erjulie

Latest Activity

1. Learning thread (ER medicine)

   erjulie replied to TraumaInTheSlot's topic in Emergency

   what does shearing effect mean? what's the mechanism? Thanks!

2. positive cultures-what's your system?

   erjulie posted a topic in Emergency

   We're having a lot of trouble keeping up with +culture callbacks. Currently, all cultures are routed back to the ED via printer from the lab as they become positive, and the secretary pulls the chart for the + results and places it in the "culture b...

3. pt report to ICU?

   erjulie replied to scrmblr's topic in Emergency

   I've worked critical care all of my career, both ICU and ED, also briefly in Tele and cath lab. I understand all sides of the issue. However, it is a power game that nurses play when they ask questions about obscure medical symptoms/events etc. W...

4. Nurses and Domestic Violence

   erjulie replied to warmrain's topic in Emergency

   Illinois has programs, as does the county we live in. Most areas have women's shelters, or a crisis line that can provide info for you to get the information. I would hope that every town, city, county and state of the Union has something in place. ...

5. Nurses and Domestic Violence

   erjulie replied to warmrain's topic in Emergency

   I'm an ER nurse, and the estimate is that 30% of the females we see are victims of domestic violence. We have a state mandated screening tool that we ask every patient if they are safe at home. I've rarely had a patient answer yes, and it certainly...

6. Leaving work at work

   erjulie replied to FLoridarnl's topic in Emergency

   you're taking the first step down the burn-out road, one which I know well! The nurse following you is there to continue your work. Work is never done in the ER, as you know. I'm better about this once I realized that. You've got to trust yoursel...

7. Thinking about going into the ER? HELP

   erjulie replied to johnson0424's topic in Emergency

   you'll have the quickest asessment skills on the planet...what an advantage that will be! Plus, they'll be right on about 90% of the time. Plus, you'll be humble enough to learn from the other 10%!

8. giving charcoal

   erjulie replied to canoehead's topic in Emergency

   NG tube- then run it slow (like to gravity) helps to have the NG tube placed when their "sort-of" sedated, but good timing is rare... Really you can warm it in the microwave? I ALWAYS have trouble, but then again I have trouble even cutting off the ...

9. Complaints vs Safety of the Nursing Staff

   erjulie replied to Indiana ED RN's topic in Emergency

   boy this is a hot button topic for me and the staff that I am lucky to work with...I actually had a patient trip me while I was going to a code because he wasn't getting care for his sore knee ( sore for 6 months)...that was a few years ago. I went ...

10. If you have to go to the ER...

    erjulie replied to mom23RN's topic in Emergency

    :chuckle love that. If they only would listen...

11. New ED Tech--

    erjulie replied to Pose's topic in Emergency

    congratulations! laugh at yourself, learn a lot and try to have fun...then kick butt in medical school, and never forget your colleagues: ER workers.

12. Titrate med orders

    erjulie replied to Jabramac's topic in Emergency

    changing the dose of the drug in response to a change in the patient's condition. For example, escalating chest pain pt's nitro can be titrated (in htis case,increased) until the pain is relieved. or, insulin drips can be increased or decreased in ...

13. Funniest injury you have ever seen.....

    erjulie replied to MrsWampthang's topic in Emergency

    had a guy bring in his son with the 3 way hook embedded in the kid's cheek, just like the fish gets it. the guy was leading the kid by the fishing line still attached to the hook- sounds cruel but it was FUNNY. He was a little aggravated with the k...

14. lumbar punctures on infants?

    erjulie replied to scrmblr's topic in Emergency

    are the rules changing for babes under 2 months with fever? in the peds er i used to work, anyone under 2 months with fever over 100 got the "works". (I always found the residents had better luck with the sitting position.) The tap, I think, is much...

15. Evil People

    erjulie replied to Happy-ER-RN's topic in Emergency

    why journalists? I particularly hate spoiled yuppie scum...but I cna't for the life of me remember if I've ever had a journalist...