outlierrn

outlierrn has 16 years experience and specializes in ER.

Latest Activity

1. Tips and tricks for FirstNet

   outlierrn replied to outlierrn's topic in Emergency

   One new question that's come up is how people enter surgical history? In Medhost, it's bundled in the triage history group that includes allergies, current meds, and medical history, but it seems to be buried in the bedside nurses assessment in Firs...

2. Tips and tricks for FirstNet

   outlierrn replied to outlierrn's topic in Emergency

   Ah thanks for this (and everyone else), I'll have to talk to my informatics nurse and see about this.

3. Tips and tricks for FirstNet

   outlierrn posted a topic in Emergency

   So, after 10 years with Medhost, we're finally going to Firstnet at my hospital. We've had Cerner power chart on the floor for awhile, but I've never really gotten the hang of it, so I come to you for your: Tips Tricks and Shortcuts Thanks in advanc...

4. Missed heart attacks - how can it happen?

   outlierrn replied to Enthused RN's topic in Emergency

   It was not my intention to be rude or condescending.

5. Missed heart attacks - how can it happen?

   outlierrn replied to Enthused RN's topic in Emergency

   I had a 44 y/o guy come in full CPR in progress. We never got him back, but the story we got from the family was that he had started a new job about a week ago, and c/o of vague shoulder pain since he began (left, of course). If he had presented to...

6. Triage complaints- the good, the bad, and the shocking.

   outlierrn replied to canoehead's topic in Emergency

   Paraphrased for simplicity: Pt. I think I have a kidney stone. Me. Describe your pain. Pt. Vague, diffuse, mild. Me. ?? Have you ever had a kidney stone before? Pt. No. Me. What makes you think you have one now? Pt. I have a diagnosed staph infection...

7. Ordering labs and images in triage

   outlierrn replied to whichone'spink's topic in Emergency

   It's usually institution specific, since, with the exception of what's covered by yout ACLS card, the medical staff has to sign off on any standing orders done by RNs. Where I work I can do accuchecks, 12 lead ekg, initiate o2, ua/ucg, and plain film...

8. Qualities of an ER nurse!

   outlierrn replied to kingramon15's topic in Emergency

   Rather than saying think on your feet I would say reprioritize on your feet. You were going to clean that pt up before admitting then? Well not now, there's a multiple casualty inbound. Your pt was a stable abd complaint? Not now, the wife tells you...

9. Any males working in Pediatric Med/Surg or PICU?

   outlierrn replied to Lericalpoet's topic in Men

   I've worked PICU, general peds floor, and peds ER, sometimes with other guys sometimes not. If that's something you're interested in there is no reason not to for try it. Now I work in general ER, but it's a rare week when a parent doesn't compliment...

10. Men Do you regret your Nursing Career?

    outlierrn replied to philanurse2b's topic in Men

    10 years in, never looked back. Some days suck, but's that's true of every job I ever had.

11. Nursing 101 Question - Experienced Nurses, how would you answer this?

    outlierrn replied to julsywulsy's topic in Orthopaedic

    I agree that C is the correct answer. It's poorly worded so as not to lead you to the right answer. Look at it this way; what's the worse case scenario? Compartment syndrome. If so then A actively harms you pt, B&D delay care for no gain, tha...

12. looking for cites for subQ morphine in peds

    outlierrn posted a topic in Emergency

    When I worked peds ER we had lots of kids with ortho pain come in. We often gave subQ morphine, got the films, decided if they needed an IV and proceeded with definitive care. Now I work adult ER and find the docs resistent to this; usually I hear ...

13. Dimensional Analysis for everything???

    outlierrn replied to Kaiserstudent's topic in General Students

    I never use dimensional analysis. dose des/dose on hand X vol on hand can be used for everything I've come across in ER and ICU

14. Ketamine

    outlierrn replied to jili's topic in Emergency

    Lots of variation obviously, I've pushed brevitol and propofol before, and for some strange reason out facility doesn't require wasting ketamine, brevitol yes, go figure.

15. Student nurse confused about suctioning

    outlierrn replied to JSouba's topic in Pulmonary

    Back in one of my other lives I observed that you could ask two farmers about the best way to cultivate tomatos, get two diametrically opposed answers, get reasonable, rational explanations for each, and damned if you could tell them apart come harve...