thelema13 5,873 Views
Joined Jun 13, '11 - from 'Florida'.
thelema13 is a ED RN, CHARGE NURSE.
He has '3' year(s) of experience and specializes in 'ED'.
Posts: 287 (49% Liked)
Nurses should not be afraid to lose their license if they smoke. Other professions do not and the War on drugs is a planned political joke.
Now, what were talking about ... and where are those Oreos?
"If you have multiple complaints, pick one."
Two nights ago - "had a pain in my side for 25 years and thought i would get it checked out."
After 25 years you show up at 2am???
Then there are the ones after a free meal. Don't even get me started on the 'abdo pains' that show up late at night and ask if we have any sandwiches left. or "Can I have a cookie?"
And the amazing one last week on Bipap trying to find ways to stuff pizza under the mask.
Seriously considering a career change to become a vet nurse. Animals don't eat pizza.
Doing time in the box. Seems just like yesterday.....
"Why are you here today? No, seriously, why are you here?"
The child in question, in room 4, was definitely being groomed by his frequent flier mother to be a member of the future frequent fliers of America club. As soon as he hit the room he immediately requested a popsicle, specifically a red popsicle. The doc and I joked that popsicles were a gateway drug. Next will be vicodin, and eventually the boy will graduate to the big 'D'.
When we were all done, the young fellow exclaimed "When can I come back!"
Another customer satisfaction moment! Press Ganey will be pleased.
For you, Emergent.
The thing is, if you can yell "Nurse!!!" at the top of your lungs, I know you're breathing and have a pulse.
Usually people only call out like that for non urgent things anyway.
And, it does get on my nerves. I mean really, there is a call bell. You don't have to yell for the nurse.
I've always been curious about the perception that emergency nursing isn't critical care nursing. It qualifies as such for the CCRN, but it's included with "Camp Nursing" on this website. Obviously most patients are not critical in the ER, but we are definitely equipped to handle any that might show up.
To know where we are going..... we need to know where we have been.
Kelleher was born Aug. 5, 1923. She joined the U.S. Navy’s Cadet Nurse Corps in World War II and attended nursing school at Methodist Hospital in Dallas. She later moved to California with her husband, Daniel R. Kelleher, and the couple raised four children. Daniel Kelleher died in 1988.
After graduating from the nursing program at San Joaquin County General Hospital in Stockton, Kelleher earned her Bachelor of Arts degree from California State University, a Master of Science in Nursing degree from Long Beach State University and a degree in Public Health Nursing from California State in Long Beach.
She worked in various roles at Downey Community Hospital in Downey, Calif., but found her passion in emergency nursing. Realizing there was no specialized education or training for emergency nurses, and with an eye toward setting higher standards for patient care, Kelleher announced an emergency nursing course at a May 1970 meeting of the American Academy of Orthopedic Surgeons.
She joined forces with New York emergency nurse leader Anita Dorr, RN, FAEN, and they formed the national Emergency Department Nurses Association in December 1970. The name was later changed to the Emergency Nurses Association.
Kelleher was elected the first president of EDNA, serving from 1973 to 1974. She led the organization to national prominence and recognition as the only association dedicated to the advancement of the specialty through education and advocacy. One of her dreams was realized in 2012, when the American Nurses Association recognized emergency nursing as a specialty.
“Judy’s legacy will live on in all of us in the care that we provide for our patients and through the work of ENA,” said 2013 ENA President JoAnn Lazarus, MSN, RN, CEN. “I know we will continue to make Judy proud.”
In keeping with Kelleher’s expressed wish to continue to further emergency nursing education, the ENA Foundation is accepting donations in her memory. To make a donation to the Memorial Endowment, please click here.
One place where I worked said we didn't need to have procedures in our Policies and Procedures book because nurses should know how to do all nursely procedure and not need a book to read about it.
I really can't even wrap my brain around what you seem to be saying here.
A patient who has been injured on the job is ... just a patient with a traumatic injury, which we treat appropriately from a medical standpoint. Medical care, including pain control, does not deviate depending on where the injury occurred. Are you saying that medical care of patients is altered to accommodate the request of private employers?
I have worked in two different Level I trauma centers ... trauma protocols, including rapid CT imaging, do not include waiting for urine hcg results. If the mechanism of injury is such that there is reason to want a scan of chest/abdomen/pelvis ... you scan. There is no benefit nor reduction of risk to the fetus by potentially missing maternal injuries due to delaying standard protocol imaging.
PO intake that can leave residue in the upper airway is the main concern; once the Bipap is put back on the residue is more likely to be aspirated due to the Bipap airway pressure.
Many Docs are fine with meds however, since in theory they shouldn't leave residue and once they are past they go down you should be in the clear, although you still need to consider that many people requiring BiPAP may not be alert enough to swallow safely.
What I would have done is asked Dr. #2 to hold the scolding for a minute, call Dr. #1 and give the phone to Dr. #2.
Remember septic shock is a result of loss of vascular tone rather than true hypovolemia.
"...For those of you who don't do what we do, who haven't seen things that can not be unseen, be thankful. Be thankful that you don't have to know what we know, and that you live in a world where there are people who are able to internalize all of this. People who can go to work and do things that most simply can not fathom; and for those of you who find themselves beside me in the trenches, thank you. Thank you for being selfless, for giving and giving when I know sometimes you feel like there is nothing left to give. Thank you for doing what is right, even when no one is watching...."
We are inbound to your facility with two patients involved in a MVC with multiple injuries...
Saw this going around FB and it's quite clever!
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