TaraER-RN

Latest Activity

1. Conscious Sedation in the ER

   TaraER-RN replied to Silktea3's topic in Emergency

   We have two types, moderate sedation (which is usually versed and fentanyl), and deep sedation (which we can use etomidate, ketamine, propofol-pushes only, no gtt, and brevital). We have VERY strict guidelines and monitoring requirements. They are ...

2. Morphine shortage?

   TaraER-RN replied to Lunah's topic in Emergency

   We use Dilaudid so much now, I don't think our hospital will ever run out of Morphine! Lol

3. Hylenex-Have you used it

   TaraER-RN replied to RN0520's topic in Emergency

   OK...I am super confused, I was looking at the website for this drug but can't figre out what it is....It looks like you let fluids basically infilitrate SQ instead of going intravenous, and this drug helps your body absorb it?? I can understand the...

4. Policy on ED violence

   TaraER-RN replied to littleRNthatcould's topic in Emergency

   We have the same situation as the original poster...our security isn't "allowed" to touch a patient...they are basically there as a visual cue, with no weapons of any sort on them. Most of them are smaller than me, and I hear they are the lowest pai...

5. ER Experience

   TaraER-RN replied to curlilockz's topic in Emergency

   I have been an ER nurse now for almost 7 years...all of it being in the ER (I started as a new grad there). I have trained multiple new grads into our department, and truthfully in my experience it has been easier to train a new grad than a person w...

6. The most expensive, silly or cheap gifts you received from your hospital

   TaraER-RN replied to Shantas's topic in General Nursing

   The last couple Xmas' we got a nice fleece sweatshirt with the hospital logo on it, and then the next year we got fleece sleeveless vests with the logo (and the girls do tend to where them to work a lot--the boys not as much). I heard that this year...

7. How Long is your New Grad Orientation at your facility?

   TaraER-RN replied to Brian's topic in General Nursing

   In our ER for new grads or for those coming from non ER backgrounds we do 40 shifts with a preceptor on the floor, plus 6 weeks (one day a week each) of a regional training class and an our facility specific class to didaticley review things.

8. Change in IV Phenergan Policy

   TaraER-RN replied to RNKPCE's topic in Medications

   wow...I'm really shocked to see all this...I have given phenergan probably a thousand times as an ER nurse (its our most commonly used anti-nausea drug)...I always give it diluted in the highest port, and luckily it has always been ok...I might start...

9. Jcaho Medication Reconciliation

   TaraER-RN replied to SEOBowhntr's topic in Medications

   Hi everyone...we have been having to do med recon's in our ER for about the last 4-5 months. It has been getting easier...all we (as nurses) are responsible for is printing their med recon sheet (since I work for an HMO the patient's meds will print...

10. Flow of your Triage/MSE area

    TaraER-RN replied to TaraER-RN's topic in Emergency

    Thanks Ken...I read that article too...its actually based around what happened to that one patient in a waiting room in Illinois who came in for CP and waited to long in the waiting room and ended up having a cardiac arrest....one of the reasons that...

11. Flow of your Triage/MSE area

    TaraER-RN posted a topic in Emergency

    Hello....I am looking for ideas from people who work in busy ER's (greater than 130 coming in daily) on how you manage your triage flow. We just started using ESI (emergency severity index) and its important to us to have a nurse be one of the first...

12. Rules for the ER (long)

    TaraER-RN replied to EDValerieRN's topic in Emergency

    I wanted to add this one...I kinda saw it in other notes, but: No, I will not push this "narc of choice" in the closest port, as fast as I can, since that "is the only way that works for you." It is my license and I will push at the rate that is dee...

13. Unsafe assignments in the ED

    TaraER-RN replied to LeahJet's topic in Emergency

    In our ER we try to stay at the 1:4 ratio (and then 1:1 with codes, etc)...but occassionally we have to go to 5 each...but we are not assigned rooms, we do too much bed shuffling to maintain room assignments. But you can't really control how many pe...

14. No More Demerol IV Push???

    TaraER-RN replied to VickyRN's topic in Emergency

    This is all very interesting to me...have been an ER nurse for 4 years now, and we give Demerol all the time! I would say in the last year or so it hasn't been used as much, but some docs will only give that med for pain control (unless there is an ...

15. jcaho coming

    TaraER-RN replied to Spider Cat's topic in General Nursing

    I hate it when JHACO comes to town...as do all nurses...all it does is gets the management all over you! We just went through our survey and yes management tells you a bunch of stuff you need to know, but the truth is, they 1) will ask you things tha...