ADeks

ADeks

Current: ER Past: Cardiac Tele

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About ADeks

ADeks has 3 years experience and specializes in Current: ER Past: Cardiac Tele.


I love my job and all the ups and downs. Working on finishing my BSN.

Latest Activity

  1. CEN!!!!!!

    I took the CEN today and passed. Yayyy!!! I used Sheehy's Manual and Jeff Solheim has free printouts that go along with his lectures. I also used those when I was at work to look at some information quickly when I had a few minutes.
  2. Warmed lidocaine

    Do any of your ERs use warm lidocaine for anesthetic during suturing? I was wondering how do you warm the lidocaine? Ours usually comes in 10ml plastic vials. The one with epi comes in glass... I was studying for my CEN and ran across this. Thought ...
  3. I'm visiting a family member in the ER and my back hurts so I'd like a bed to sleep.
  4. Levophed concentration and hospital policy.

    I work in the ED and we will run the 4mg/250ml for peripherals and 16mg/250 for PICC/CL. Sometimes the MD isn't willing to place an central line before sending the patient up to ICU.
  5. Male modesty double standard

    My hospital is not a Level 1 trauma ER. We do however get trauma codes and police are there to help identify the patient and help find a contact person. Also if a trauma alert goes south as in the patient dies. Then the patient is basically a crime s...
  6. Cyclic vomiters (drive me up the wall)

    I've only had one cyclic vomiter that made me believe in him. He wasn't even complaining of pain really just that awful feeling retching. Which I believed.
  7. Learning sick vs. not sick

    I feel like I'm always getting stronger about being able to feel sick vs. not sick. Another, helping factor another nurse taught me. Touch the patient. And I feel like it's so true. You just get more of an idea when you feel that cold clammy arm......
  8. Well, from my understanding if someone is suing the hospital. The attorney casts a very wide umbrella to try and find anyone at fault... So you could be apart of this lawsuit with or without insurance. Obviously, if you do have your own insurance and...
  9. morphine ivp

    For kidney stones, the usual order is Toradol 30mg iv, Zofran 4mg iv, and Dilaudid 0.5 mg iv. Then off to CT to r/o kidney stones. I was talking to an ER doc and she told me there's a big push for better pain control in a 'timely manner'. Especially...
  10. OB ultrasound...foley or no?

    My ED does the same thing with the foley. It's a radiology thing. Patients can refuse, but I have seen them send patients back saying their bladder isn't full enough. They also insist they can't do the US until the HCG quant has resulted. Which to m...
  11. The best excuses for positive drug screens

    We don't need consent to do a UDS. But I had a patient refuse to provide a urine specimen in the ER because he figured we were going to do one when we asked for a urine specimen. He was right. There were questions about him being homeless, clearly hi...
  12. accessing a port for just one blood draw

    I would ask the patient. I work in the ER and it depends. Sometimes depending on the port we still need a peripheral iv. We don't usually heparinize the port in the ER.
  13. I wonder if the push for MSN bedside RNs will stick. And if there is any pay increase?! The difference between ASN and BSN in the south is minimal.
  14. "I need my Lipitor!"

    We've been having the same problem. Though the admitting MD is supposed to put orders in within a certain amount of time. If there is anything more pressing like their BP is high and they usually take nightly BP meds, I'll try and get the ED doc to w...
  15. Pull until full triage

    We have a PA that starts orders based on triage interview from 9a-9p. That same PA May d/c some of the less complicated patients from the waiting room basically. We do have a designated fast track 11a-11p, but that's seen by PAs and MDs. We are a hig...