EDrunnerRN

Latest Activity

1. Diazepam IV - clarification

   EDrunnerRN replied to Nrscass's topic in Safety

   Valium and NS have a different pH, hence the crystalization. Valium should be given undiluted. In fact, I have slight OCD and even put a tiny air bubble in the saline lock before and after I administer Valium so the saline will have no chance of mixi...

2. To the cynical nurse

   EDrunnerRN posted a topic in Relations

   I work in a cynical ER...really who doesn't?! Last shift being cynical caught up w/ us. I often hear from my co-workers that I am "so naive," regarding the drug seeker patient. I have always interpreted this statement as an insult or perhaps indicati...

3. Boy I'm awful as a nurse

   EDrunnerRN replied to Catch22Personified's topic in Relations

   I was expecting a horrific nursing story with a title like this. Is that as bad as it gets for you? Sounds like your a pretty good nurse. Have confidence in yourself, you are a nurse, you obviously know something! Next time you are in one of these si...

4. Skin assessment in the ED

   EDrunnerRN replied to amarilla's topic in Emergency

   Ohh please tell me you are joking?! Sadly, I could see my ER forcing one more juggling act on the ER staff nurse. The ONLY time I note skin assessment is if there is reason. For instance, my patient comes in with altered mental status I will note the...

5. What is your WORST ER story?

   EDrunnerRN replied to NurseMaybeBaby's topic in Emergency

   Babies/Children are ALWAYS the worst! As for advice, be aware of your religous/spiritual aspect. When I have a patient die I say a prayer for the family/friends and find comfort in comforting the family. I also run and many, many of my long runs occu...

6. Top meds in the ED

   EDrunnerRN replied to CalidthreeN's topic in Emergency

   Off the top of my head I would say I give Zofran, Phenergan, Albuterol, Solumedrol, Prednisone, Decadron, Benadryl, Pepcid, ASA, Tylenol, Motrin, Toradol, Morphine, Fentanyl, Lopressor, Metoprolol, Integrilin, Nitro, Adenosine, Cardizem, Dopamine, Le...

7. nitro drips

   EDrunnerRN replied to gonzo1's topic in General Nursing

   I dont know all the details but if a Nitro drip is involved I use a bedpan. One of our hats is to keep the patient safe. Any cardiac complaint gets a bedside comode and if drips are involved or the patient continues to c/o CP stick to the bed pan. Yo...

8. How often does this REALLY happen?!

   EDrunnerRN replied to Sl1011's topic in General Nursing

   It's true we, nurses, are not perfect...gasp! I keep a note pad on my night stand because it seems that around 2 am I wake up and remember that I forgot to chart something. Personally, I have noticed that these instances happen more when we are "slam...

9. Can an ER Nurse to an ER Physician?

   EDrunnerRN replied to lilyellowfireball's topic in Emergency

   I know a D.O. who did this. It is my understanding that DO programs are more likely to take people from the medical field than an MD program. But heck, I also know anesthesiologist who went from GED to RN to MD. You have a dream go for it, it doesn't...

10. Intubated Pt's Using Bedside Comodes

    EDrunnerRN posted a topic in Critical

    Ok...a few days ago an ICU nurse, at my facility, stated that stable intubated patients on the Unit use bedside comodes. My first thought was you are joking, right?! No, she was serious! I don't pretend to be an ICU nurse or know the aspects of care ...

11. IV Fluid/IV Tubing

    EDrunnerRN posted a topic in Emergency

    How do the different hospitals out there charge for IV fluids and IV tubing??? We currently use a pharmacy charge sheet, where we place pharmacy stickers, that are located on each package of the fluid/tubing. This is not working well and lots of lost...

12. Things noane told you about nursing

    EDrunnerRN replied to Aly529's topic in General Nursing

    As a brand new nurse, I remember thinking no one told me in nursing school how HARD being a nurse is. When I say HARD, I mean HARD. There are days when you get off work and feel as if you literally cannot walk. You are exhausted mentally, physically,...

13. ...annoying little BCx pet peeve...

    EDrunnerRN replied to 80sNurse's topic in Emergency

    It is also required where I work to swipe the top of each bottle with an alcohol pad. I ALWAYS do this step because I have received many phone calls from lab with "out of range" blood cultures, which includes one abnormal blood culture, most likely c...

14. Rocephin Question

    EDrunnerRN replied to janat's topic in General Nursing

    I ALWAYS, ALWAYS dilute with Lido. When administering this medication I do a slow push allowing the lido to numb the area, as that is the intention of the Lido. I also make sure the medication is well mixed by rolling it several times between hands. ...

15. MD vs DO

    EDrunnerRN replied to Mulan's topic in General Nursing

    In the ER where I work we have both MD's and DO's. I LOVE our DO's. Unlike many of the MD's they are not so quick to prescribe a "cure all medication." In fact, one of our DO's gets a lot of grief from patient's because she refuses to prescribe antib...