rhkenji

rhkenji has 4 years experience and specializes in Geriatrics, Emergency Nursing.

Latest Activity

1. Reportable events CA

   rhkenji posted a topic in Emergency

   What are some events that warrants reporting to PD? Aside from 1). Suspected child/adult abuse 2). Homicidal patients that straight up identifies a target 3). High risks elopement (SI/HI patients, patients with IV) I ask cause one of our ED nurses wa...

2. Mistake

   rhkenji replied to Stella eliz's topic in Emergency

   Most nurses in my ER dont use a pump, but I always do but there's some times that I've administered blood wide open before on a 16/18ga and they finish within 30min to 1hour no problem. I stayed with the patient in the first 15 minutes as I should.

3. ER BOOKS???

   rhkenji replied to Kitkat222's topic in Emergency

   Sheey's. I recommend buying it but there's a PDF circulating online. I have it on my iPAD and its my go to sleep book.

4. Your ER policy on giving rides home

   rhkenji replied to psu_213's topic in Emergency

   I hate this! 2 nights ago, I had a patient come in via EMS. She demanded that they be discharged as soon as she got into an ER gurney. The doctor discharged the patient right away and she requested for a ride home. "I came via ambulance, WE need a ri...

5. New Grad hired in the ER, question.

   rhkenji replied to Alexx_xox's topic in General Nursing

   I work in a very busy ER with very high acuity patients. I started off as a new grad and we hire and train new grads to work in the ER. It's a steep learning curve and about 95% of us did fine

6. New grad nurse in the ER & not sure if I'm progressing fast enough.

   rhkenji replied to tpnurse95's topic in Emergency

   Hello, I currently have 2 years ER experience and like you, I started off as a new grad and was only given 6 weeks training (with possibility of extension to 8, but was not granted). I work in a very busy ER with many critical patients, although 6 we...

7. Was I out of place?

   rhkenji posted a topic in Emergency

   I love my ER, 9/10 people in our ER treats ourselves as one family and is always ready to lend a hand even if you dont ask for it. They're just there when you need help and we strive to have a great shift every time. There's 1 or 2 nurses that REQUIR...

8. Propofol Dosing in ER

   rhkenji replied to rhkenji's topic in Emergency

   This could be it as well, I agree. Analgesic was followed through afterwards. She was losing her airway and only medication included in our intubaton box are succ, etomidate and roc.

9. Propofol Dosing in ER

   rhkenji replied to rhkenji's topic in Emergency

   she was placed on propofol immediately after RSI. given that additional meds will take 5-10 minutes to get from pharmacy, she needed more sedation to control restlessness. immediate v/o to max out propofol was given when it seemed like her high BP an...

10. Propofol Dosing in ER

    rhkenji replied to rhkenji's topic in Emergency

    This was immediately after intubation while new med were being added.

11. Propofol Dosing in ER

    rhkenji replied to rhkenji's topic in Emergency

    The BP was later addressed with nitro and cardene. The propofol scenario and verbal order was right after intubation. While waiting for nitro, versed and cardene from pharmacy.

12. Propofol Dosing in ER

    rhkenji replied to rhkenji's topic in Emergency

    Versed. She was placed on versed afterwards. But I guess MD wanted the propofol for sedation and to lower her BP

13. Propofol Dosing in ER

    rhkenji posted a topic in Emergency

    So, I had a AMS patient who was awake but non-verbal, not following direction and had to be intubated. Prior intubation, we couldnt get an accurate BP reading due to the PT being restless. After intubation, her BP was found to be in the 260s/150s, re...

14. I don't want to be a nurse!!

    rhkenji replied to sharebear003's topic in General Students

    Don't do it! Listen to these nurses. We wanted to be what we are but we still get burnt out by the profession. More for you that doesn't want to be one. Do yourself and future patients a favor and don't do it

15. ER VS ICU NURSING

    rhkenji replied to Johnny1414's topic in Emergency

    I work in the emergency department in a hospital with a very small ICU. Most of the time, ICU level patients stay in the ER when there is no bed available for them to be admitted, so we function as an ICU nurse as well, on top of our other 3 sometime...