RobbiRN RN

ER

Member

All Content by RobbiRN

  1. RobbiRN

    Student nurse dismayed by bedside nursing attitude

    RobbiRN replied to new gal's topic in General Students

    Nursing will never be GIVEN power or authority to effect any change in our work environment unless we demand it. We have potentially unlimited power. The lives of the nation are literally in our...
  2. RobbiRN

    30% of Nurses Leaving the Workforce - 2017 Salary Survey Results Part 2

    RobbiRN replied to tnbutterfly - Mary's topic in General Nursing

    Florida is not similar, at least not yet. Most of the RNs hired into our ER over the past few years have been new grads. Pressure is mounting here too for BSNs, and experience is good if you have it,...
  3. RobbiRN

    Guilt after shifts

    RobbiRN replied to Pedsnurse1026's topic in General Nursing

    This is the answer. Never remove a good IV until you get a replacement. And sell the idea to the patient, especially if she has poor veins and few options for a good replacement. The honest discussion...
  4. RobbiRN

    Using phones as a sitter-thoughts?

    RobbiRN replied to allinone's topic in General Nursing

    Last month, a sitter fell asleep. The video clearly showed two nurses at the desk with their faces glued to their phones as the patient walked out of the department. The answer? Instead of new phone...
  5. RobbiRN

    Drawing blood

    RobbiRN replied to MF123's topic in General Nursing

    I routinely draw blood with a 12 cc syringe attached to the J-loop when starting IVs or attached to a butterfly when I only need blood and the pt does not have or need an IV. I have to do a redraw...
  6. RobbiRN

    Hospitals Firing Seasoned Nurses: Nurses FIGHT Back!

    RobbiRN replied to allnurses's topic in General Nursing

    The compassion in our profession makes us exploitable. Big business knows our breaking point. Suffer? A day without nurses = people DIE. They bank, literally, on us not going there. Still, the fact...
  7. RobbiRN

    Choice, Pathology, and the Disease Model of Addiction

    RobbiRN replied to Issaiah1332's topic in Addictions

    If you are suggesting that the US is lagging behind the rest of the world in passing out pills to treat addiction, or anything else, I don't buy it. The US already uses the disease model to treat...
  8. RobbiRN

    Choice, Pathology, and the Disease Model of Addiction

    RobbiRN replied to Issaiah1332's topic in Addictions

    The disease model for addiction has been around for more than 30 years. The real question is: Has adopting the disease model improved outcomes? It seems to me that the number of addictions and people...
  9. RobbiRN

    Sunscreen in School?

    RobbiRN replied to OyWithThePoodles's topic in School

    Your allergy interests me. I've experienced congestion and watering eyes with several products. I told my dermatologist: "I don't trust the stuff. I think someday we're going to find out that...
  10. RobbiRN

    Adele parody video for "SCHOOL NURSE DAY"

    RobbiRN replied to tining's topic in School

    Artsy, cool, and a lot of fun. Thank you :
  11. RobbiRN

    Nursing Intuition, Part 1: The Visitor is . . . Dying!

    RobbiRN replied to RobbiRN's topic in General Nursing

    Ruby Vee, if you haven't written a book, you should. I'll be the first to get
  12. RobbiRN

    Nursing Intuition, Part 1: The Visitor is . . . Dying!

    RobbiRN replied to RobbiRN's topic in General Nursing

    As noted above, hypovolemia is aggressively corrected in the ER, and dying patients are most often being bagged with a mask or intubated, so they usually aren't taking to us either. This confirmation...
  13. RobbiRN

    Nursing Intuition, Part 1: The Visitor is . . . Dying!

    RobbiRN replied to RobbiRN's topic in General Nursing

    Maybe next week. . . Honestly, there have only been maybe three or four times the request was really significant, but when it was, it really was. I have found that hypovolemia does trigger thirst,...
  14. RobbiRN

    Calling 911

    RobbiRN replied to moreoreo's topic in School

    You are right about the independence and potential liability of your role. As others have commented, it is always easier to defend a decision to call than a decision not to. From an ER perspective,...
  15. RobbiRN

    Got in trouble inserted 16f instead of 18 f

    RobbiRN replied to Kadidi's topic in General Nursing

    Size is never part of the order in the ER. The order simply reads: "Insert Catheter, ED". Size is a nursing judgement call. I agree that it seems there is more to the story if this was reported to the...
  16. RobbiRN

    A fib

    RobbiRN replied to paletita34's topic in General Nursing

    I agree that a 12-lead is needed to be diagnostic, but A-fib is irregular as a general rule. The irregularity can be subtle, especially in patients who are medicated and have ventricular rate in the...
  17. RobbiRN

    Do you ever NOT give out ice packs?

    RobbiRN replied to KeeperOfTheIceRN's topic in School

    Thank you. Thank you. Thank you. I might add, from an ER perspective, there are times when ice is contraindicated. Burns - still seeing ice applied to burns which increases the tissue damage. Cool...
  18. RobbiRN

    The Nurse at the Bedside

    RobbiRN replied to RobbiRN's topic in General Nursing

    marylou5, you are my hero. I work beside an excellent nurse who did the same thing, went "up the ladder," then chucked it all and came back to work with us. She smiles a lot more now, and we are...
  19. RobbiRN

    The Nurse at the Bedside

    RobbiRN replied to RobbiRN's topic in General Nursing

    PANYNP, I agree we are in this together. As noted, I'm writing from an ER perspective. The NPs and PAs I work with are great. Your description of long term relationships in a family practice setting...
  20. RobbiRN

    The Nurse at the Bedside

    RobbiRN replied to RobbiRN's topic in General Nursing

    Ooops. Those little Freudian slips. . . Following a recent session announcing our hospital's intent to increase its BSN to ADN ratio, I walked up to the senior administrator presenter and asked,...
  21. RobbiRN

    The Nurse at the Bedside

    RobbiRN replied to RobbiRN's topic in General Nursing

    Some people "advance" their careers away from the bedside for the same reason. It can be tough in the trenches. I've had some days when I've made a similar speech in a moment of discouragement...
  22. RobbiRN

    The Nurse at the Bedside

    RobbiRN replied to RobbiRN's topic in General Nursing

    In a perfect world, there would be no nurses, but here we are. Where I work, we have performance evaluations every 6 months, and salary increases are tied to the annual review. The new evaluation...
  23. RobbiRN

    Why do patients.....?

    RobbiRN replied to ArrowRN's topic in Nursing Humor

    There was a patient named Shoney, Whose fingers were shaky and bony, She dropped all her pills, And made lots of big spills, All because she was. . . . lonely. It's a big social moment. What better...
  24. RobbiRN

    Used CPR on my neighbors toddler today... it wasn't enough... warning, graphic..

    RobbiRN replied to NursingInChaos's topic in General Nursing

    NursingInChaos, thank you for your courageous action and for sharing your sadness. Even in the ER, pediatric resuscitation efforts carry deep emotionally intensity. There is so much potential life at...
  25. RobbiRN

    Irony regarding cellphone use at work

    RobbiRN replied to Emergent's topic in Patient, Colleague Relations

    I have to weigh in with the apparent minority on this one. My phone stays in my locker while I'm on the clock, and I check it only on break. The hospital bought my time and my patients deserve to have...