TraumaLPN

Latest Activity

1. conscious sedation

   TraumaLPN replied to onlyER4me's topic in Emergency

   Thanks susi Q for pointing out my spelling mistakes. I have never heard of diprovan being used for regular CS or it being given IV push either. Ketamine works great with kids and I love to use it. I had one doc that believed in CS for every minor inj...

2. temporal Artery Thermometer and Peds in the ED

   TraumaLPN replied to sguthland's topic in Emergency

   Bottom line rectal and oral temps are the most accurate. And personally I feel it boils down to how good your nursing skills are. If you will accept a 99.9 scan temp on a 3 yr. old that has a HR of 160 and ignore that there is probley a fever going o...

3. How does your facilty handle triage of OB pts?

   TraumaLPN replied to Pedi-ER-RN's topic in Emergency

   HAHAHAHAHA!!!!!!! L&D come to the ER to moniter a pt? Our L&D nurses will refuse a pt. if they are 19 weeks and 6 days! It is a constant struggle at our ED.

4. SO- Patients in Gowns

   TraumaLPN replied to Aneroo's topic in Emergency

   Most of our psych pts. come in with PD or SO or EMS so it is up to the nurse to make sure they have no weapons or keys or cell phone. It is ultimately the primary nurses responsibility to ensure that she/he is safe, the pt. is safe, ED staff is safe ...

5. Oddest things found in a patient!

   TraumaLPN replied to Antikigirl's topic in General Nursing

   Also sounds like "a human purse."

6. Oddest things found in a patient!

   TraumaLPN replied to Antikigirl's topic in General Nursing

   Texas LVN, She closer to 700 lbs.

7. ER Documentations

   TraumaLPN replied to LerRN95's topic in Emergency

   On the best pain scale I've ever seen (on the hyster-sister's website) with a 10 rating you are passing out from pain. Most of the pts. I see in my ER rate their pain 10, while they are sitting there smiling, eating Doritos and coke.

8. temporal Artery Thermometer and Peds in the ED

   TraumaLPN replied to sguthland's topic in Emergency

   My rule of thumb is rectal temps on all pediactric and geriatric pts. who can't PROPERLY hold a themometer in their mouth. We have the temperal scan themometers but I have found them to be very inaccurate. ie. 80 yr old c/o cough with a scan temp of ...

9. ER Documentations

   TraumaLPN replied to LerRN95's topic in Emergency

   To correctly document pain you must use a pain scale during your initial documentation and after every intervention. How else will you prove that you treated the patient for his complaint of pain. The 0-10 pain scale is easy to use. {0 being no pain ...

10. How does your facilty handle triage of OB pts?

    TraumaLPN replied to Pedi-ER-RN's topic in Emergency

    Our Ed policy is anything under 20 wks. stays in the ED, Over 20 wks. with c/o abd or back pain or elevated BP goes to L&D and of course trauma is evaluated first in ED. Recently L&D have decided that all pts' with ruptured membranes needs to...

11. SO- Patients in Gowns

    TraumaLPN replied to Aneroo's topic in Emergency

    My "true" psych pts. and my suicidal pts. ALL go into a gown and I take ALL of their belongings; cell, phone, car keys, wallet, ect....I have never had a pt elope in 17 years. It is our hospital policy to place all psych pts. in a gown and take their...

12. Got any funny acronyms at your ER???

    TraumaLPN replied to RNin92's topic in Emergency

    SMS.....stupid mother syndrome TSTL.....too stupid to live Allstateitis........neck and back pain after very minor MVC's with no damage to the vehicle, arrive fully backboarded of course! CTD.....circling the drain FUBAR.....f'''ed up beyond all reco...

13. conscious sedation

    TraumaLPN replied to onlyER4me's topic in Emergency

    In my ED we only use Diprivan to keep an intubated pt. sedated and we hang a drip that is titrated. As an LPN I hang this frequently. I have been an ER nurse for 17 yrs. now. We use fentenal, etomidate and versed, also Katemine (I love this for kids ...

14. Security in ER

    TraumaLPN posted a topic in Emergency

    The ED that I work in has NO full time security for our department. When it comes time to wrestle with a pt., we nurses have to handle it 99% of the time while we wait for the local police to get there. This is a 14 bed ER and we see about 40,000 pts...

15. Oddest things found in a patient!

    TraumaLPN replied to Antikigirl's topic in General Nursing

    This was not found in a pt. but on a pt. A very obese woman can to our Ed and while the Doc was doing his assessment he found half of a ham sandwich stuck inside one of her abdominal folds. The pt. said, "Oh thats where it was!"