New to ER - tips, tricks, recommendations & prioritization? New to ER - tips, tricks, recommendations & prioritization? - pg.2 | allnurses

New to ER - tips, tricks, recommendations & prioritization? - page 2

So, after 6.5 yrs as RN/shift charge on a step down unit, I moved to the ED! Very excited to work with the excellent team! Though I know how to be a nurse, being an ER nurse is a whole new world... Read More

  1. Visit  IrishErin profile page
    #13 0
    Quote from NurseOnAMotorcycle
    Ok I had someone tell me this tip that was So Simple and SO BRILLIANT that I felt dumber just hearing it....

    MD orders 1000ml NS bolus stat then 200/hour continuous when that finishes...

    A 27 year veteran of emerg nursing told me: "Run the bolus as a secondary IV then the primary 200/hour will take over automatically when it's done."
    What an awesome tip!! Thanks!
  2. Visit  CodeteamB profile page
    #14 0
    Quote from IrishErin

    What an awesome tip!! Thanks!
    What pumps do you guys use? Seriously, I want them if they run fast enough on the secondary line to give a healthy adult a bolus (
    ours max at 999 ml/h). I do use this trick for bolusing CHF pts and Peds though
  3. Visit  IrishErin profile page
    #15 0
    Quote from CodeteamB

    What pumps do you guys use? Seriously, I want them if they run fast enough on the secondary line to give a healthy adult a bolus (
    ours max at 999 ml/h). I do use this trick for bolusing CHF pts and Peds though
    Ours max at 999 as well, so I usually end up hanging by gravity if a bolus is required, then attaching them to the pump afterwards
  4. Visit  NurseOnAMotorcycle profile page
    #16 0
    I run it at 999.
  5. Visit  CodeteamB profile page
    #17 0
    Quote from NurseOnAMotorcycle
    I run it at 999.
    Oh, ok, I was all excited!

    I'm a pressure bag kinda gal, to be honest. I rarely use a pump for saline.
  6. Visit  sserrn profile page
    #18 0
    We're required to run everything on a pump, so a simple L bolus takes an hour :-/
  7. Visit  NurseOnAMotorcycle profile page
    #19 0
    I only use pressure bags if someone's coding badly. If I need a pressure bag, there won't be an order to follow it up with 200/hour. It'll be followed up with another pressure bolus order.
  8. Visit  CodeteamB profile page
    #20 1
    Quote from sserrn
    We're required to run everything on a pump, so a simple L bolus takes an hour :-/
    Yikes! We don't have enough pumps for that. If you aren't fluid restricted or getting a med that requires close control it's gravity or a pressure bag (which we do use pretty frequently).

    I can just picture one of our physicians barking "a liter in an hour isn't a bolus"

    LOL.
  9. Visit  sserrn profile page
    #21 0
    I couldn't agree more...but policy is policy, unfortunately!

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