Thanks, guys, for your responses. I think it helps this old nurse to read your comments (especially the rants) because I am reminded that the problems (or challenges---management term) of nursing are the same, no matter where you go. :)
Does anyone out there have concerns about the ESI Triage protocols, specific to the length of stay incurred when a certain "number" ESI score is given? It's not news to anyone that over the past 2 years, the volume of ER patients has grown exponenti...
I think that a lot of surgeons went through a course of "if it can't be cut, then I don't care" philosophy. Several years ago a young man (24) was transferred to our Trauma Center with a "severe crush injury to the chest" (according to the transferr...
Mobeeb replied to S.T.A.C.E.Y's topic in Emergency
I thought the following article might be helpful to you-----"Facing Neuro Assessment Fearlessly". I work in a busy Level I ED and we do quick initial assessments which include each of the practices you mentioned. I find it helpful to know the distr...
Mobeeb replied to Looking4Seaglass's topic in Emergency
My place requires us to work either CD or CE and the same with NYE and Day. Can't have both days off together. Therefore a lot of our folks who have out of town families can't make a trip to see them. In addition, no vacation days may be taken dur...
The use of the TB syringe is only for the IV admixture. Some of the older RN's use the TB syringe for subcu doses because they can see the lines of the syringe much better. I want to add that the admixture procedure I mentioned is a standard with o...
We have to do this all the time in our big ED. We use a TB syringe without the TB needle. If you use Insulin 100units per cc, then 0.1cc = 10 units and so on. We use a 22ga needle, draw up the Insulin and inject it in to the IV bag. We usually ...
I would do it again. I have been an ER nurse in a busy Level I Trauma Center for 20 years. Are we understaffed? You bet. Is the turnover of nurses high? Yup. Is the census high? Once again, yep. Do the powers that be ram JCAHO and other regulat...