OutdoorLovinRN

OutdoorLovinRN

Emergency Department

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About OutdoorLovinRN

OutdoorLovinRN has 7 years experience and specializes in Emergency Department.


Latest Activity

  1. Mass Transfusion Questions

    Hi JoPACURN, Thanks for sharing with me your knowledge about platelets. The anesthesiologist took those from me and hung them-without pressure I do believe. And, I see your point, if in the future there are not enough hands and pt is uber-critical, I...
  2. Mass Transfusion Questions

    Thank you Emergency RN and Questionsforall, You really did a great job of answering my questions. One question that is still unanswered is: do I need to change the filter on the Level 1 even if it still seems to be infusing fine? Do you routinely cha...
  3. Mass Transfusion Questions

    Hi Need some reassurence that senior RN's advice was right-- If you're running a mass transfusion, and your lines on your level one are both primed with blood and you need to get FFP up, (and assuming your filter is still good), is it okay to spike t...
  4. Code Blue Nervousness

    I remind myself when we're expecting sick patients of my ABCDEs and that we need to cover those bases and get a set of vital signs along the way. Lab and x-ray and ekg will be outside the door and will come do their thing. I try to review the equipme...
  5. CEN...study at home or in seminar?

    I got the CEN review book from ENA, copyright 2001, and took all 4 150 question tests in it and also the 2 175 question tests associated with the book that are on the computer. I used my TNCC, ENPC, and Sheehey's as reference material while targeting...
  6. Qualities of an ER nurse!

    I agree with the prior posts. You have to be able to think on your feet and take things into your own hands sometimes when the doctor just cannot be there at the bedside at that moment. I had a patient recently who went into vfib on my zoll (he was o...
  7. Has anyone else been asked to transfer units in first 6 months?

    Wow! I started this thread 3 years ago! What a ways I have come. I did go on to work in the CCU for 10 months and learned a great deal. The worst part about the ccu for me was all the lifting and moving and turning of such heavy patients. The best pa...
  8. Has anyone else been asked to transfer units in first 6 months?

    I worked my first 3 shifts in the CCU this week. I really like it. There's definitely a lot to do, a ton to learn, and lots of opportunities for critical thinking. Plus, it's nice to only have two patients to concentrate all of my efforts and "caring...
  9. Amiodorone bolus, biphasic cardioverting

    I agree about wondering why the MD didn't start the dilt and amiodarone drips and wait a little while before cardioverting. I was going to ask the MD, but wasn't sure if it was a silly question. I had wondered if maybe the MD was concerned about the ...
  10. Amiodorone bolus, biphasic cardioverting

    I'm precepting as a new grad nurse. I had a pt today who went into a-fib during my shift. His HR was 140-160 with MAP of 57-60 (down from 60-70 prior). His O2 sat was decreasing to 90 from 100 without any changes on vent settings. MD made decision to...
  11. MICU vs CCU for novice nurse

    Hi, Just wanted to let everyone reading this thread know that I accepted a position in CCU. I start work next Thursday. Tonight will be my last night as a nurse in the ED...for a while. Who knows...maybe I'll fall in love with ICU and never look back...
  12. Has anyone else been asked to transfer units in first 6 months?

    I just wanted to thank everyone who replied to my post so quickly after I wrote it about two weeks ago. I was so upset about being asked to transfer out of the ED into ICU. I did e-mail my nurse educator with my concerns, but she said they thought it...
  13. MICU vs CCU for novice nurse

    Hi 11, Thanks for your response. The whole house code thing wouldn't be for a while. They don't start new grads on that....so they say. In our hospital, the way it is is that the CCU gets so many overflow pts that there's a mix of medical and cardiac...
  14. MICU vs CCU for novice nurse

    CamelHappy1, I just want to say that I really appreciated your letter a lot. During my interview with CCU at the major teaching hospital where I work, a lot of what you said panned out to be true. The CCU gets a lot of overflow pts from medicine and ...
  15. MICU vs CCU for novice nurse

    Hi All, I wrote a thread earlier under the First Year in Nursing Forum about how the ED where I have worked for four months has decided that I would be a better fit for the ICU where I can invest a lot more time in each of my patients. I love my job ...