MassED BSN, RN

ER

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All Content by MassED

  1. MassED

    MD/NP in triage?

    MassED replied to Dixielee's topic in Emergency

    where I work, they just instituted this new plan, having PA's and NP's do a screening, and then deciding what they need as far as labs and tests. Then they either scoot them to the Main ER waiting or...
  2. MassED

    Manager charting and my documentation missing!?

    MassED replied to ladylikeRN's topic in LTC: Directors, Assistant

    I wasn't DOUBTING you, it's just a load of BS and I'd get out of there - if they'd tamper with a medical record, they're not above doing
  3. MassED

    Manager charting and my documentation missing!?

    MassED replied to ladylikeRN's topic in LTC: Directors, Assistant

    that is just sad.... that's what the medical record is supposed to be for. Also this is your own hand written record, not making copies of the person's chart and mailing it, is
  4. MassED

    Watch for murder mystery titled 'Camp Nurse' based on my weird experience

    MassED replied to FireStarterRN's topic in Camp

    where did it say there was a "Meth lab" in OP? I read "drug use" but nothing about cooking up
  5. MassED

    should i just quit?

    MassED replied to iheartnurses's topic in General Nursing

    I am sure I would hate ICU. I love working in the ER, since when you have a particularly bad patient, you know they will either be admitted soon (usually not too long for most) and you can erase it,...
  6. MassED

    Manager charting and my documentation missing!?

    MassED replied to ladylikeRN's topic in LTC: Directors, Assistant

    how can notes be altered or removed - it is tampering with a permanent record. Illegal. How can a DON come in and decide how something could be written, or added, just to CYA.... I could never work...
  7. MassED

    Manager charting and my documentation missing!?

    MassED replied to ladylikeRN's topic in LTC: Directors, Assistant

    Maybe I'm just not understanding, but why are you and another poster saying to "mail yourself a copy?" Why not just keep the information for future reference if called upon...? The original notes...
  8. MassED

    Can i work out while in nursing school?

    MassED replied to NursingStudent-Tati's topic in General Nursing

    I had a new baby when I started nursing school - class is like a job, usually 5-8 hours a day. After class, I would go on the stair master and read my book before I went to pick up my son from the...
  9. MassED

    should i just quit?

    MassED replied to iheartnurses's topic in General Nursing

    what area are you working in?? That might have a lot to do with
  10. MassED

    thoughts on only Paralytic while intubated....

    MassED replied to MassED's topic in General Nursing

    I had never experienced working with any doc in the ER who has only paralyzed - prior to this
  11. MassED

    thoughts on only Paralytic while intubated....

    MassED replied to MassED's topic in General Nursing

    or... perhaps when he saw the urine tox that he felt like providing additional meds would worsen his condition? Beyond the paralytics?? The docs documentation didn't have anything in there regarding...
  12. MassED

    thoughts on only Paralytic while intubated....

    MassED replied to MassED's topic in General Nursing

    this was a learning moment for me as
  13. MassED

    thoughts on only Paralytic while intubated....

    MassED replied to MassED's topic in General Nursing

    I do not know exactly as he presented to the ER. Was he breathing at all? Was he cyanotic? How about arrival VS - NOTHING documented!!!!!!!!!!!!!! The EMS notes were not painting a good picture...
  14. MassED

    thoughts on only Paralytic while intubated....

    MassED replied to MassED's topic in General Nursing

    the charge nurse was the one who went and got the doc the first time, when I couldn't leave the room to get the doc. So I'm getting the impression that is all he was willing to provide to her at the...
  15. MassED

    thoughts on only Paralytic while intubated....

    MassED replied to MassED's topic in General Nursing

    that's a good point, and possibly what this doc was operating with.... though his BP was around 190/120 most of the time... perhaps the ER doc wanted the intensivist to sort it out without adding too...
  16. MassED

    thoughts on only Paralytic while intubated....

    MassED replied to MassED's topic in General Nursing

    Thanks for the comment. This doc is from the UK... but has been here a bit. The thing is, I know the doc has MS, so I don't know if that's influencing his practice at all. ?? I assumed care for...
  17. MassED

    L&D nurse is calling formula poison!!!

    MassED replied to hotmama2be's topic in Ob/Gyn

    you breastfed as long as you could, now you're on the formula. They are better now than ever (formula) - your mom needs to relax and give you a break, and knock that crap off. It is NOT
  18. MassED

    thoughts on only Paralytic while intubated....

    MassED replied to MassED's topic in General Nursing

    oh, god... this guy's hx: (at about 30 yrs old too) MI, COPD, HTN, Crohn's, Depression... I think that's it. I can only imagine the stress... that would be the most horrific experience - like a...
  19. MassED

    thoughts on only Paralytic while intubated....

    MassED replied to MassED's topic in General Nursing

    I did write a note similar to that -"MD notified of movement, biting tube, Norcuron 10 mg ordered and administered." I know he wanted the guy to get up to ICU, but I explained to him that I couldn't...
  20. MassED

    thoughts on only Paralytic while intubated....

    MassED replied to MassED's topic in General Nursing

    thank you - just reinforces from a patient's viewpoint. I knew he'd hear me, so I continued to talk to him and tell him the vent was breathing for him and not to bite, etc. But no amount of...
  21. MassED

    Saudi Arabia - Good Idea or Not

    MassED replied to 43RN20's topic in General World

    they're probably treated like princes, as the males are in that
  22. MassED

    Saudi Arabia - Good Idea or Not

    MassED replied to 43RN20's topic in General World

    sounds utterly and completely perilous, hopeless, confining.... and that's for the patients - and for the nurses who choose to go there... you'd really have to question why. Why give up basic...
  23. MassED

    thoughts on only Paralytic while intubated....

    MassED replied to MassED's topic in General Nursing

    that's a good question - I don't know if that is common practice here, as this guy was really tough keeping him under for the vent so I had to go back and forth to the ER doc to request more meds....
  24. MassED

    ER vs. Telemetry.. need help

    MassED replied to abbabask's topic in Emergency

    you'll do fine - I'd go for it. Only you know yourself, not us. It sounds as though they'll prepare you well, and I'm sure you'll find a great mentor for when things get hairy. Good
  25. MassED

    ER vs. Telemetry.. need help

    MassED replied to abbabask's topic in Emergency

    do what's best for your family, especially while your little one is so small. Once you've stepped in the ER, you can go anywhere. I have worked with others who love 3p-3a.. I have worked 9a-9p,...