rgroyer1RNBSN

rgroyer1RNBSN BSN, RN

ER/SICU/Med-Surg/Ortho/Trauma/Flight

Member

  • Content

    395

  • Visitors

    6,866

  • Followers

    0

  • Likes

    5

All Content by rgroyer1RNBSN

  1. Question about Phenergan and tachycardia SE...

    rgroyer1RNBSN replied to zamboni's topic in Emergency

    I like to give it as an IV-PB also, but If you cant do this I also like to dilute it in 20 ML, push it slow from high in the line and I like to like titrate it I give half first 12.5 then another 12.5...

  2. Help! The ER "Bully" got me!

    rgroyer1RNBSN replied to Party-of-Five-NY's topic in Emergency

    This is unacceptable! Im a Nursing House Supervisor, this would be enough for me personally to write her butt up! She should not have did this in public, and she oughtta be happy Im not her...

  3. RN vs. PA

    rgroyer1RNBSN replied to TraumaNurseRN's topic in Emergency

    I have a problem with them, Im a house sup., but my problem is I have alot of PA trainee's who are under mine and the physicians watch on a certain shift, and I have one in particular, who will...

  4. How do you treat headaches?

    rgroyer1RNBSN replied to Anagray's topic in Emergency

    Uor PCT's do some of that stuff but no meds, they are taught how to start IV's but only hep. locks, no fluids and thats only if there really the last resort eg-no RN's/LPN's or paramedics on floor....

  5. How do you deal with Non-Urgent Patients

    rgroyer1RNBSN replied to mom2michael's topic in Emergency

    I agree with critter over press gainey, they were made by the devil to torment us, like we keep getting ones with the complaint we didnt give them the pain meds they wanted, I say we put candy dishes...

  6. Question for ER nurses?????????????

    rgroyer1RNBSN replied to ValkyrieRN's topic in Emergency

    We get a whole extra $3.00 an hour for all period, no multiples, a special dinner once a year, and the oppourtunity to get stuck as charge. Me, well I got stuck as house sup. for ER and SICU, which is...

  7. Rapid Response Team and Families

    rgroyer1RNBSN replied to Grumpy's Girl's topic in MICU, SICU

    Dinith, I dont think shes stupid at all, she should have just paid more attention, thats all, for gods sakes shes new anyway, and I work at a very distinguished level 1 trauma facility in St.louis, Im...

  8. Rapid Response Team and Families

    rgroyer1RNBSN replied to Grumpy's Girl's topic in MICU, SICU

    Well my team had a family initiated call today. The patient was diophoretic, cp, sob...etc..etc, well the flor nurse told the pt. and family it was anxiety, so the pts. family called are rrt, being...

  9. Does anyone work at the University of Iowa hospital?

    rgroyer1RNBSN replied to nurse_runner's topic in General Nursing

    Runner it should'nt be that hard to get just straight nights, Im a Nurse manager of one of the SICU's at Barnes-Jewish hospital, and Im always hiring night shift nurses and generally, most nurse...

  10. how many nurses did not like being a CNA?

    rgroyer1RNBSN replied to dari98's topic in General Nursing

    I was an Cna and an Lpn first, and bless them all, maybe shell change and learn to love it. P.S.- the nurses who just sit oughtta be written

  11. Peripheral IV lab draws

    rgroyer1RNBSN replied to kimmie518's topic in General Nursing

    Im a nursing supervisor in a level 1 trauma center and at a small community hospital also, I supervise ER's and ICU's, I also work ortho and sometimes peds, Im mainly the house supervisor at nights...

  12. ICU Nurses: How many of your patients actually get better?

    rgroyer1RNBSN replied to AZO49008's topic in General Nursing

    I agree with brett, I work in SICU, were we get all the trauma pateints, patients with surgical complications, and patients that have had major operations, alot of them get better some dont, but its...

  13. Do any of you have MA's in your ER ?

    rgroyer1RNBSN replied to time4meRN's topic in General Nursing

    I only use RN's, LPN's, PCT's (usually in er though we call them EDT's emergency department technicians.), and emt's Basic and paramedics. I would hire some MA's but they would only be utilized as...

  14. Rationale for PO Vicodin in ED?

    rgroyer1RNBSN replied to Melina's topic in Pain Management

    He might not of had access, I know we dont do labs on simple FX's, Im one of the er and sicu assistant NM's and supervisors, and generally for an uncomplicated fx all we do is give a po pain med, or...

  15. Critical care/trauma CNS?

    rgroyer1RNBSN posted a topic in MICU, SICU

    Hey guys I have been thinking, about going back to school for my masters, and I want to be a critical care nurse specialist or trauma clinical nurse specialist, does anyone know about either like what...

  16. Too anxious for SICU? (long)

    rgroyer1RNBSN replied to ggfifirn05's topic in MICU, SICU

    I know what your going through, Im a sicu NM, I experience this same problem with alot of older (no offense) nurses, who havent been in nursing that long, now I started in er and trauma so I wasnt so...

  17. Opinions Needed: Straight to RN or LPN first?

    rgroyer1RNBSN replied to flynntastic's topic in General Nursing

    I was an LPN first, before I became an RN, and there are jobs out there for LPN's, the thing is its what you want to focus on, RN school is more about theory and bookwork, and LPN school is more about...

  18. What is your BIGGEST pet peve about school nursing ?

    rgroyer1RNBSN replied to Keepstanding's topic in School

    Ok you think this is bad you oughtta go over to er nursing and read ours, glo I have the same problem in the er with the demerol people, I have a pet peeve of school nurses who like to send me kids to...

  19. IM Versed at school

    rgroyer1RNBSN replied to Mahalo00's topic in School

    Yes I agree with you wtb, but I would think there would need to be alot of training if an unlicensed person is going to have to use it in this situation, and there needs to be one or two specific...

  20. Activities in the clinic

    rgroyer1RNBSN replied to Keepstanding's topic in School

    Hey I have a problem I want to ask you all, I am a nursing supervisor in an ER, well Im having problems with a paticular nurse at a paticular school, IM not kidding either, this nurse has a habit of...

  21. IM Versed at school

    rgroyer1RNBSN replied to Mahalo00's topic in School

    All I have to say is Ive been an er nurse for awhile now, and if you do this you better have o2, IM or IV romazicon, Intubation equipment to establish an airway, and a phone to call ems available, I...

  22. Non-RN ---> Flight Nurse?

    rgroyer1RNBSN replied to SDSoccerChick32's topic in Flight, Surface Transport

    I agree with FLTRN and GILA, there are no shortcuts and you should take as much time as needed gaining the valuable exp., I work flight sometimes but Im the Nursing supervisor of a level 1 trauma...

  23. Why is it so bad to be an LPN ????

    rgroyer1RNBSN replied to hair_tie's topic in LPN, LVN Corner

    I became an LPN first and it was the best thing I ever

  24. What's your fav general use stethoscope?

    rgroyer1RNBSN replied to chaxanmom's topic in Scrubs, Uniforms, Gear

    I have a nurse mates dual head cheap and it works great, I alsohave a sprague lite it works wonders its a sprague but its a single tube and its cheap, I also have a littman cardiology 3 I got for a...

  25. Pressors and Sepsis

    rgroyer1RNBSN replied to CraigB-RN's topic in MICU, SICU

    We have specific protocols for this at my hospital and generally there already started in