RobbiRN RN

ER

Member

All Content by RobbiRN

  1. RobbiRN

    It Never Occurred To Me.

    RobbiRN replied to Have Nurse's topic in General Nursing

    Excellent. That's that best ending to a touching nurse-patient story I've heard for a long time. Maybe write a
  2. RobbiRN

    Case Study: "Her face pulled to the left."

    RobbiRN posted a topic in Critical Care

    Presentation / Patient History It's 11:34 a.m. The triage complaint is listed as a possible stroke, with dizziness and facial droop listed as secondary complaints. A fifty-six-year-old female...
  3. RobbiRN

    Alarm Fatigue: Patient Safety in Today's Healthcare Marketplace - A Four Part Series

    RobbiRN replied to Damion Jenkins's topic in General Nursing

    I like the article. Our work environment is cluttered with noise. But, just because no obvious action is taken every time an alarm sounds does not mean the alarm was not evaluated. Often a quick...
  4. RobbiRN

    Which nurse do you want for your Little Johnny?

    RobbiRN replied to Pirate RN's topic in General Nursing

    Excellent article. Unfortunately, profiteering and exploitative greed aren't keeping the guilty up at night while three million nurses go home wishing we could have done better. One crumb of poetic...
  5. RobbiRN

    Which nurse do you want for your Little Johnny?

    RobbiRN replied to Pirate RN's topic in General Nursing

    I'm reluctant to detract from the focus of a well-written article with this little detour, but I'm curious if the doc shared his rationale for wanting to use a NS base instead of D5w? God forbid we...
  6. RobbiRN

    Patient waking up during CPR

    RobbiRN replied to LisaStone's topic in General Nursing

    I agree with the distinction. At times we may not know the difference in rapid transitions back and forth across the thin line of demarcation. ROSC itself can be fleeting, fragile, and deteriorate in...
  7. RobbiRN

    Patient waking up during CPR

    RobbiRN replied to LisaStone's topic in General Nursing

    People can fade in and out more than once during a resuscitation, or just pop "awake." I've had two patients talk within a few seconds after being shocked out of a pulseless v-tach. One sat up and...
  8. RobbiRN

    First patient fall...

    RobbiRN replied to Shawn4455's topic in General Nursing

    All true: Our ER currently has a new committee studying how to reduce falls. We are often staffed at 4 to 1 (including our trauma rooms) after our minor care patients have been redirected to the fast...
  9. RobbiRN

    Legalities in Flight Emergencies

    RobbiRN replied to MNRNBSN's topic in General Nursing

    I watched the video and liked several great responses. My two cents: 1. I have and will respond because I may be the best person available. I'll take a paramedic or an ER RN over a dermatologist an...
  10. RobbiRN

    Sepsis protocols causing a future superbug??

    RobbiRN replied to Alexx_xox's topic in General Nursing

    I'm wondering if any of you have a Sepsis Protocol that is working well for you? Does your computerized charting system gather results already documented into a sepsis document, or do you manually...
  11. RobbiRN

    Just Wrong: Three Simple Fallacies

    RobbiRN posted a topic in General Nursing

    Several articles have been published in past the few years listing various myths about nurses. Some are silly, like "all nurses marry doctors" or "all nurses are women." Some might be more believable...
  12. RobbiRN

    Just Wrong: Three Simple Fallacies

    RobbiRN replied to RobbiRN's topic in General Nursing

    There are still some visitors who share your willingness to sacrifice your whims for the good of the patients, but they are becoming the minority. I always thank visitors who pay attention, try to be...
  13. RobbiRN

    Just Wrong: Three Simple Fallacies

    RobbiRN replied to RobbiRN's topic in General Nursing

    I didn't have much time to respond the past few days, but after going back through the discussion it seems I should clarify that I am in no way advocating sub par charting. Charting by exception...
  14. RobbiRN

    What Makes an ED Nurse Satisfied?

    RobbiRN replied to Veldtor's topic in Emergency

    Quotes from patient surveys who specifically mention staff who did well are posted in our department manager's weekly huddle email. When a patient writes a letter to management, or a thank you card...
  15. RobbiRN

    Just Wrong: Three Simple Fallacies

    RobbiRN replied to RobbiRN's topic in General Nursing

    I agree that patients should have a voice and getting feedback on surveys is useful. You are correct that the questions are reasonable and should be used to identify opportunities to improve our care....
  16. RobbiRN

    Just Wrong: Three Simple Fallacies

    RobbiRN replied to RobbiRN's topic in General Nursing

    Yes, we do serve both the patient and the visitors. My point is that increased expectations for service by visitors competes for limited resources. We are staffed at 4 to 1 and usually run with a...
  17. RobbiRN

    Workplace Sayings

    RobbiRN replied to Davey Do's topic in General Nursing

    "End it all with Inderal" "You can fall at home. If you fall here, my daughter doesn't get to go to college." "I hear the voices too . . . but you're probably a better listener." "Incarceritis" (CP...
  18. RobbiRN

    Problems with nursing profession and why I want to quit

    RobbiRN replied to bravewarrior1's topic in General Nursing

    There have been several excellent replies already, but here's my two cents: Some of the challenges you listed are real and do pose a legitimate threat to the health of our profession. Staffing levels,...
  19. RobbiRN

    Suicide screening for all is not needed

    RobbiRN replied to Emergent's topic in Emergency

    This isn't about laziness; it's about being pertinent and efficient. The vast majority of the time, those who want help with an abusive relationship tell us on the doorstep. "I'm here because my...
  20. RobbiRN

    Lack of "customer service" as beneficial factor for chronic disease process?

    RobbiRN replied to KatieMI's topic in General Nursing

    Interesting article, Katie. I read through the discussion and browsed the two studies you linked. Local management focuses on the satisfaction surveys like they are the golden key to fine-tuning our...
  21. RobbiRN

    Male Nurse Disgusted by Female Nurses

    RobbiRN replied to Nurse Beth's topic in General Nursing

    Yes. I completely agree with you here, especially the part about going for a run. The problems destroying the integrity of our profession go far beyond staffing levels and have nothing to do with...
  22. RobbiRN

    What Would You Do to Fix the Failings of Healthcare Delivery ?

    RobbiRN posted a topic in General Nursing

    Suppose you have the authority to fix the failings of healthcare delivery in the US. Nothing is off limits, and you have the ability to implement change at any level. What would you
  23. RobbiRN

    What Would You Do to Fix the Failings of Healthcare Delivery ?

    RobbiRN replied to RobbiRN's topic in General Nursing

    Thank you to all who responded. I was away for a few days. What a treat to come back and find a ton of useful ideas here. There is a method to my madness, and a direction for change is becoming...
  24. RobbiRN

    Forced out to pasture

    RobbiRN replied to Been there,done that's topic in General Nursing

    Your story is sad and deeply troubling. I wish you courage and peace in what appears to be a horrible situation. Hopefully, something good will come of it. The failure of our business/profit...
  25. RobbiRN

    What Would You Do to Fix the Failings of Healthcare Delivery ?

    RobbiRN replied to RobbiRN's topic in General Nursing

    Insurance survives, and sometimes thrives, by taking as much money as possible in premiums and paying out as little as possible -- it's a business. For example, the CEO of Humana made $19,000,000 last...