RobbiRN RN

ER

Member

All Content by RobbiRN

  1. RobbiRN

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

    RobbiRN replied to RobbiRN's topic in General Nursing

    The way I posed the question, there are no limits. I completely agree with your focus on replacing the business model that exists here. I like your attitude. It would take something like a lobotomy to...
  2. RobbiRN

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

    RobbiRN replied to RobbiRN's topic in General Nursing

    Adequate staffing is crucial at the point of delivery and a great starting point for improvement at our level. What forces cause unsafe staffing ratios - and multiple other problems? Suppose you have...
  3. RobbiRN

    How objective are studies anyways?

    RobbiRN replied to Emergent's topic in General Nursing

    Let us know how it plays out. I've been suspicious of "science" for a few decades since reading Thomas S Kuhn's "The Structure of Scientific Revolutions." His thesis was something like: "We will...
  4. RobbiRN

    Taming Naso-Gastric Tube (NGT) Torture

    RobbiRN posted a topic in General Nursing

    The dreaded NG tube. Hated by most patients and many practitioners who have to insert them, NG tubes are great candidates for the top spot in the "most detested procedure" column. Several of my early...
  5. RobbiRN

    Taming Naso-Gastric Tube (NGT) Torture

    RobbiRN replied to RobbiRN's topic in General Nursing

    You're welcome. And thank you for commenting. I haven't been on AN very long, but it seemed we were on our way to some kind of a record for an article with 6K plus views, 350 shares and. . . 0...
  6. RobbiRN

    Nurses and Social Media - Our Leaders Online?! #Magnet

    RobbiRN replied to traumaRUs's topic in General Nursing

    Thank you for being open to the concept. This is a short, simple answer: First, distill the collective wisdom of the nursing profession into a 10-point manifesto directing a complete overhaul of...
  7. RobbiRN

    Nurses and Social Media - Our Leaders Online?! #Magnet

    RobbiRN replied to traumaRUs's topic in General Nursing

    Why not take social media to a much higher level? Nursing could use social media proactively to unite without unionizing and leverage the power of our profession to fix the glaring failings of our...
  8. RobbiRN

    BSN is a joke

    RobbiRN replied to nurseguy22's topic in General Nursing

    This year, in an attempt to increase the percentage of BSNs, our hospital gave all BSNs a $1.50/hr raise. Our hospital also stopped the certification pay we used to get for CEN. So, in the current...
  9. RobbiRN

    A Change of Heart

    RobbiRN replied to nursemike's topic in General Nursing

    Thank you for sharing your experience and the view from the other side: "I have always believed people are good, but Dear Lord, I had no idea how good!" I believe there are good people in all...
  10. RobbiRN

    Written up

    RobbiRN replied to SassyRN93's topic in General Nursing

    I'm in favor of the general idea behind "Just Culture," that the system is always partly to blame. But tucked into the package is the handy little notion that the employee will never show "reckless...
  11. RobbiRN

    IV Placement Hacks

    RobbiRN replied to Ashley Hay, BSN, RN's topic in General Nursing

    If you cannot find a vein through any of your usual methods, lower the hand and as much of the forearm as you can get in a large basin of very warm water for about five minutes. This is much more...
  12. RobbiRN

    Mom suing nurse after suffocation accident

    RobbiRN replied to MunoRN's topic in Nursing News

    Interesting discussion. I want to clarify my position on a few things: My comments about lawsuits here were generalized in response to macawake's question. I stand by them. I'm not in a position to...
  13. RobbiRN

    Mom suing nurse after suffocation accident

    RobbiRN replied to MunoRN's topic in Nursing News

    I've seen several other articles like this one. While they claim a low percentage, I've seen the transformation in the practice of several doctors who have been sued. While defensive medicine is...
  14. RobbiRN

    Mom suing nurse after suffocation accident

    RobbiRN replied to MunoRN's topic in Nursing News

    What country are you from macawake? Are you accepting immigrants? The lawyers here plead before the jury how morally imperative it is for the wronged individual to be properly compensated for all his...
  15. RobbiRN

    Epinephrine error

    RobbiRN replied to katie4593's topic in General Nursing

    The error should be easy to avoid: The little vial (1:1000) that you have to break to get into and extract with a syringe is designed for IM. The big one (1:10,000) which is pre-diluted and comes with...
  16. RobbiRN

    Difficult Foley insertion

    RobbiRN replied to Deernc's topic in General Nursing

    In 24 years of inserting catheters I've never heard of freezing or cooling them to make them more rigid, so thank you for a novel idea. Completely rigid seems very dangerous because of the built in...
  17. RobbiRN

    I just need some advice - or a hug. One or the other.

    RobbiRN replied to Doxie_loverRN's topic in General Nursing

    The night shift part of your situation may bigger than you know. I worked nights for about a year before going to 11a-11p where I've been for more than 2 decades. I liked nursing that first year, but...
  18. RobbiRN

    Not a Near Death Experience: A Shared Death Experience

    RobbiRN replied to Nurse Beth's topic in General Nursing

    During 24 years of ER nursing I've been part of many deaths, near deaths, and even a well-tested and documented actual death that reversed course an hour later. I find your experience totally...
  19. RobbiRN

    Too many screening questions?

    RobbiRN replied to Emergent's topic in General Nursing

    I actually do care and want to help anyone who will let us help them. But screening obviously unlikely candidates is useless because, 99.99% of the time, those who really want help tell us on the...
  20. RobbiRN

    Too many screening questions?

    RobbiRN replied to Emergent's topic in General Nursing

    Seems like the general consensus here heavily supports the notion that the majority of screening is a waste of our time and the patient's time. Add me to the protest. The burning question is: What can...
  21. RobbiRN

    What would you think if you saw this patient?

    RobbiRN replied to coffeemamaRN's topic in General Nursing

    From the perspective of the ER, the vaunted palace of unlimited technology, resources, intuitive insight, and the ability to actually be responsible for decision making (when we don't turf it to the...
  22. RobbiRN

    Feel like a horrible nurse!

    RobbiRN replied to Verygreennurse's topic in General Nursing

    High blood pressure is way overrated as something that needs an immediate fix. Half the country is on 4 to 5 BP meds running around with numbers like the ones you were worried about. Your own BP might...
  23. RobbiRN

    Repealing ACA

    RobbiRN replied to OnceMorewithFeeling's topic in Activism, Healthcare

    I agree with either single payer or combo of catastrophic and HSA. ACA did nothing to fix waste, inefficiency, inequity, and a hoard of middlemen (insurance and legal people) siphoning billions out of...
  24. RobbiRN

    Student nurse dismayed by bedside nursing attitude

    RobbiRN replied to new gal's topic in General Students

    The stakes are higher than us "not liking things." Ironically, the plethora of mandated garbage that gets in the way of essential patient care is a major cause of the unsafe conditions repeatedly...
  25. RobbiRN

    Student nurse dismayed by bedside nursing attitude

    RobbiRN replied to new gal's topic in General Students

    I believe it is doable, largely because of our increased level of responsibility and the advent of social media. Social media creates the possibility of uniting, without unionizing, and mounting a...