JD228

JD228 has 15 years experience and specializes in ER.

Latest Activity

1. What do you hate seeing the MOST in the ER!?

   JD228 replied to CrashED's topic in Emergency

   i hate anyone who acts like they are entitled!!!!

2. Fustrated and looking for helpful tips!

   JD228 replied to dotplanet78's topic in Emergency

   I have been involved with the hiring on our unit for the past year, we prefer previous ER or EMS experience, can you volunteer for EMS work in your area to get some ER experience??? Another idea would be to see if the ER Director for the ER you are l...

3. How do you get thicker skin?

   JD228 replied to Loves2Lurk's topic in Emergency

   [color=#0000ff][color=#800080] i feel lucky that i work in an er that has an officer assigned- who would step in if the patient behavior escalated and i work with physicians who i have actually heard tell patients that they would not tolerate them ta...

4. Best one sentence handoff report

   JD228 replied to emtb2rn's topic in Emergency

   EMS called in the pt "looks bad and is getting worse"......um...ok....that leaves a lot open for interpretation.

5. ER and strange phenomena

   JD228 replied to EmergencyNrse's topic in Emergency

   We get runs of different complaints but I have noticed we get more kidney stones when its been dry and a storm front is coming in. I think the barometric pressure change affects them. But they are a lot like potato chips.......you never get just one ...

6. ER and strange phenomena

   JD228 replied to EmergencyNrse's topic in Emergency

   my dog is a sock monster, i am constantly finding half eaten socks in the yard. How the heck she smuggles them out of the house, I don't know. I mean unless she figured out how to let herself out too.

7. getting walked on

   JD228 replied to UtErRnEmt's topic in Emergency

   Yelling back may make you feel better in the short term, it isn't worth the long term consequences. We have police in our ED that are great about intervening as needed. Also, our physicians will step in and tell them that they can not treat our staff...

8. job advice? posted on general forum, but had no luck.

   JD228 replied to Kinley_Y's topic in Emergency

   i am going to differ from everyone else's advice, I think you spend so much time at work, you should enjoy it while you are there. These are just two units that you have worked at, perhaps you can find another unit or hospital that would work with yo...

9. Advice?

   JD228 replied to greenfaery's topic in Emergency

   I have actually worked some shifts at Spotsylvania and it isn't too bad, very nice facilities. what You need to call the department that you are interested in working in, speak to the person who hires people for that department as well as talking to ...

10. Any RNs applying Dermabond out there?

    JD228 replied to HikingNinja's topic in Emergency

    The hospital I am at (in Virginia) only the MD, PA and NP apply it, officially. I don't know if it is a hospital policy or just what.

11. ED ratio across the US

    JD228 replied to back2nsg's topic in Emergency

    VA, 1:4 or 5, varying acuity but usually medium to low, pt length of stay is average 150 minutes, Can vary from 65 patients a day to 120 patients, depending. Patient safety is usually adequate, security however, could be better, more of a locked down...

12. Help with decreasing ED wait times ...

    JD228 replied to RNSurf's topic in Emergency

    It sounds like the size of our ER is comparable. We have a tech and RN at triage. The tech gets the info and does a quick register in the computer and the RN can ask the chief complaint, allergies and a short history of events. Tech does VS and takes...

13. ED Safety: Assaults up, drug calls up, security down

    JD228 replied to MikeyBSN's topic in Emergency

    The ER I work in employes Police officers for security, but they expect them to leave the ER and do rounds around the hospital, checking doors and locking and unlocking doors. Seriously? I don't think the administrators have a clue as to the real dan...

14. ? for ER nurses

    JD228 replied to kermitlady's topic in Emergency

    Can I suggest that should something like that arise again, you call 911. They should be able to provide oxygen and breathing treatment enroute to the ER. Not that, that excuses the way you were treated during your visit. Glad your son is okay now

15. What is your ED policy in these circumstances

    JD228 replied to JessicRN's topic in Emergency

    1. we use the large bore peripheral veins until a central line can be established. 2.depends on the doctor ...we use ketamine a fair amount for lacerations. 3.versed = conscious sedation paperwork, unfortunately. 4. propofol is pushed by the mds (er...