ErNrsLynzzie

ErNrsLynzzie specializes in Pediatric Emergency Medicine/Trauma.

Latest Activity

1. Resigning after Workers Comp Leave

   ErNrsLynzzie posted a topic in Career Support

   I'm looking for advice. I have been on Worker's Comp leave after a serious attack from a patient. I have just received clearance to return to my current job. During this time, a position opened up at a hospital within the same medical center in an ER...

2. Bad experience - is this typical?

   ErNrsLynzzie replied to keikei's topic in Emergency

   This is absolutely not the standard of care. Patients are triaged based upon seriousness of condition and THEN by time. It's never the other way around. Unfortunately, sometimes things get out of control - paging different specialties, waiting on the...

3. Getting Sick at Work

   ErNrsLynzzie replied to meaganellise's topic in General Nursing

   Oh yes! Bad asthmatic and I've landed myself in a trauma bay now and then - - always kinda weird when it's your own ER. Last time I was the trauma nurse too - that got interesting....

4. PTSD after patient attack

   ErNrsLynzzie replied to ErNrsLynzzie's topic in Emergency

   I agree in that he was in a highly defensive state. I did everything in my power to try to be a calming force in the room. We trialed him without restraints and it was unsuccessful every time - he became extremely violent towards others and himself. ...

5. PTSD after patient attack

   ErNrsLynzzie posted a topic in Emergency

   On March 8th I was attacked by a teenage psych patient. He'd been in the ER for 12+ hours before I took over his care. He was very large, autistic and in psychosis. He barely responded to our B52 attempts as, despite being 4 pointed, he still tried t...

6. Injury from teenage psych patient

   ErNrsLynzzie posted a topic in Psychiatric

   I was injured about a week ago by a 17yo, 240lb, autistic patient who was brought into our ER for new violent behavior and not sleeping in 3 days. He was restrained during the midnight shift both physically and chemically. He required high doses of m...

7. worst death you've seen

   ErNrsLynzzie replied to Darkfield's topic in General Nursing

   Deaths are always hard.... I work in a peds ER/level 1 trauma center so we are faced with it far more often than we'd like. Luckily, it's not all the time but it's frequent. The worst are the most unexpected - SIDS and trauma seem to cause the most g...

8. Conscious Sedation in the ER

   ErNrsLynzzie replied to Silktea3's topic in Emergency

   I work in a very busy pediatric ER and we commonly use Ketamine and Versed for conscious sedation. Ketamine alone often has nasty side effects, using the versed helps to lesson the reactions (hallucinations, screaming, crying, etc). We monitor VS q5m...

9. Injured by patient's family?

   ErNrsLynzzie posted a topic in Stress 101

   Recently I was participating in a code on a child and approx 20 family members arrived. They quickly split into sides and began verbally and physically fighting. Suddenly, a family member began spraying dog repellent spray and then our security used ...

10. What do you do when a child passes?

    ErNrsLynzzie replied to jstradley's topic in Pediatric

    Not taking it home is definitely a challenge. This is why I said "don't take it home too often". Sometimes it hits you hard - a child you've grown to know suddenly dies and the staff is left grieving and wondering why. This is why I cry at work. You ...

11. Support stockings or knee-high support socks?

    ErNrsLynzzie replied to SeattleU08's topic in General Nursing

    From what I've reasarched - wearing knee highs cuts off circulation at the knee level which isn't good. If you feel like you need to wear them - either wear a low-compression level knee high or any level compression full hose. I wear full strength k...

12. protocol for pediatric triage

    ErNrsLynzzie replied to ermickie's topic in Emergency

    Another possible triage guide is SAMPLE: Signs/Symptoms Allergies Medications Past Medical History Last Meal/Last Diaper Events Other ideas are the PAT (pediatric assessment triangle) which is used before you lay hands on the patients. It involves vi...

13. morphine IV

    ErNrsLynzzie replied to breaking_dawn's topic in Emergency

    With peds we base it on kg with a max of 15mg per dose. Generally I put it on a med pump for 10-15 minutes. I always have an SpO2 monitor on them and BVM/Sx at BS. I never run morphine without IV fluids simultaneously (like through a lock). I have gi...

14. Who numbs for needlesticks?

    ErNrsLynzzie replied to care4kids's topic in Pediatric

    Currently we have only Painease available without order. Unfortunately, being in an ER, we have to prep for blood cultures on almost every patient and according to our policy, we don't use Painease with blood cultures. And frankly, having practiced w...

15. What do you do when a child passes?

    ErNrsLynzzie replied to jstradley's topic in Pediatric

    I work in a pediatric ER/Trauma center where we see far too much violence and chronic illness in children. I have to agree, there are times where a child passing away may be for the better for they suffer terribly with their illnesses. It's always ha...