JessicaSN

JessicaSN specializes in Emergency.

Latest Activity

1. What was the MOST ridiculous thing a patient came to the ER for?

   JessicaSN replied to JUSTYSMOM's topic in Emergency

   A guy came in last night because he ate a piece of moldy bread. Wasn't having any symptoms, just "wanted to get checked out". YIKES.

2. Nurses,what is the highest BP you've ever seen recorded on a pt.?

   JessicaSN replied to nobody067's topic in General Nursing

   Oh, by the way, the ER physician did not believe MULTIPLE registered nurses who re-checked the manual blood pressure. We used different size cuffs, both arms, etc and the physician still wanted different people to re-check.

3. Nurses,what is the highest BP you've ever seen recorded on a pt.?

   JessicaSN replied to nobody067's topic in General Nursing

   I work in the ER. An older lady came in complaining of nausea, headache, and upper back pain. She had not had her Clonidine (0.2mg TID) in over a week, along with her other daily meds. Her blood pressure was over 300 systolic (that is the highest our...

4. What was the MOST ridiculous thing a patient came to the ER for?

   JessicaSN replied to JUSTYSMOM's topic in Emergency

   A young woman, 7 months pregnant, came into the ER because the skin on her breasts itched due to NORMAL swelling/growth from pregnancy. AAAAAAAND what are we supposed to do about that?

5. It's Not MY Responsibility to Get YOU Home...

   JessicaSN replied to Music in My Heart's topic in Emergency

   Our ER has a 2 hour wait time after someone is discharge before we will CONSIDER calling a taxi for them if the bus is not running. And am I a big ole meanie if I say I kind of enjoy telling the "abdominal pain x 4 months, came in by squad, btw I nee...

6. What certifications do you have???

   JessicaSN replied to godbless-yute's topic in Emergency

   Yes, the CCRN is for ICU nurses. I think studying for the test and eventually passing would be beneficial for ER nurses though. It is a goal of mine to pass the test :)

7. What certifications do you have???

   JessicaSN replied to godbless-yute's topic in Emergency

   I'm assuming you already have your ACLS certification. TNCC - Trauma Nursing Core Course CPEN - Certified Pediatric Emergeny Nurse CCRN - Critical Care Registered Nurse Certification

8. Measuring Weight/height in ED routinely

   JessicaSN replied to reholi4's topic in Emergency

   Part of our triage is getting a height and weight on everyone. I weigh all children; I don't trust the parents to know how much their kid weighs. We get estimates from the adults.

9. Tips for calling MD

   JessicaSN replied to Spritenurse1210's topic in General Nursing

   Are you familiar with SBAR? It stands for Situation, Background, Assessment, and Recommendation. Here is a website about SBAR: SBAR - Situation - Background - Assessment - Recommendation - NHS Institute for Innovation and Improvement And here is a PD...

10. I want you to help me, but you will do it my way.....

    JessicaSN replied to Daisy Doodle's topic in Emergency

    If someone refuses the gown or blood work I flat out ask them, "Why don't you want to put on a gown? Why don't you want blood work/an IV?" Sometimes it's because they don't want to be cold (so I get them plenty of warm blankets, pts loooove them). So...

11. Gastric Lavage - What size tube?

    JessicaSN posted a topic in Emergency

    We don't do gastric lavage very often in my ER, but the doc wanted it done on a young lady recently (swallowed multiple types of meds 30 minutes before arrival). We tried out the "garden hose" tubes without success and ended up placing an 18 French. ...

12. Things you would like the ICU to understand

    JessicaSN replied to I_LOVE_TRAUMA's topic in Emergency

    There is no way this *hasn't* been said in this thread, but it bears repeating: We don't get any kicks out of calling report before/during/after shift change. When a patient is assigned a bed is totally out of my control. It happens at all times of t...

13. My Aching Feet

    JessicaSN replied to RN <><'s topic in Emergency

    I don't have much foot or leg pain after working (thank goodness) but I can definitely tell the difference between the nights I wear my compression socks and when I don't. My feet feel much heavier and my lower back hurts more when I don't wear them,...

14. Most embarrassing mistake you've ever made

    JessicaSN replied to sunnycalifRN's topic in General Nursing

    Emergency RN: Oh, they got you good :) I have made many embarrassing mistakes during the whole 1.5 years I've been a nurse. I guess the funniest one was I had just come back from taking a lunch and I had a new patient (I work ER). I was told in the b...

15. A question for all you ER nurses....

    JessicaSN replied to TigerGalLE's topic in General Nursing

    In my ER there is a designated person who is the "scribe" on every shift. It is written on a dry erase board that also shows who has what rooms. I am scribe a lot because I apparently do a good job (so I've been told). We have trauma paper work and s...