loricatus replied to DoubleblessedRN's topic in Emergency
You have to remember that this patient had to be convinced to come to the ER & didn't want to be there. Without a medical problem being discovered, this type of patient would be sent home. In...
On another website for travel nurses, HSN was offering [posted 4/1] $37.00/hour (includes housing and insurance) for a Las Vegas day or night position-so, I think you are getting lowballed (which many...
loricatus replied to DoubleblessedRN's topic in Emergency
In reality, there usually isn't a social worker available at 3AM in the majority of ERs and the only option would be to call adult protective service anyway ("who isn't interested at 3:00AM"). The ER...
I would just like to get back to basics for a moment. If a union were able to get: mandatory safe patient loads, a grievance process instead of arbitrary at-will employment (being fired for no cause),...
loricatus replied to nursemommyof3's topic in Emergency
I would say go to the ER if they are going to train you with a preceptor (treat you as a new grad). Since this was your original goal, you might find yourself resenting things on the floor if you...
loricatus replied to apalmerRN2be's topic in General Nursing
It's a physics thing Pressure = force/area The pressure exerted has an inverse relationship to the area (Pi r2); so, for each increment of diameter increase, you will decrease the pressure to the...
Know you get an idea of why these places are referred to as 'Doc-in-the-Box' I took a p/t job at one of these places and had to quit because I found out I was being supervised by an LPN (which is...
loricatus replied to DoubleblessedRN's topic in Emergency
ER staff was probably frustrated & not angry. This is what we call a "dump" & not what the emergency room is intended for. She wasn't an emergency! It is frustrating because the emergency...
Having seen a lot of burn out (and having been there myself), I noticed a common theme of a total lack of having a sense of humor wherever there is burn out taking place. When you can not laugh or...
loricatus replied to FranEMTnurse's topic in General Nursing
Thank you Fran for this. I can tell all from personal experience that what this woman's account of is true & hits home. My mother complained of the exact same inital symptoms to her PCP, who...
What might work is if you get yourself one of those pocket notebooks. Fill it out whenever near her & start to write the time and what she is doing, advise she gave to questions, who she talks...
If it were me, I would have put as CC: BIBA s/p roadside elder abandoment c hunger-no other complaints offered, no s/s distress. Triage intervention: meal & call for pick
If you have a PDA, download Epocrates. There is a heparin dosing protocol in the program & the Rx part is fabulous [free]. Heparin for DVTs is usually a weight based calculation that may or may...
loricatus replied to FLAtoNYC's topic in Pediatric
Schneider's Childrens Hospital (on the grounds of Long Island Jewish Hospital, New Hyde Park NY & part of the North Shore-LIJ system) has an excellent reputation & a Ronald MacDonald House on...
No, it is not a silly question. Most codes should be run following ACLS guidelines (which initiates using BLS). Check out this link for more information that can answer your question:...
Look at this as a learning experience. I will bet that for the rest of your career in Nursing another hep lock removal will not get by you again. At least that is what I am telling myself after...
loricatus replied to Beachgirl1212's topic in General Nursing
I don't know about anyone else; but, I have yet to use a drop factor since I graduated. In the ER, most of the fluids are to gravity and we just eyeball for the rate. If the rate has to be finely...
Have the details of what exactly the overtime rate, & when it is paid worked out directly into your contract. If you have to make guesses now, the details were never explained and you could very...
As others have said, you gave a couple of red flags in the time and mode of transportation. The 3rd red flag for a drug seeker would been a neverending response of various statement incorporating...
The ONE best piece of advise I can add to all the other great ones already given is: Always follow your gut instinct. Be it, asking a question, second guessing an order or a doc, getting an EKG on a...