lvnlrn

lvnlrn specializes in LTC, MDS, ER.

Latest Activity

1. resus room chart

   lvnlrn replied to girlxh16's topic in Emergency

   Examples of trauma flow sheets: (You could probably google any state & "Trauma flow sheet" and see examples) http://dphhs.mt.gov/Portals/85/publichealth/documents/EMSTS/trauma/cmctraumaflowsheet.pdf http://dphhs.mt.gov/Portals/85/publichealth/doc...

2. From small ICU to big ER...feeling like I may have made a mistake!

   lvnlrn replied to pookiechew's topic in Emergency

   ICU nursing is focused, constantly reassessing, 2-3 patients at a time (usually), detail-oriented. ED nursing is different. You have anywhere from 2-5 patients, and you don't know what's wrong with them usually. You get your patient in the room whil...

3. Residents with shingles...

   lvnlrn replied to NurseQT's topic in Geriatric

   I'm assuming one of those appointments was to see the doctor for her shingles? I hope so...shingles in the eyes can be nasty and lead to long term effects. The MD can write for an antiviral (probably too late now).

4. Frequent Fliers...seeking ENEMAS!

   lvnlrn replied to 1fastRN's topic in Emergency

   Ugh...not a frequent flier but I had an elderly patient demanding that I give her an enema before discharging her for her chief complaint of neck pain for last six months. Never mind that she had no problem having an extra large bowel movement while ...

5. Starting an ER job with no orientation?

   lvnlrn replied to LostnNakedNursing's topic in Emergency

   I think you made the right decision. Some of the ED nurses I work with (we're at a level II trauma center) came from tiny EDs in the middle of nowhere. They are able to be so independent because they literally have to do it all in these tiny EDs unti...

6. Shouldn't that patient go the ICU??

   lvnlrn replied to psu_213's topic in Emergency

   In your shoes, I think I would have documented your report, as well as what you said in quotes. And then I would discuss it my manager to see what she feels, if anything, needs to be followed up with regarding the other nurse's charting. I can see wh...

7. Medication tidbits an ER nurse should always know

   lvnlrn replied to RNstdntSVSU's topic in Emergency

   Artemis Safe Dose Pro iPhone app is my go to app for double checking peds meds before giving them. I've caught overdosages with it. You just enter how many kgs they weigh, the med you're giving, and it tells you how many mgs to give, and figures out ...

8. Medication tidbits an ER nurse should always know

   lvnlrn replied to RNstdntSVSU's topic in Emergency

   I drew up Valium and put it in a 10 cc syringe of saline. Immediately it precipitated, turning into a nice cloudy mixture. I had to waste the syringe and put the second dose in a 3 cc syringe. I had no precipitate in the pts line when I flushed with ...

9. Care plan question

   lvnlrn replied to sarahmac09's topic in Student Assist

   And I'm curious...if this pt is on room air and is so sob he can't get out of bed and is on palliative care for copd why is he not on oxygen?

10. Care plan question

    lvnlrn replied to sarahmac09's topic in Student Assist

    Keep in mind that this resident will have anxiety related to the sob and not just the death process. Try breathing under your covers for two minutes and you might be able to empathize with this anxiety from being so sob. I had a resident like this du...

11. Is the cynicism inevitable?

    lvnlrn posted a topic in Emergency

    I'm sure this topic has been hashed and beaten to death, but it's new to me, and definitely not something i can vent about to Facebook or even my family (non-medical)...I started working in the ER setting in January, in the "Minor Care/Fast Track" ar...

12. New ER nurse...needs help :)

    lvnlrn posted a topic in Infusion

    My preceptor (she actually is fairly new as well) and I were starting an iv on this sweet high school girl. I had no problem getting flash, but her skin was so tough that I couldn't get the cannula to thread. She didn't tan (which I know makes skin l...

13. For all the HOH nurses out there...

    lvnlrn posted a topic in Disabilities

    I just wanted to share something with you. I've been HOH all my life (it was hereditary). I've always worn BTE and did a little lip reading. I really never had problems until it came to using the stethoscope. I tried amplified stethoscopes, but they ...

14. Advice & Tips for working with pediatric er patients

    lvnlrn replied to lvnlrn's topic in Emergency

    XmasShopperRN and Rhi007, those were the exact kind of things I was looking for...tips and tricks that I wouldn't find in a typical pediatric nursing text. I completed PALS today, and picked up a few more good tips and tricks. You all probably know t...

15. Advice & Tips for working with pediatric er patients

    lvnlrn replied to lvnlrn's topic in Emergency

    Wow, thank you so much for your time and effort with your reply! I really appreciate it :) I've started in the "minor care" part of our ER (soft 3's, 4's, and 5's) and will take PALS Monday, and am required to get my ENPC within 2 years (starting to ...