RNintheER

RNintheER

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About RNintheER

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  1. Fall Risk Screening in the ED

    I agree canoehead!!! We had considered this but risk mgmt said we had to implement the same interventions as on the floor.....which means a bed alarm/bed chirper on rooms out of direct (sight) observation. This is not practical in our ED. I think eve...
  2. How to network????

    I am a new nurse manager in the ER......a new nurse at that!!! I am on our fall risk committee in the hospital. The risk management person at our facility tends to make blanket statements about new regulations without really understanding what the re...
  3. Fall Risk Screening in the ED

    We have computerized charting as well. I am curious to know if your screening tool and interventions are the same as on the floor? And do you reassess after every pain medication???
  4. Motrin PR?????

    Do any of you give motrin PR??? We have in the past drawn up the liquid motrin in a syringe placed the IV cathter (minus needle!!!) on the top and inserted it into the rectum. We held the buttocks closed for a minute after inserting the medicine. We ...
  5. Fall Risk Screening in the ED

    We have been told by our risk dept that due to a JC guideline we have to now screen every person who comes to the ED for a fall risk and reassess as needed......i.e. after giving narcotics, etc. This seems like it is going to be difficult to do. We c...
  6. Agency vs. Traveler: what do you choose?

    We use agency for day to day needs. We use travelers for positions that are consistently left unfilled. Unfortunately, they are both very expensive and agency can cancel at the last minute and have no ties to the organization. Our CFO will not allow ...
  7. Help with my new Clinical Sup Job?

    I posted recently on interview advice and ended up getting the clinical supervisor position in my ER. Now I start in a week or two and am nervous about what to do. The job description is very vague and the schedule is one of the main things that I wi...
  8. Advice needed regarding clinical sup position

    Also just to add, I know I don't have a lot of experience to be considered for a clinical supervisor position but where I work there aren't many more experienced people. I know the other night shift charge nurse didn't go to nursing school, became a ...
  9. I have been an ER nurse for almost 3 yrs with 4 months off for maternity leave. Also, I have been a charge nurse for a year. I work in a small hospital where we are always hurting for staff. I currently and always have worked nights. It is taking a t...
  10. Blood draw from IVs?

    Our facility allows us to draw labs when we initiate IV access. I usually just draw with a 12 or 20cc syringe screwed into the angiocath. When I am done I attach a hub and secure the site. If there is a re-draw or an add on hrs later that the lab can...
  11. RN at triage window?

    The issue is that we are understaffed for break coverage as well as other hospitals having the no nurse at the triage window. Just wondering how other hospitals are doing it! Our director keeps saying how we are budgeted for 6 nurses each shift but w...
  12. RN at triage window?

    OK. Well we used to have one RN doing triage. Now we have two....sometimes 2 RN's sometimes an RN and an LVN. Technically, the RN at the window takes basic data, name, dob, pmd, allergies, and Chief Complaint. Then assigns a triage priority (1-5) put...
  13. Pregnant and wanting to LEAVE early

    I am currently an ER nurse and am 26 weeks pregnant. I work in an understaffed hospital with very high turnover. There are only 2 staff RN's on the nightshift. The rest are travelers or registry. I have been having a frustrating pregnancy from the be...
  14. Registry vs Travel Nursing???

    I am a relatively new nurse at a hospital that has several travelers. I am one out of a total of 3 staff RN's and the rest are registry or travelers. My questions is what is the difference between registry and travel nurses. I know registry is not a ...
  15. Pregnant RN in the ER

    Ok. I became an RN in June and have worked in a small rural town ER ever since. I love it! I work triage, trauma, side rooms and halls depending on the day. My problem is that I just found out that I am 10 weeks pregnant. I have been super sick with ...