[galenight]

I am looking for a book that will help me refresh my memory. I am an ER nurse working in a rural setting. It seems as if lately I am stagnant because much of what we see is the same over and over again. Then, when we get something a little different, I have forgotten some of what I need to assess and care for the patient. I have also recently started working per diem at a larger facility and it sometimes seems overwhelming - mostly because they don't have a lot of openings I can work and so my shifts are few and far between. But clearly some of it is the fact that I have lost some knowledge. I'm still a good nurse, just want to get out of my rut. Thanks for any suggestions.

[Altra]

I don't have a book recommendation, but the first things that come to my mind that may be different from years past are:

protocols for MI & brain attack
drugs of abuse common in your area
treatment of burns
how your facility(ies) handle MRSA and other isolation situations
changes in documentation courtesy of JCAHO and Medicare/Medicaid

Good luck to you.

[911fltrn]

Hi

I would reccommend

Emergency Medicine Manual (MA, Cline, Tintinalli, Kelen, Stapczynski)

Every ER i have worked in has them. (Its a big red book) I personnally have the paperback addition. Its just under 1000 pages including the index.

It has been helpful in presuading some MD's that perhaps my suggestions were "worthy" of their consideration.