Mr. Grumpy

Latest Activity

1. A little HELP....please!!!!!!!!!!!!!!!!!!!!!

   Mr. Grumpy replied to nessa77's topic in New Nurse

   I have an idea. Give yourself the ativan and relax. You didn't kill or hurt anybody that we know of. Just go to your preceptor or charge nurse upon return to work and waste the med. Use this experience as a learning tool. Always waste your meds ...

2. Cutdown????

   Mr. Grumpy replied to LisaRn21's topic in General Nursing

   Sounds like the pt. is gonna die. Cut-downs should be like very last resort. Should be history like last resort. The doctor was probably concerned about infection (systemic). Now, he just gave another link to the infection chain. Wasn't there. ...

3. ER CNAs

   Mr. Grumpy replied to KungFuFtr's topic in Emergency

   Sunshine, Your burning my parade up. If you have never worked in ED, you may need more orientation than 2 weeks (especially a Level I). Your previous experience in nursing school is not going to help you as much as you think. Mostly, your orientat...

4. Boosting Morale in the ER

   Mr. Grumpy replied to 1sttimetraveler's topic in Emergency

   If you are indeed taking a charge position, then don't go to forums and ask what to do. Each ED has it's own weaknesses and strengths. Therefore, each unit is going to have different methods to building morale. However, Danny boy does have some go...

5. When patients lie about rides.....

   Mr. Grumpy replied to TazziRN's topic in Emergency

   My policy is to see the whites of eyes of person that is giving the ride. Of course people do ask to go smoke, sneak out, etc. Those are the ones that I call the po-po and advise of. You can't adult-sit these people. However, you can inform them ...

6. Tips for becoming an ER nurse

   Mr. Grumpy replied to BrooklynRN2008's topic in Emergency

   Grow some balls and go to your local ED. After explaining your situation, ask the charge nurse or nurse manager if you can observe the ED in action. If you have to make up some story about having to write a paper for nursing school, then do so. After...

7. patient satisfaction

   Mr. Grumpy replied to RNLex's topic in Emergency

   I work at one of the wealthier ED's in the nation a.k.a. (spa). I really can't stand all of the pt. satisfaction B.S. that occurs. I tend to treat people as I want to be treated until.... they start acting, become dramatic, or whine for things like...

8. Secondary Mace exposure

   Mr. Grumpy replied to cathyinbfe's topic in Emergency

   Just wear an N-95 mask.

9. Need help with IV technique

   Mr. Grumpy replied to Firemedic7's topic in Emergency

   Besides all of these comments, review your vessel anatomy. If your working in trauma, especially level I, don't worry to much. There are so many people willing to stab a pt. that you don't need to. This will free you up for other more important t...

10. ER nurses w/ impaired hearing

    Mr. Grumpy replied to 1st edition's topic in Emergency

    1st Edition, I have bilat. hearing loss, as well. I have been working in critical care environments for 13 years. The last 5 have been spent in the ED. Nowadays, I generally do not use a stethescope at all. There are several reasons for this. Fi...