RobbiRN RN

ER

Member

All Content by RobbiRN

  1. RobbiRN

    Education Conspiracy

    Thank you Horseshoe and Ruby Vee for a little reality orientation. I think one of the notions that brings passion to the ADN - BSN discussions are the insinuations that ADNs are not interested in...
  2. We are standing at the counter of the nurse's station in the ER when I tell Dr. Hanson that his patient in 18 is asking for pain medication. "There's nothing wrong with her," he retorts. "She's just...
  3. RobbiRN

    Education Conspiracy

    Avid Reader. I applaud your courage. You say this thread isn't about ADN versus BSN, it's about regulation overstepping its boundaries. So can we take it there? I'm relatively new to this site. But...
  4. RobbiRN

    Education Conspiracy

    I had a four-year bachelors degree in another field and sat on boards responsible for multi-million dollar budgets prior to completing my 5th and 6th years of college level education to obtain my ADN....
  5. A couple of people have suggested getting a lawyer and filing a lawsuit. You may very well have a great case. You might win, teach the mean doctor a lesson and be financially compensated. But the...
  6. RobbiRN

    Confronting Doctors with Wrong Orders

    Obviously, I strongly believe it is "your place as a nurse" to question a doctor in the situations noted in the article. A lot of the discussion here has been about being respectful, tactful, and...
  7. RobbiRN

    Need help with nursing diagnosis

    I'm not sure if the nursing school questions are getting weirder, but I am sure that the perception by the general public that one trip to the hospital will fix all of their problems is becoming...
  8. RobbiRN

    Confronting Doctors with Wrong Orders

    Did you read the preceding comments? The majority of your content has already been addressed. Of course we are all human. Nurses make mistakes, and there are multiple discussions and articles on this...
  9. RobbiRN

    Confronting Doctors with Wrong Orders

    I think good doctors appreciate us when we save them from glaring mistakes, even when they don't show it. Short term, I have experienced some ill will when I misjudged the best way to confront a...
  10. RobbiRN

    Confronting Doctors with Wrong Orders

    There are a lot of things that are not stated in any simplified illustration. This is a short, simple article in support of the point that we are the last defense. Your assumption that I did not...
  11. RobbiRN

    Research Critique

    What a mouthful! So, just for fun, I just want to see if I can say this in plain English, cut the total word count in half and leave out the really big ones: "The article explores the ability of...
  12. RobbiRN

    I am missing something obvious?

    Of course the IV route makes more sense if you have one, but Zofran can be given sublingual. You don't need to swallow anything else to "get it down," and you can wait a half hour or so before trying...
  13. RobbiRN

    Asking me to go against policy

    So, I was soundly reprimanded by my teacher friend who confirms that even students sent home for non-medical reasons still have to be checked by the nurse. The first part of my comment/question may...
  14. RobbiRN

    Asking me to go against policy

    My best friend works with special-ED pre-K, and it seems one of the main reasons they send kids home is that the parents did not medicate the child and he is acting out, disruptive or destructive...
  15. RobbiRN

    New to ED, not a new nurse though...

    I take it that "love it so far" refers to the ER environment, the rapid turnover, and the wide range of problems, while "having a hard time with it" refers to the way some staff are treating you. It's...
  16. RobbiRN

    Being Managed By Someone Younger

    A person's age or the title they carry does not determine their ability. The cool part is that we can all contribute, gain respect, and even lead from from the shadows just as well as we can do it...
  17. RobbiRN

    Advice please

    I just googled the HIPPA statues for a quick refresher. Yes, they are vague. But they do imply that sharing of information is necessary during treatment. If a patient wants his/her information to be...
  18. I've been telling administration for years that the real answer to patient satisfaction is a jar of Percocet in our ER lobby on the honor system, with a big sign on it that says: "Just take one if...
  19. RobbiRN

    tips and tricks for difficult IV starts?

    Along with the really good advice listed above, two last ditch tricks for me are: 1, raising the stretcher, letting the arm hang over the side, and soaking as much of the hand and forearm as...
  20. RobbiRN

    Unfriending Fever

    I'm curious about the approach to fever in your workplace. In our ER, the Providers routinely treat fevers as low as 99.5 F and ask for a recheck temp before the patient is discharged. When did fever...
  21. RobbiRN

    When Nurses Make Fatal Mistakes

    "In Kim's case, the facility did not have sufficient safeguards in place to help prevent the error." Can a facility ever have enough safeguards in place to prevent all errors? If errors could be...
  22. Everline is right. The sunshine and the beach more than make up for it. The pay is lower, but the cost of living is significantly less here than many parts of the country. Our hospital takes new grad...
  23. You have had several goods responses. Doctors don't know and pharmacists do. Our pharmacists are actually good about calling us or special labeling at times when they see possible problems. You are...
  24. RobbiRN

    I quit the PA rat race.

    I was on a path like yours nearly 20 years ago. Same goals. Similar plan. Two weeks before starting an NP program with financial backing from my employer, I made a decision I have NEVER regretted. I...
  25. RobbiRN

    BON investigaton

    I feel your pain. You said your are innocent. I have a long, pristine track record at work. I don't drink or do drugs. I never call off. I show up on time and stay focused. But, two years ago, I was...