NativeSundance LPN

NativeSundance has 25 years experience as a LPN and specializes in ED.

Latest Activity

1. TNCC or not

   NativeSundance replied to anniemm's topic in Emergency

   TNCC is strictly for ER nurses and is not open to paramedics, doctors, PA's or any other non nursing personnel. It is a course designed by ENA and your certificate is issued through them. It is much different than ACLS, PALS, NRP, NALS, BLS or any of...

2. Open letter from a Paramedic

   NativeSundance replied to NativeSundance's topic in Emergency

   I am SO glad to find this still lurking on the pages of AllNurses!! I have been looking for it in my old files for weeks to no avail when I remembered posting it here so long ago! Way To Go AllNurses for having such an extensive file storage vault! ...

3. RSV... The supersized version?!!!

   NativeSundance replied to AnnieOaklyRN's topic in Emergency

   Our ER has seen far fewer cases than normal of RSV this year....BUT...the ones we have seen were very bad cases with intubation common. Not sure what is going on with the bugs, but this year when they strike, they strike HARD and FAST.

4. Cpen

   NativeSundance replied to NativeSundance's topic in Emergency

   Would LOVE to hear from someone who has taken this exam. I know it's early on, but hundreds have taken it already. Anxious to hear opinions of it and what was used as study resources.

5. Cpen

   NativeSundance posted a topic in Emergency

   Have any of you signed up for this new exam yet? If so, what study resources did you use? Has anyone actually taken the exam? Can't remember when in January they were offering the first one. I plan to take it mid summer or so...after they have road t...

6. Hourly Rounding in the ED

   NativeSundance replied to biker momma's topic in Emergency

   We have hourly "comfort rounds" and also walking rounds at shift change. They are Nazi's about it too. No excuse...like I had another pt circling the drain...was busy tubing in another room, doing bilat chest tubes... etc, etc. If I have time, fine. ...

7. Worst doctors orders ever received

   NativeSundance replied to jenfromjersey's topic in Emergency

   i'm so glad someone caught the message there! yep, the problem was indeed the "kvo" part of the order. not a good plan for hhnk patients! stupid doctor couldn't manage to tell the difference between dka and hhnk.

8. fish philosophy

   NativeSundance replied to athomas91's topic in Emergency

   We also were required to watch the fish video during orientation and encouraged to find ways to have fun at work. The reality is, however, that we are to crank out the healthcare at breakneck speed juggling impossible assignments under ridiculous cir...

9. Worst doctors orders ever received

   NativeSundance replied to jenfromjersey's topic in Emergency

   This was clearly HHNK, not DKA. Many of our doctors don't know the difference. They'll call HHNK something crazy like DKA although the s/s are markedly different. One of the only thing they have in common is an elevated BS. HHNK folks need fluids, fl...

10. Worst doctors orders ever received

    NativeSundance replied to jenfromjersey's topic in Emergency

    One of my personal favorites is an order for KVO fluids on a patient with a BS of 984 and clearly HHNK. Dx: "new onset DM". Sigh...

11. Your state's "preferred" ED credentials?

    NativeSundance replied to alkaleidi's topic in Emergency

    Our ED requires: BCLS, ACLS, PALS, TNCC. Prefers the addition of NRP, ENPC,and CEN. BCLS, ACLS and PALS should be mandatory in ANY emergency department that serves the general population. Some ER's have seperate adult and peds treatment areas so thos...

12. Administration of blood products

    NativeSundance posted a topic in Emergency

    We had quite a debate about the administration of blood products the other night at work which became unusually heated. So I put the question out to all of you... How fast do you run your prbc's? What type of tubing do you use? What size of angiocath...

13. Anyone currently studying for the CEN exam??

    NativeSundance replied to deeDawntee's topic in Emergency

    I took and passed CEN last September. The test is challenging and has a high fail rate, but is IS worth the effort! I bought Laura Vonfrolio's DVD's and also MedEd. I can honestly say that Dr. Laura's DVD's were very entertaining and interesting, but...

14. The 10 most insane medical practices in history

    NativeSundance replied to NativeSundance's topic in Emergency

    Drat...it didn't show the pictures. They are hilarious and worth your time to go look at!

15. The 10 most insane medical practices in history

    NativeSundance posted a topic in Emergency

    this is posted here for your amusement. these are actual medical treatments of yesteryear! the 10 most insane medical practices in history by nathan birch have you ever been left with the impression after a thorough poking, prodding and testicul...