Anna Flaxis, ASN 26,139 Views
Joined Oct 15, '10.
Posts: 2,867 (67% Liked)
What did the OB-GYN have to say about this?
Gero-psych certainly wouldn't hurt anything. We see a ton of that in the ED, so having some experience with it wouldn't be a bad thing at all. But to be honest, if your passion is ED, then go for ED-with one caveat... if you don't expect much more than a sink-or-swim orientation and you are a person who can deal with that, then go for it. If you need a lot of hand holding, then please don't. The ED is a busy place, and if you don't have the ability to pull up those hip waders and wade right in, then it may not be a good fit.
Depends on the clinical picture.
Is this a new medication for the patient, or have they been taking it for a while?
If it's new, I agree that it would be safest to have them on the monitor for at least the first few doses.
If they've been on metoprolol for some time, and it's simply a route change due to NPO status, it is important to avoid abruptly discontinuing the medication, as this can lead to a whole host of problems, such as Acute MI. It would be of great import to make sure they get their dose. If you're not comfortable with an IV push, then mixing it in a mini-bag and infusing over 10 minutes would be a good compromise.
Can a patient be alert and oriented but drowsy?
The doctors do it where I work.
And thus the intent of my previous post. Don’t you think that there should be some evidence behind what we teach and practice?
Why should any further study be done?
The old “rule of thumb” that a radial (femoral, carotid) pulse indicates an SPB of ≥80 (70, 60) mmHg originated from the ATLS course. This is not accurate, and using this method is generally an overestimation of the actual SBP.
In my experience, a Code Blue is for a cardiac or respiratory arrest, and I'm not sure why one would perform chest compressions on an adult with a pulse.
It is reasonable to call for assistance if your stable patient suddenly begins seizing.
I don't understand. If they're not on a hold, they have the right to leave.
Per NIH "no compelling evidence for routine cultures or empiric treatment with antibiotics. Further research is required." This is my kid we are talking about. Use sterile procedure, culture that green and yellow stuff, determine if and what antibiotics are necessary. I would expect the same for my patients.
This should be an incident report. Don't let doc get away with it. He is supposed to know more than you do.
I work PRN exclusively. My orientation was as brief as I could possibly make it, as I am an experienced RN and have little tolerance for having my hand held.
I&D is a clean procedure. C&S is unnecessary for simple abscesses, as most abscesses heal without antibiotics.
Hmmm, I've gone as far as I wanted with my ADN. I've worked in cardiopulmonary/post-interventional/telemetry, emergency, infusion services, and administration. I've been approached for peri-operative services, but declined because I don't want to take call. I value my free time too much for that.
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