NicoleRN07 RN

NicoleRN07 has 7 years experience as a RN and specializes in Med/Surge, ER.

Latest Activity

1. Vit K

   NicoleRN07 replied to CraigB-RN's topic in Emergency

   It is in our protocol that we can administer Vit K IV, however, I generally request from the ordering doc that we give SQ. That big DEATH written under the complication section in the drug book is just too scary for me.

2. Behavioral restraints and q15 min checks

   NicoleRN07 replied to letina's topic in General Nursing

   I work in a busy ED, but when we initiate behavioral restraints, that is an automatic 1:1. We never have a patient in behavioral restraints that doesn't have a sitter at the bedside at all times.

3. Visiting hours, whose job to enforce them???

   NicoleRN07 replied to pink2blue1's topic in General Nursing

   You, as the nurse are an advocate for the patient, so if you feel that your patient should have limited visitors or visiting hours, it is your or your charge nurses duty to enforce this. I do not work on a floor, but in a very busy ER, but having vi...

4. room assignments/responsibilities

   NicoleRN07 replied to ERERER's topic in Emergency

   We do the Pod thingie...didn't like the idea at first, but it's better than the team approach where our dept was divided. I don't feel so overwhelmed in my POD, because I am only concerned with my patients, and when my Pod partner is overwhelmed, I ...

5. add your funny TRIAGE complaints from pts

   NicoleRN07 replied to er nursing's topic in Emergency

   The best I've got this week is....."I can't tell you"......and "God said NO!"

6. Incometent Doctor

   NicoleRN07 replied to Happy-ER-RN's topic in Emergency

   CYA.....I can't tell you how important your documentation is in situations such as this. I work with a MD who is the same way, but I chart, chart, chart! Keep copies of your documentation for the supervisor/medical director, that way, when a proble...

7. SCARED to death of conscious sedation

   NicoleRN07 replied to b eyes's topic in Emergency

   We do conscious sedation frequently in our ER as well. On adults, we always use Etomidate, because it has a short half life, and there is usually no recovery time. Usually, the patient is completely alert within 5-10 minutes after administration. ...

8. "Too unstable for transport"..........WHAT?!?!?

   NicoleRN07 replied to TazziRN's topic in General Nursing

   I've never had that problem, and I've sent out some pretty unstable patients. Just last week, I sent a lady out who came in V-tach, had been shocked like 12 or 13 times, had a lidocaine drip, amiodarone drip, dopamine, and heparin drips and kept goi...

9. How often do you work overtime?

   NicoleRN07 replied to Sassybottom's topic in General Nursing

   I think that once you get started, you will see that you will have no problem finding an extra shift if you want or need it. Be careful not to over do it though. You will burn out quickly. I usually try to work one extra 12 hour shift every two we...

10. slave labor

    NicoleRN07 replied to Uptoherern's topic in Emergency

    Let's see.....I began working when I was 16 years old. I started working a full time job after high school so I could pay my way through nursing school, and halfway support myself, so yes, I have quite a bit of work experience other than nursing! I...

11. Blood in the IV

    NicoleRN07 replied to sunshineonleith's topic in Emergency

    Its a gravity thing. If that happens, (rarely, b/c I don't allow my fluids to run completely empty), I just d/c the IVFs, flush the heplock, and hang another bag of fluid in it's place.

12. slave labor

    NicoleRN07 replied to Uptoherern's topic in Emergency

    The reason I entered nursing is because I care about others, and I enjoy taking care of people during a time when they need someone to care. I care enough about others not to complain about missing my break. I have based my whole life on taking care...

13. Banning Crocs?

    NicoleRN07 replied to styRN's topic in Uniform/Gear

    The facility I am currently employed put an end to the vented crocs when they first became popular for the same reasons as discussed above. We can however wear the solid crocs. We are not even supposed to wear tennis shoes with mesh to work. Our sh...

14. Charting

    NicoleRN07 replied to Fancy Face's topic in Geriatric

    If I didn't do the assessment, then I don't chart it.

15. Wait for D/C after narcs/benzos?

    NicoleRN07 replied to Miss Mab's topic in Emergency

    We make sure the patient has someone to drive them home before administering narcs/benzos, and after giving IV/IM meds, we observe the patient for 30 minutes and then d/c. The observation time is on all meds, not just narcs.