mybrowneyedgirl BSN, RN

mybrowneyedgirl is a BSN, RN and specializes in Emergency Room.

Latest Activity

1. Had never considered the ER but....

   mybrowneyedgirl replied to principessaGG's topic in Emergency

   I started ER at age 38 (2nd career) and it's the best choice I have ever made. I drive a long way to get to work. A new facility owned by my same very large hospital opened up 5 minutes away and I love ED so much I won't leave. It will be scary, bu...

2. New ED Nurse

   mybrowneyedgirl replied to c.kelly20's topic in Emergency

   Study labs, meds and "what to look for" on most common reasons patient come to ED: chest pain, abdominal pain in different quadrants, P.E., ectopic pregnancy, asthma, seizures, broken bones, head injuries on blood thinners, stroke etc. Offer to hel...

3. Walk me through your ER

   mybrowneyedgirl replied to Sassy5d's topic in Emergency

   89 bed Level 1 Trauma center with our own helicopters and fixed wing airplanes. Tooth aches to aortic dissections. 3 Trauma bays but it's being remodeled to accommodate more and include an ICU in the ED. Typically 3:1 patient ratios. Some 4:1. T...

4. Managing pre shift anxiety?

   mybrowneyedgirl replied to %63theend's topic in Emergency

   Reviewing skills on youtube actually helped me with things like Artline setups.

5. Charcoal/NG tubes

   mybrowneyedgirl replied to Sassy5d's topic in Emergency

   Never try to put it through and NG that is smaller than a 16 or you will find yourself buying new scrubs Happened to two coworkers of mine.

6. Staffing/Patient Ratios in your ED

   mybrowneyedgirl replied to Collins030505's topic in Emergency

   Level 1 trauma. 1:3 unless you're in the 3 resuscitation bays. Then it's 3 patients to 2 nurses.

7. Back in the ER have a few questions

   mybrowneyedgirl replied to Kidrn911's topic in Emergency

   Appys, gall bladder problems, aortic dissections, GI bleeds from unknown sources, sepsis, traumas, heart attacks, cellulitis, asthma, RF patients with elevated potassium and blood pressures, altered mental status, ...

8. orientaton for experienced nurses

   mybrowneyedgirl replied to Kidrn911's topic in Emergency

   I work level 1 where experienced nurses get 6 weeks. 2 weeks is way too short (and 6 is a bit long)

9. Emergency departments willing to give a dedicated new graduate a chance..... realistic

   mybrowneyedgirl replied to iliketosneeze's topic in Emergency

   Small hospitals will hire ADNs. Bigger hospital will do it after 1 yr ED experience. I started out in smaller hospital and then moved Level 1 in 2 yrs.

10. Nurses week gifts from employer

    mybrowneyedgirl replied to floridaRN38's topic in Emergency

    A thank you email. But in October for ER nurses week, they do usually do nice things like lunch, cake and tshirts.

11. Thoughts on starting off in the ER as a new grad?

    mybrowneyedgirl replied to MSNrunner's topic in Emergency

    Go for it!! I started out Level II and now work Level I. Been working over 3 yrs with only ER experience. I love my job and I hope you will too.

12. NEW TO THE ER WORLD

    mybrowneyedgirl replied to CaribeRN's topic in Emergency

    Congratulations! I hope you love it. It all comes with time and every ER has it's own procedures but : If they fainted- they will need an EKG and expect to fluid bolus them. Chest pain - Line, labs (including troponin) and EKG right away with bed...

13. Brain Sheet

    mybrowneyedgirl replied to porkey2's topic in Emergency

    I use plain 8 x 11 paper. I write as follows Name Chief Complaint Allergies Abnormal labs IV location I underline tasks that have been done and "circle" tasks that need to be completed.

14. Nights in the ER??

    mybrowneyedgirl replied to scrubsandasmile's topic in Emergency

    I have worked nights for 2 1/2 years. I sleep right away when I get home until 3p when I have to get my kids. I switch back to "normal sleeping" on my days off. When I need to go back on nights I take a nap before I go in. I try to group my work...

15. Help!!! Floor nurse applied for ED position

    mybrowneyedgirl replied to njsmit.rn's topic in Emergency

    I've seen many floor nurses do well in the ED. Congratulations!!