hollysunshine

hollysunshine has 18 years experience and specializes in ED, Ortho, LTC.

Latest Activity

1. Lining and labing in the waiting room

   hollysunshine replied to melimaras's topic in Emergency

   We have triage protocols that are complaint driven. Anyone not being seen for crisis or urgent care gets lined and labbed. We can give IV/PO narcs, antiemetics, and fluids. I've really only given Zofran. Makes me too nervous to give IV Dilaudid t...

2. Scheduling in the ED

   hollysunshine replied to TJobs's topic in Emergency

   We self schedule 8 weeks at a time with the following rules: 3 Mondays 3 Fridays 5 W/E shifts We have a holiday package (A or B) that flips each year. We get one request off per week.

3. NPO in the ER

   hollysunshine replied to hunnybaby24's topic in Emergency

   I'm convinced there is aerolized THC and Imodium in our department. Every patient who has had diarrhea for days is suddenly unable to provide a specimen and everybody has the munchies.

4. Normal to feel so stupid?

   hollysunshine replied to Virgo_RN's topic in Emergency

   When those of you who are new look back in a year, you won't recognize yourself. I've been a nurse for 18 years, and spent the last 5 in the ED. I was an experienced nurse when I went to the ED, but it's a completely different animal. I remember s...

5. Best ER Nurse quotes

   hollysunshine replied to JennyAS's topic in Emergency

   Anything can be a suppository if enough force is applied.

6. How often do EMS crews show up to your dept unannounced?

   hollysunshine replied to Larry77's topic in Emergency

   They show up unannounced all day long. We only get called on the box if the pt is critical or the medics are requesting the doc to order a med they can't give just based off protocol, like Cardizem.

7. Hourly Rounding in the ED

   hollysunshine replied to biker momma's topic in Emergency

   I think we might be at the same hospital. We got an email about the 5 P's. Can't remember the 5th one either.

8. Hourly Rounding in the ED

   hollysunshine replied to biker momma's topic in Emergency

   We just started this in my ED about a month ago. I was already seeing my patients at least every hour, but now we have to document that we updated the plan of care with the patient. We only actually have to document every 2 hours. The nurses docum...

9. 24 Things ER Nurses Know All Too Well

   hollysunshine replied to RN_in_SC's topic in Emergency

   #? No, I can't give everyone of your family members a work note because they came with you to get your stitches out.

10. Things you would like the ICU to understand

    hollysunshine replied to I_LOVE_TRAUMA's topic in Emergency

    I couldn't have said it any better. Thanks!!

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

    hollysunshine replied to JUSTYSMOM's topic in Emergency

    I recently had an 18 y.o. female come in via EMS. She had been seen several days before and given a script for Cipro for a UTI. She got it filled at the pharmacy and when she got home, realized the cap had a crack in it. She didn't think she shou...

12. transferring pts. from ED to floor

    hollysunshine replied to LCR_RN's topic in Emergency

    Amen!!!

13. Maryland ER - Bayview and Franklin Square

    hollysunshine replied to pmednurse's topic in Emergency

    Platon20 is very wrong about Franklin Square. The ED sees between 350 and 400 patients per day. I would definitely not recommend it for a new grad. Other ED's in the vicinity see approx 160 to 200 per day. Franklin Square ED practices team nursing, s...

14. The C.R.A.P. Score

    hollysunshine posted a topic in Emergency

    A fellow nurse brought this in the ED where I work and I thought it was cute. THe C.R.A.P. Score by D. Slow P., MD CRAP=(OPS+AF)(SC)(EC) OPS=Old Pain Score AF=Adjustment Factor SC=Story Credibility EC=Exam Credibility Situation: We are supposed to do...

15. Faxed Reports- Does it decrease length of stays in the ED

    hollysunshine replied to MDRRAJ's topic in Emergency

    We use Meditech for documentation and the program generates a report. When we get a bed assignment, we call the nurse to let her/him know that report is in the computer. This gives them an opportunity to review and ask question. The pt is transported...