RedERRN

Latest Activity

1. Post Cath Provigil

   RedERRN replied to RedERRN's topic in CCU

   Provigil's generic name is Modafinil. According to the prescribing information found at provigil.com, "PROVIGIL (modafinil) is a wakefulness-promoting agent for oral administration." and "The precise mechanism(s) through which modafinil promotes wa...

2. Post Cath Provigil

   RedERRN posted a topic in CCU

   I have recently run across patients who are post-cath that have an order for PO Provigil 200mg BID. I have yet to ask a cardiologist the reasoning behind this, but I have researched the uses of Provigil. All I can find is that Provigil is used for ...

3. Highest BP you have ever seen on a pt

   RedERRN replied to nckayaker's topic in Emergency

   Highest BP: 277/224 (My mother in law during adrenal crisis) Lowest BP: 20 systolic (pt fresh in from EMS - came in "nonemergent" ) Highest blood sugar: 1900 (my case-study for nursing school - Dx HHNK) Lowest blood sugar: 8 (and the patient...

4. Protecting the patient already died does not make any sense!

   RedERRN replied to chuck1234's topic in General Nursing

   What about the coroner? Could he/she convey this information to the family without negative retribution?

5. Boosting Morale in the ER

   RedERRN replied to 1sttimetraveler's topic in Emergency

   Always take into consideration what the nurses have going on in their rooms. For example, if Nurse Smiley has an STEMI in one room in prep for stat cath lab and a patient with ARDS in prep for RSI in another room, then she is not the nurse to send t...

6. Specimen Mislabeling- Help!

   RedERRN replied to sumas8's topic in Emergency

   I am sorry that you are going through this with your staff. It sounds very frustrating; however, I am sure the nurses are not intentionally leaving the labels off of the lab draws. After all, that only creates more work for the RN by having to recol...

7. question about treatment for pt

   RedERRN replied to luv your nurse's topic in MICU

   This sounds to me like a classic case of MI-induced heart failure. Possibly these changes were due to an infarction she experienced prior to the CABG? That would explain the "wet" lungs and dry bladder... If this is the case, you cannot prevent th...

8. turning non-emergent pts away

   RedERRN replied to Jennifer, RN's topic in Emergency

   The ER I work in has a policy where all patients meeting triage levels of 4 or 5 (we use the 5-tiered ESI) are sent to "Quick Care" where they receive a MSE (Medical Screening Exam) by a physician. If their chief complaint is then deemed to be non-...

9. Feeling jaded...

   RedERRN replied to optimisticSRNA's topic in MICU

   Hmm, it's kinda funny that you posted this because I am going through the exact same thing - except my area of 3 years experience is the ER. I've deliberated about making a change from the ER to the ICU for about a year now and I have finally decide...

10. Heparinized vs Nonheparinzed saline in arterial lines

    RedERRN replied to saranurse's topic in MICU

    NS here

11. Average Tenure as ER Nurse?

    RedERRN posted a topic in Emergency

    I have been feeling really, really burnt out lately. I used to love my job and look forward to going to work everyday. Now it seems like every new patient is a new stress that I will leave feeling "incomplete" about. I find myself wishing I had cr...

12. Vit K

    RedERRN replied to CraigB-RN's topic in Emergency

    I'm like gonzo1, I've had only 2 patients in situations where they needed it IV...and it was a very slow IVP...I give it IM fairly routinely.

13. The C.R.A.P. Score

    RedERRN replied to hollysunshine's topic in Emergency

    That is toooooooooo funny!!!!!!!!! :rotfl: :rotfl: :rotfl:

14. slave labor

    RedERRN replied to Uptoherern's topic in Emergency

    Wow. This is a perfect example of "eating your young." Great job, digidog!

15. advandced monitoring in the ER

    RedERRN replied to phiposurde's topic in Emergency

    In my ER these things are not optional...they are mandatory. We spend 90% of the time with no available adult ICU beds...NONE. Our ER becomes the ICU overflow area. If a patient needs CVP monitoring, we do it. Central lines are inserted by the sur...