needsmore$

needsmore$

emergency nursing-ENPC, CATN, CEN

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About needsmore$

needsmore$ specializes in emergency nursing-ENPC, CATN, CEN.


ED nurse for 22 years

Latest Activity

  1. Precepting a floor nurse

    And give them an empty very large 3 ring binder. I print out info about what we're caring for. I use 'up to date' alot. I highlight the important stuff and before they know it, they have made their own ED reference book
  2. Precepting a floor nurse

    And a side note Do not let other staff dictate the type of patients you get. (if possible) I have had many charge nurses give me the "more complicated" stuff right off the bat because "this is a good one for her/him". If you don't build the foundat...
  3. Precepting a floor nurse

    Where to start.... I have been precepting for 25 years or so. I find that to start, I just have the new associate work with me to watch what I do. Then we talk about the critical thinking that ED nurses do in all aspects of our care...from where we...
  4. I have been an ED nurse since 1986. And yes, I still love it. The days where I feel that I made a difference in someone's life...what a great feeling Yes, ED nursing has become more of a 'exacerbation of your chronic problem ' type of nursing abou...
  5. Detaining impaired pts---Battery ? Kidnap?

    We don't hold the narc until the ride is here--but we do ask the patient who will drive them home so we can give it--and then we give it, and if/when the pt is discharged, we have them call for their ride. (or taxi) Similiar to procedural sedation--...
  6. Detaining impaired pts---Battery ? Kidnap?

    I'm with the "consult the legal beagles" here and develop a policy that is clear cut. Our ED also is--'no ride, no narc' rule. And yes, we get the tricksters. If they leave, we document that they eloped from the ED (similiar to AMA)--usually witho...
  7. Using Demerol in the ED

    search "demerol metabolites" using google and you will get some good articles
  8. Using Demerol in the ED

    www.paindr.com/meperidine%20guidelines.rtf try this--it's a great little article about how the metabolites build up and can lead to neurological issues. now that they have dilaudid, fentanyl-which doesn't seem to have these issues, it is becoming be...
  9. Reglan and Compazine IV push policies?

    syringe pumps are great as well-- you can set it to admin over a certain amt of time-- so-- compazine which is 1 mg/min and you want to take a few extra minutes? set it for 10 min reglan, the same i have seen reactions from compazine and reglan. o...
  10. Most common overdose drug of choice?

    Tylenol. Especially in the teens-- The danger is--they get no SE....right away. So, they don't tell anybody. And then their liver's shot And in others--Tylenol is the hidden ingredient...all the different OTC stuff that teens can get--many have Ty...
  11. Advice for ED Nurse on orientation

    I think 2 patients at this stage, is doing well--but what acuity are they? If you find that you get caught up with 2, then ask for preceptor to give you a 3rd--so you can improve time management and priority setting. What is the 'normal' pt-nurse as...
  12. ER vs ED

    To me--"ER" means Emergency Room-- and for most of us-- we are more than a room! We are a unit that specializes in emergency care of the sick and injured Maybe we should be EU nurses!
  13. E.R paper

    Healthcare crisis and its impact on Emergency Nursing--wait times, immigration, financial impact on hospitals, etc
  14. State Board Exam Identification

    Thank you so much. I copied your link and response and emailed it to her. I also told her that allnurses.com has great resources for nurses
  15. State Board Exam Identification

    Hello. I was asked a question by a friend who will be sitting for her state board exam in Feb. Her question was about showing proof of ID Now--does first and last name must be identical on both forms? Here is her question -quoted: "I am scheduled to...