rgroyer1RNBSN

rgroyer1RNBSN BSN, RN

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

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All Content by rgroyer1RNBSN

  1. Anyone started an unskilled, private pay home health agency/service/business?

    rgroyer1RNBSN replied to BA.LVN's topic in Nurse Entrepreneurs, Innovators

    Well u got ur Rn, even though I work at hospital, I and alot of friends have been doing this on the side, we have been taking care of alot of older

  2. LPN's Role in the ICU?

    rgroyer1RNBSN replied to Nurse-o-Matic's topic in MICU, SICU

    Lindarn lay off the Lpns, I was an Lpn before getting my bulls**t bsn, but now that I have worked as a nursing sup. and nm in both er and sicu, I have a few lpns that work for me and believe me when I...

  3. What is up with all the Dilaudid?

    rgroyer1RNBSN replied to rgroyer1RNBSN's topic in Emergency

    Well I work n st.louis and I know we are in short supply of ms, but what I mean is that it seems like patients with minute complaints are getting it to, like no one can stand a little pain and...

  4. Blood Infusion

    rgroyer1RNBSN replied to Medic7714's topic in Emergency

    No it was the clamp on the cassette especially of it was one of those stupid plum pumps, its happened to me on the chopper before.Rod

  5. Do RN's insert EJ's at your hospital

    rgroyer1RNBSN replied to Five&Two Will Do's topic in MICU, SICU

    We do them usually a 16g but only our er and icu nurses are allowed to place

  6. Bitter dried up nurses that need to RETIRE

    rgroyer1RNBSN replied to mindlor's topic in Patient, Colleague Relations

    Me too, and just saying Im a charge

  7. First week in ED

    rgroyer1RNBSN replied to ktsummar's topic in Emergency

    Sounds like they like you already, good. We could us some new people in our ER like

  8. St John's Regional Medical Center Joplin Missouri

    rgroyer1RNBSN replied to crb613's topic in General Nursing

    I am from joplin, and my family lives there. I just happened to be visiting at my parents house when the tornado hit. Everyone was okay, but my mom is an RN also and was at work at the hospital. She...

  9. Sedation..Your thoughts?

    rgroyer1RNBSN replied to Da_Milk_of_Amnesia's topic in MICU, SICU

    I had a guy the other night I could'nt keep down, post op GSW to the chest had thoracotomy the works you name it, first started out on 75mcg/kg/min propofol, 4 mg versed, 4 mg dilaudid, and he was...

  10. Sedation..Your thoughts?

    rgroyer1RNBSN replied to Da_Milk_of_Amnesia's topic in MICU, SICU

    I know alot of our anesthesia staff give propofol boluses on non intubated pts. for mac (monitored anesthesia care) say like when someone is having an egd and the fent, and versed do not put them out...

  11. queston on zofran

    rgroyer1RNBSN replied to link51411's topic in MICU, SICU

    We go with 4-8 mg q6-8h and if that doesnt work we usually end up giving compazine, phenergan, and or benadryl. Inapsine is wonderful to but it can cause pts. to get anxious and jumpy, we usually end...

  12. Favorite Dr or Nurse Name

    rgroyer1RNBSN replied to sethmctenn's topic in Nursing Humor

    I know a - Dr.Slaughter- General surgeon Dr.Bonebreak-

  13. Does anyone else ever get tired of "stupid" nurses?

    rgroyer1RNBSN replied to twinmom2k's topic in LPN, LVN Corner

    Be more assertive or write them up, I am a nursing coordinator and supervisor on nights in a large urban ER and you need to tell them about the poor er nurse there ponning there would be not so...

  14. NJ Blood Draw

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

    Yes, I beleive so, here in Missouri my LPNs at the hospital in my er that I am coordinator of draw bloods all the time, I know alot of hospitals and clinic hire people to be phlebotomists who have had...

  15. Docs who are actually willing to get their hands dirty.

    rgroyer1RNBSN replied to OutlawNurse86's topic in General Nursing

    Hey in my er the other day I had something like this happen, we have this new doc and he was an LPN before he became a doctor anyways I had this guy with nephritis who was really really ill, I mean he...

  16. Ultrasound for Peripheral IV's

    rgroyer1RNBSN replied to RNCENCCRNNREMTP's topic in Infusion, Intravenous

    I have been doing this for years now as an ER and Sicu nurse coordinator, and nurse manager in a large level 1 trauma center and we have the titan but only the IV team, ER, and ICU nurse coordinators...

  17. What does an ICU nurse do exactly?

    rgroyer1RNBSN replied to MJB's topic in MICU, SICU

    We give lots and lots of drugs, and its a hella of alotta work,

  18. new unit

    rgroyer1RNBSN replied to MT ICU RN's topic in MICU, SICU

    We have the wall mounted in my SICU and it is woderful, the ceiling type are awfull our MICU has those, thank god Im not down

  19. Increase of super morbidly obese patients?

    rgroyer1RNBSN replied to Hoozdo's topic in MICU, SICU

    Ive hurt my back doing this same stuff also, Im not kidding I think it takes every RN, LPN, and cna in our unit to turn one of these pts. LOL-Hook and drag

  20. Nurse assaulted

    rgroyer1RNBSN replied to Nursebarebari's topic in General Nursing

    Frankly, being an ER and SICU nurse manager and Coordinator, I encourage my nurses to call the cops and press charges, period, and if they dont I will call the cops for them. But then again I work in...

  21. Rural Hospitals

    rgroyer1RNBSN replied to Darkfield's topic in MICU, SICU

    I do EJ IVs all the time in our ER and TSICU, but then again Im one of the shift coordinators and charge nurses so Im always called for the difficult sticks even though its a teaching hospital and...

  22. Palp pressure traumatic hypotension

    rgroyer1RNBSN replied to dudemursestudent's topic in MICU, SICU

    I agree with ShaunES I have been a trauma and sicu nurse for quite awhile now and any critical care patient at my level ! trauma center I work at, (Barnes) in ST.Louis, they score an ART Line right...

  23. Disappointed with AACN's NTI 2010 Washington, DC

    rgroyer1RNBSN replied to RN34TX's topic in Critical Care

    I was disappointed with NTI 2010 as well, as everyone else not to mention I could have probably taught the classes

  24. Followed MD Order--Now Do I Look Incompetent?

    rgroyer1RNBSN replied to LaurenBoog's topic in General Nursing

    I agree with the other posts, i have been an Icu nurse in sicu for 5 years give or take and have no clue as to why you would take up an Icu bed with an etoh, unless he had poisioning and had been on a...

  25. How do all the experienced ICU nurses feel about....

    rgroyer1RNBSN replied to student200977's topic in MICU, SICU

    I have been a nurse for 9 years and you will be suprised at how many programs "require it" smart one, dont get smart with nurses who have a little more exp. then you. And secondley I have my MSN now,...