or float RN. Unit manager just blows us off. I know some days are too busy, but between call backs and STD/culture call backs never get lunch. Starting to **** everyone off our "lunch" is last on list of "things to do". any ideas or thoughts?

what is the difference between a shelf or at side of computer. pt is eating their chips and drinking their mt dew while i am starting the iv anyways. Where's JCAHO then?

so the powers upstairs have now put out a policy stating we are no longer allowed to have any drinks at the nurses station. They claim it is a "work pt area". We have to keep all drinks in the break room. Like 12 hours are enough, now no drinks. How are pt's allowed to eat and drink in their room then? just a thought.

What is the best to handle the BS of ER and the repeat offenders. Is there a new book? I don't want "who moved my cheese" crap. Do you sing barnie songs in your head? do you go to a happy place in your head? I want to tell them where they can go with there complaining and narc rx begging/work notes. It seems the more i try to ignore the crap the more insane it gets. Come to ER for hair loss today and complained about waiting on sunday night, but management kisses their butt which makes it worse. It just seems to be getting out of control. I have seen alot of senior nurses burnout of this and trying to prevent it. Any help would be welcomed. Willing to try anything.

Having a hard time lately in ER with pt's and their attitudes. Seem lately pt's have gotten louder and more stupid with confidence. They abuse the system and ***** at the same time. Why do i have to wait on a Friday night for knee pain x months. Charge nurses and management cater to them and kiss their ass, so afraid of the almighty bad survey. Finding it hard to not go "off" when they start ********. Thought about going to different dept. Love the ER but don't want to lose job. Any thoughts or ways you guys deal with this.

call backs for us is when you call the pt to see how there visit went and so on. I am afraid of that person not wanting anyone at that home phone knowing they went to ER. what if it's a message machine and there is caller ID showing ER. Just don't like it.

We are now doing call backs in ER. Feels like a huge HIPAA violation. Is it? Do you leave a message? I don't feel comfortable doing these. Any remarks?

just stating what picc line tech told me. thanks for the update.

some new picc lines are short and do not go all the way to heart now. don't need x-ray after. saw my first one last week.

yes. 72 hour hold.

had episode in ER today. Can you EDO a drunk person who makes statements about harming self? What if a (only) drunk person wants to leave ER, can you hold them or do you let them walk out into street? Risk mgt says you can not EDO drunk person until sober and call cops when you let a drunk person leave, but try hard to talk them into sleeping it off (SIO protocol). any thoughts?

has anyone ever got into trouble doing a funny blog or book about the stupid people we deal with and dumb stuff people say? i know better than to rip the hospital at which i work but just funny stuff. Guy came into ER for hair loss kinda stuff.

great comments, thank you, contacted cath lab and surgery today.

It might be me, but i am getting fed up with all the drug seekers and stupid patients with all their compliants about warm blankets and ice chips. ******** about waiting 2 hours on a friday night for their knee pain x 2 months. I routinely catch myself asking myself "what are we doing here?" . Who cares about medicine, it is all about getting your dilaudid and rx for norco to go home with. We now call it PTI, promoting the ignorance. I have been in EMS as a Paramedic/Firefighter for over 20 years and an RN in ER for 5 years now but the recent increase has me hitting my head into the wall. It is all about the survey and the way managers cater to them is nauseating and downright disrespectfull to the staff. Every compliant no matter how ******** is investigated and you must write down your version in response. I got a compliant last week from a "migraine" twice a week ER patient while i was in the other room with a head injury we were flying out. It is everywhere and not just at my hospital. I am afraid this is going to make me change dept. I don't see this changing anytime soon. Any help would be great or I just give up and transfer departments. thanks.

maybe "overdose' is too strong of a word. we have the system to monitor RX given to the pt. But if a pt is a known pill seeker and we con't to give them RX norco/lortab etc aren't we part of the problem. Nothing "unethical" going on but maybe not the best course of action. keep seeing report of the increase of RX overdoses and see how far ER's go to maintain good survey numbers.

Do we as nurses in the ER be held accountable for the recent rise in RX meds overdose. I know the doctors write the RX but we give it to them. I see the same people every week yelling if they don't get their lortab/norco. my hospital ER gives it out like tic-tacs due to increase in survey numbers. just wanted to hear everyone's thoughts.