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?

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...

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...

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,...

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...

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...

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

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,...

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

   erjulie replied to mom23RN's topic in Emergency

   :chuckle love that. If they only would

10. 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

11. 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....

12. 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...

13. 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...

14. 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

15. OPINION PLEASE-er triage situation-overwhelmed!

    erjulie replied to Uptoherern's topic in Emergency

    this just enrages me...the simpering pandering crap the manager/director/"leadership" shovels at these patients. It does nothing but undermine the work of the triage/bedside staff member who probably...