emerjensee 2,122 Views
Joined Nov 19, '12.
Posts: 77 (40% Liked)
Have you taken your TNCC course yet? It is worth it's weight in GOLD when moving down the chain of priority assessment and interventions. Fix it as you find it!
Think primary assessment: ABCD..
Your first assessment and interventions would be
verification of a patent airway with simultaneous c-spine protection..
Hope this helps!
I think a quick ER guide to medications would be a good idea?
Like all the BP meds and cardiac meds, RSI meds..why use one over another, precautions, adverse effects?
A small list that comes to mind;
Dobutamine vs Dopamine
Succ, Roc, Vec and the differences and pro's/cons of each.
Maybe common ABO such as Rocephin, Levaquin, Vanco... ect? Why you should start one before the other if both meds are due..
As a fairly new RN I am aways trying to keep up and better understand all the different medications we administer and what order is best..
I have been pulling up recent articles the last few days and it seems that at least the commenting public is realizing that brain death is really death. The initial reports made it sound as if this 'routine' procedure left the girl in a reversible coma. However, now that much more of the facts have been revealed, its seems as if people are starting to understand the concept that whole brain death is not reversible.
Lets just hope this whole ordeal is over soon.
I'm a little confused as to why the judge is allowing Jahi's' mom to keep her on a vent if a death certificate has already been issued.
It definitely is a victory for the hospital. The ruling's were that
1) The mother can assume 100% responsibility of transferring Jahi to anywhere she is accepted.
-however, the only accepting facility, as of now, requires the g-tube and trach
2) The hospital is NOT required to preform the procedures nor allow a 3rd party to preform the procedures within the hospital itself.
Jahi McMath: Mom can remove brain-dead daughter from hospital, judge rules - San Jose Mercury News
Most recent update on the matter..
Jahi's Mother can assume full responsibility of her daughter.. So what does that mean now?
Im interested to see if there is a time limit on when this transport will take place. If the family is unable to find a facility capable of managing her 24hour care and hemodynamic monitoring, will she remain in Oakland's Children's hospital indefinitely?
Finally a new article with some clear cut facts and reality checks for the general public to read..
Clock ticks in Jahi McMath case; experts say court clash went too far - latimes.com
The only time you need to open the vent is when the object your spiking cannot collapse as the fluid drains out. This could be rigid plastic, glass or metal.
Other then that you don't have to worry about it.
Hope that helps!
We have sandwiches and juice in out ER. Some patients totally abuse it, but other are so thankful and kind when I offer then something (after wing cleared to eat of course).
I'm glad we have something there but keep it to the basics. It is an emergency room after all...
Sounds almost exactly what happened to me! I am 3 weeks on my own off my 3 month residency. My best advice would be to ask as many questions and jump in on as MUCH as you can. The place I work we have a lot of very sick patients, and just getting exposure and seeing and doing as muhc as possible when you have someone there 100% backing you up is so important.
I think its a huge advantage already having worked there through school. You've already been exposed to the charting system and the general flow which is super important.
Best of luck and congratulations!!!
I am from a Level II ED with approx 50k annual visits and approx 15,
Next weekended were moving from ancient paper charting (with supplemental ACSIS) to completely online EPIC computer systems.
We seem fairly well prepared but the next month or two should be quite interesting.
New grad ADN here just hired to a busy and high acuity Level II ED in western Washington. How I landed it was working hard and contacting the right people. I would also say there is a pretty darn big 'got lucky' factor too..
My facility almost exclusively hires new grads who have done senior practicums in the ED or transfer from floors within the hospital. They offer 12 weeks of floor orientation plus weeks of residency classes and online ENA learning modules.
As for the OP, possibly looking into your BSN and trying to network as much as possible will help. Look into volunteering as well. It will be a good résumé builder and give you the opportunity to talk to the 'right' people..
After graduation I just did a generalized search of well rated stethoscopes.
I went with the tried and true Littman Cardiology III. Its a great piece and the hearing quality is fantastic.
A little pricey however, I believe with almost anything you have to spend some $$ for good quality..
May I ask where this question is coming from?
Are you a pre-nursing student? Searching to forums may help answer your curiosity in 'gross' things.
We got a water bottle and some chocolate. I'm fairly new but management seems to really come through in supporting the nursing staff on the floor.
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