Latest Comments by NurseOnAMotorcycle

NurseOnAMotorcycle 17,130 Views

Joined Jan 16, '11 - from 'NY'. She has '6' year(s) of experience and specializes in 'Med-Surg 1, Emergency 5, CEN 2/2016'. Posts: 1,100 (63% Liked) Likes: 2,936

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    Emergent likes this.

    I just moved to a hospital that does this. It's actually not nearly as bad as it sounds even though I had my misgivings going into it. During code situations there's a separate screen that you just mark what you gave and it is all automatically put in as verbal orders by the MD. They have these made up specifically for the ER and the fact that we do a lot of codes. The different floors and departments have their own set ups as well depending on their acuity etc.

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    I thought this was relevant: "...Last updated on: September 15, 2016"

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    Kitiger likes this.

    I saw this article and thought to pass it on. I don't know about all of their techniques, but I would love to see my hospital to continue moving away from handing out narcotics...

    Moving Toward an (Almost) Opioid-Free Emergency Department

    "...One emergency department in New Jersey has taken the lead in fighting the opioid epidemic. St. Joseph’s Regional Medical Center in Paterson, New Jersey, launched the Alternatives to Opiates (ALTO) program in January 2016 to drastically cut the use of opioids in the ED without sacrificing pain relief..."

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    nrsang97 likes this.

    Quote from rearviewmirror
    what makes you think we don't have opioid crisis? half of this country is hooked onto narcotics! the things these people do to get narcs in the ED...

    Are you responding to something from a different thread? I can't see any previous replies that match your post...

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    brownbook and Kitiger like this.

    Lol. You answered just as I tried to fix my reply!

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    Ok, I'm re-reading the thread and realizing I misunderstood the original premise. Thank heavens! You guys had me going!

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    Yes, this is pretty normal. Even though someone else will say it is not, I feel like it is because you tell me you feel fine when you actually start working. I felt the same way for a while. Ask for help from your previous preceptor or charge nurse when you are getting overwhelmed.

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    I found that the CEN is mostly ABCD and scope of practice. Yes you need to know some of the more obscure stuff like not allowing pts with Leforte fractures to use straws when drinking, etc. However, ENA knows that we work so closely with physicians that we sometimes hang a bolus or perform some other testing and get the order afterwards. They can trip you up with that on the tests.

    If you have airway, breathing, circulation, disability and know scope of practice (get vs, notify provider, place IVs) then you have got most of the test passed already.

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    I would love to meet some of the AN members. If there were an East Coast meet/greet I would be there in a heartbeat.

    LOL. I think that actually rhymed!

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    I've responded several times. In all of those times I basically called 911 for the pt, once while doing CPR. Cardiogenic shock at a race, altered mental status on the side of a highway, anaphylactic shock, motor vehicle collision at highway speed, accidental toddler overdose of parents' medications... Mostly I get "can you tell me your opinion on this?" Never do I ever actually have my emergency kit with me, damn it all.

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    Orphan RN, EDRNCCmom, Nurse326, and 1 other like this.


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    Best bet is to talk to the schools financial aid planner and their admissions counselor. If you like what they have to say then go for it.

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    This is painful to watch!