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thelema13 8,099 Views

Joined Jun 13, '11. thelema13 is a ED RN, CHARGE NURSE. He has '3' year(s) of experience and specializes in 'ED'. Posts: 287 (49% Liked) Likes: 373

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  • Apr 27 '16

    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?

  • Oct 18 '14

    "If you have multiple complaints, pick one."
    Love it!

    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.

  • Oct 18 '14

    Doing time in the box. Seems just like yesterday.....

    "Why are you here today? No, seriously, why are you here?"

  • Aug 19 '14

    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.

  • Jun 1 '14

    For you, Emergent.

  • Mar 25 '14

    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.

  • Mar 25 '14

    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.

  • Mar 25 '14

    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.

    We as emergency nurses are so much more than our critical care skills. We are a unique specialty in which we are masters of all and the first line of treatment in many cases. The first residency of emergency medicine was founded around 1972. Emergency medicine was not recognized as a specialty until around 1974. Until that time ER's (emergency rooms) we single rooms with curtained bays run by the local family doctor on a rotational basis. Many MD's stayed at home and were called by the ER nurses when the assessment-work up- was complete.

    Emergency Departments are much more than a single room as ED's evolved to the multi-acuity departments of today. When you have something special wrong with you you see a specialist....right?

    Judy Kelleher felt emergency nurses required specialized training in order to serve our patients with the best trained nurses possible.... the ENA was formed in a casual phone conversation between Judy Kelleher and Anita Door. One from the West coast and the other on the west coast...they met in the middle....Chicago.

    I am proud that Emergency medicine is considered a speciality and we are the specialized nurses trained and educated to care for this diverse population.

  • Mar 16 '14

    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.

  • Mar 13 '14

    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.

  • Mar 7 '14

    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.

  • Mar 4 '14

    Quote from FlyingScot
    Remember septic shock is a result of loss of vascular tone rather than true hypovolemia.
    I kind of want to put this on a post-it and stick it in our fishbowl. Or maybe just tattoo is on my hand so I can easily flash it to the doc the next time we get someone who is hypotensive, tachycardic and basically septic or heading that way.

    5 boluses are not going to help if their vessels are all wide open. It'll just make their heart work harder for no appreciable benefit.

  • Feb 28 '14

    "...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...."

  • Feb 11 '14

    Quote from Jackson County EMS to GWER
    We are inbound to your facility with two patients involved in a MVC with multiple injuries...
    The nurses took report on both patients and prepared the trauma bays for a couple in their 80's who had been T-boned when the husband pulled into an intersection. No current life threatening emergencies were reported. Each patient was assessed and stabilized. A recurring theme was each spouse asking about the other spouse.

    After the hustle and bustled settled down we reassured each patient that their spouse was fine. We opened the curtain separating their rooms and informed them that they were right beside each other and they could talk to one another. They could not see one another because they were secured to backboards and unable to turn their heads to the side but they could hear one another. The wife wanted me to know her husband had a blood pressure problem......oh dear she couldn't remember the name of the medicine he was on. The husband told me how they had been married for 60 years and I could see the sparkle of love in his eyes.

    As time went on and test results returned it was decided that the wife had an injury that required her to be shipped to a Level 1 trauma center. The doctor informed the couple of the care decisions he felt were necessary. I began to see fear and worry in the husband's eyes. That is when I jumped into gear of getting the portable heart monitor. I connected the husband to the monitor and moved his IV pole and bed right beside his wife's bed. I put his left bed rail down and her right bed rail down. I told them that if they just reached out they would be able to feel each other's hands. They reached out and found each other's hands and held on tight.

    They talked and reassured each other it would all be okay. They told each other they loved them. The husband told her as soon as he could find someone to drive him to the other hospital he would be there. The doctor told the wife it would be best if her husband stayed all night for just one night to be observed and make sure he was okay. The husband didn't want to but the wife encouraged him that he could see her tomorrow.

    The helicopter crew came and the beds had to be separated after a final hand squeeze and I love you. The Mrs. was loaded and transported to the other hospital while the husband was admitted for overnight observation.

    The next day I came to work I found out the wife had died that night from her injuries. I was heartbroken for this lovely couple. As I reflected, I was so thankful that I had taken the time to connect the portable equipment and rearrange the beds and allow them to hold hands.

    Many times we are too rushed in the ER to make time for the important things in life. And what was more important at this point in time? To hold hands for the very last time...

  • Jan 30 '14

    Saw this going around FB and it's quite clever!