TexNurse

Latest Activity

1. Admitting Patients from the ED

   TexNurse posted a topic in Emergency

   I have a question. What is your admission process for timely admits to the floor. Our current process: Take orders over the phone or wait for the doctor to come in and write them themselves. Call supervisor with admit orders. Charge nurse from f...

2. CT scans and how long to wait?

   TexNurse replied to TexNurse's topic in Emergency

   Thanks for all the info. We pretty much did decide to change to gastrografin. Some of the docs- not long out of residency- had used it at larger, out of the area hospitals. They had great experiences with it- said a patient drank quickly- gastrogr...

3. CT scans and how long to wait?

   TexNurse replied to TexNurse's topic in Emergency

   The problem is that I don't agree. I don't think it is good enough to say "oh well, its going to take 4 hours anyway" It doesn't have to. If you give barium, you can scan in 1 1/2 hours. If you give gastrografin you are looking at 3 hours. That i...

4. CT scans and how long to wait?

   TexNurse posted a topic in Emergency

   I have an issue that I need help with. Our ED recently went from barium to gastrografin for CT's. Supposedly you can do a CT in less time, pt's tolerate it better, move patient's quickly. Everyone's happier. Not happening. This is what is happen...

5. Triage in the ED

   TexNurse replied to Horton's topic in Emergency

   In our ER, an RN is the 1st person to greet a patient and ask for the medical need. You do a quick assessment, triage in order of priority. We also do a paper care plan- something that was added last year because of 'JACHO'- If an RN is not doing ...

6. Security in the ED

   TexNurse replied to TexNurse's topic in Emergency

   Oh man, I didn't realize how lucky we are! My director cares a lot for our safety. We not only are locked down, but have a hospital securtiy officer in the waiting room and an armed police officer every night in the main ED. I wish you would all g...

7. Security in the ED

   TexNurse posted a topic in Emergency

   I am trying to find out how security works in other ED. We worked in a locked ED- someone has to let patients/visitors in the door. Only 2 are really used at night- the EMS door and the locked door from the waiting room to the main ED. All employe...

8. Security in the ED

   TexNurse replied to TexNurse's topic in Emergency

   I am trying to find out how security works in other ED. We worked in a locked ED- someone has to let patients/visitors in the door. Only 2 are really used at night- the EMS door and the locked door from the waiting room to the main ED. All employe...

9. I never realized we are all in the same boat!

   TexNurse replied to shootemrn's topic in Emergency

   Had a lady come in to our ED with c/o abd pain. Brought an empty oreo cookie bag with her. Said her husband ate a couple, and she ate the rest of the bag. Wanted to test the crumbs because they must have made her sick. You mean if you eat the whol...

10. Conscious Sedation Recoveries

    TexNurse replied to TexNurse's topic in Emergency

    So do you get patients back from EGD or outpatient procedures and recover in the ER? Just wondering.......

11. Conscious Sedation Recoveries

    TexNurse replied to TexNurse's topic in Emergency

    Nope, when we send someone to OR or EGD they become an inpatient or an outpatient. They are no longer an ER pt. We do conscious sedation too, but we rearrange staffing so that the nurse involved in the CS doesn't have any other patients. Anyone hav...

12. Conscious Sedation Recoveries

    TexNurse posted a topic in Emergency

    I have a question- when ED sends a patient to EGD, and the patient receives conscious sedation, do you receive the patient back immediately afterwards to do the recovery? Our hospital has started this practice on weekends. Last week I had a guy go ...

13. What's WRONG with nursing management?

    TexNurse replied to VickyRN's topic in General Nursing

    Yep, there is definitely a nursing shortage and the only ones who seem to care are the nurses who are working short! So maybe you have some advice for "us". At my hospital, we are short staffed, so we are "supplemented" with travelers and agency nu...

14. Southern Nurses Better Off Than The Rest?

    TexNurse replied to -jt's topic in Activism

    Shortage or no shortage- mandatory OT or not. Yes, there is a shortage. No, we don't have to do mandatory OT. So who fills in because we don't have enough of our own staff to work a busy emergency room? Agency nurses- who make $10.00 more an hour ...

15. Nursing Pre-Entrance Exams

    TexNurse replied to FritoPie's topic in General Students

    Where in Texas do you live? I never heard of an entrance exam for nursing school. You take your prereqs and based on your grades, interest, etc., you are admitted into the program. I say look around for another school of nursing, one that fits you...