Back in the ER have a few questions

Specialties Emergency

Published

Specializes in Peds ED, Peds Stem Cell Transplant, Peds.

I was recently hired for an ER position. I am so happy about this. I have worked almost 8 years in a level 1 trauma pediatric ER. I am leaving a PICU position. I do have a few questions, mainly because my care of adult patients is lacking.

Could someone tell me the average size of

NG

Foley

you use?

Other then cardiac issues, what are some of the other most common ailments will I see in the adult population? (I am not to worried about stroke, since this is not a stroke center, even though they can still be walk in strokes).

Thanks

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I was recently hired for an ER position. I am so happy about this. I have worked almost 8 years in a level 1 trauma pediatric ER. I am leaving a PICU position. I do have a few questions, mainly because my care of adult patients is lacking.

Could someone tell me the average size of

NG

Foley

you use?

Other then cardiac issues, what are some of the other most common ailments will I see in the adult population? (I am not to worried about stroke, since this is not a stroke center, even though they can still be walk in strokes).

Thanks

For an NG we use a 14-16fr, if its an OG we use an 18fr. All of our foleys are 16fr.

Commonly seen things: SOB, abd pain/N/V/D, UTI's, fever/flu-like symptoms, extremity pain, AMS, suicidal/psych issues, lady partsl bleeding/discomfort, tooth pain, overdose/ingestion, rash, earaches, weakness, syncope, dizziness... I would say the biggest things we see are chest pain, sob, and GI problems. I'm guaranteed to have all 3 of those in 1 shift, every shift lol

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Specializes in Emergency.

Our foley options run from 16-26. Straight caths are a 15.

You'll also see a lot of acute workitis on sunday evening and mondays.

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Specializes in ICU.
Our foley options run from 16-26. Straight caths are a 15.

You'll also see a lot of acute workitis on sunday evening and mondays.

26 French foleys??? And I thought an 18 was big! How would that even fit? I'm crossing my legs and thinking owwww

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Specializes in Emergency.

26's are mostly used as rectal tubes.

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Specializes in ED.

16 & 18F foley's, 14-16F NG, 18 OG. 8F for female straight cath and 12 F for straight cath males.

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Acute workitis! Love it!!!

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26 French foleys??? And I thought an 18 was big! How would that even fit? I'm crossing my legs and thinking owwww
I've put in a 30 Fr w/ 30 cc balloon into an old guy who'd had Foleys for years and anything smaller would (a) leak like crazy and/or (b) fall out.

In my present job, we stock kits with 16's at the bedside and that's what all the adults get unless there's a reason to go with something else.

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ETOH intoxication, n/v, overdose, back pain, *insert here* ridiculous ailment which should have been taken care of at the clinic, headache, fever...oh yeah, 5150

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Specializes in Med-Surg, Emergency, CEN.

Here's my list...

Toe pain. Ankle pain. Knee pain. Hip pain. Back pain. Abdominal pain. Chest pain. Shoulder pain. Neck pain. Tooth pain. Eye pain. Ear pain. Headache. Cough. Dizziness. Bloody nose. Flash burns (eyes). Rash. Allergic reaction.

Wound discharge/infection. STDs. Cellulitis. DVTs. MI/Heart attack. Bowel obstruction. Nausea/vomiting/diarrhea. Constipation. GI bleed. Bloody urine. Urinary problems. UTI. Catheter problems (PICC, port, PEG, foley, etc). Sepsis. Syncope. Seizures. Miscarriage. lady partsl discharge. lady partsl bleeding. Post operative problems. Fever. General illness. Foreign body (throat, stomach, airway, rectum, etc). Lonely/bored/attention. Altered mental status. Palpitations. Anxiety. Suicide attempt. Psychiatric. Shortness of breath. Abnormal lab (sent by primary care physician). Stroke. Conjunctivitis. Post fall evaluations. Broken bones. Dislocated joints. Motor vehicle collisions. Trauma. Fist fight. Gunshot. Stabbing. Assault. Rape. Homeless/Hungry. Lacerations. Burns. Animal/bug bite. Ring stuck on extremity. Detox evaluation. Overdose. Drug seekers. Prescription refills. Found unresponsive/Mega code. Hypo/hypertension. Hypovolemia. Hyperventilation. Hypo/hyperglycemia. Lice/scabies/ticks/etc. ETOH.

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Specializes in Med-Surg, LTC, Psych, Addictions..

And there's the overly worried mom who's child had a fever and vomited.....last week. Or the woman on medicaid with a yeast inf., that had to go to the ER cuz Monistat would have cost her something and the ER is "free". Say what?!

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Specializes in Emergency Room.

Appys, gall bladder problems, aortic dissections, GI bleeds from unknown sources, sepsis, traumas, heart attacks, cellulitis, asthma, RF patients with elevated potassium and blood pressures, altered mental status, ...

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