Content That bebbercorn Likes

Content That bebbercorn Likes

bebbercorn, BSN 7,202 Views

"Raise your words, not voice. It is rain that grows flowers, not thunder." ― Rumi

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  • Jun 20

    I think if it's "the worst headache of your life", or a severe migraine that OTC isn't touching, it is an emergency. If it's your average, Tylenol worthy headache, and you're just looking for free Tylenol, well, I would have to agree that's really not an emergency.

    I feel bad for people who can't afford the urgent care co-pays, but the ER really isn't supposed to be primary care or walk-in care. I've personally always been one to wait out a cold or fever until I can get in to see my doctor.. but that's just me.

  • Jun 20

    I've went to the er a handful of times for a migraine. It was the worse pain I've ever experienced in my life. My cousin went to er for a migraine. Turns out it was a brain aneurysm, so to you it may be a simple headache, but you don't know what that person is experiencing or feeling or that "headache" is actually something else.

  • Jun 20

    Migraine sufferers need help right away. It's not a life threatening emergency, but their suffering is profound.

    If a simple headache sufferer gets you this irrate, maybe another type of nursing would be more up your alley? You get a lot of clinic stuff in ERs. Either people are poor planners or they can't get appointments with PCPs. It is what it is, better not to let it bug you.

  • Jun 20

    I use to think that way but now that I have Medicaid & the walk in clinic in my town doesn't take it, what am I suppose to do? Drive 2 hours out of my way to a walk in clinic that takes Medicaid?
    I went to the ER last night & was diagnosed with an ear infection. Are you telling me that I should've waited until Monday to see my PCP? I think we both know that, that's a bad idea. I don't have the money to pay out of pocket if I went to the walk in clinic.
    I hope now you have a better understanding as to why some people use the ER that way. By the way, there was no one in the waiting room & it took me all of 30 minutes from waiting room to discharge.

  • Jun 17

    "Now maybe the ECG leads won't keep reading V Fib!"

  • Jun 15

    Quote from Rocknurse
    But if we're all nurses here, and some are gay, why can't we post here? I see many kinds of things discussed here. Surely, after this awful act of hate and segregation you won't delegate us to another board? Surely, especially today, you could let us talk among ourselves? How is the Stanford Rape about nurses?
    Soooo not trying to start anything and I am not a moderator. I was just letting you know of another section where you might look for posts.

  • Jun 15

    But if we're all nurses here, and some are gay, why can't we post here? I see many kinds of things discussed here. Surely, after this awful act of hate and segregation you won't delegate us to another board? Surely, especially today, you could let us talk among ourselves? How is the Stanford Rape about nurses?

  • Jun 14
  • Jun 13

    Quote from JenHRN
    Ok thanks. This feedback is helpful. I think the primary reason I'm asking this is because in both situations, the general response I got from more experienced staff was that the code was unnecessary.. But there's no way in those initial seconds to determine who is going to recover on their own and who needs CPR. No pulse is no pulse. 10 seconds is 10 seconds. Anything else is speculation. It's frustrating to feel belittled for doing what's best for my patient. And to be fair, it's not everyone who reacted this way. A few of my fellow nurses were very supportive. And of course, all nurses present in these situations were in agreement!
    I'm an ICU charge nurse, run STAT and code teams, etc... so I'd probably qualify as relatively experienced staff. And I say call the code.

    Let's put it this way. If your patient's heart was not beating for 10 seconds, your patient was dead and needed CPR. I've seen many circumstances where a delay in CPR arguably contributed to patient demise, and no cases in which unnecessary CPR did the same. Likewise - even if your patient's heart was beating but the pulse was so weak that it could not be detected at the carotid artery... your patient needed CPR. He was not perfusing his brain and was, functionally, dead.

    Senior staff who advise less experienced RNs not to call a code on a (full-code status) patient whose pulse cannot be felt quickly need remediation. This can, will, and does cause needless patient deaths.

    What I will add, however, that you should make it a point to know exactly how to feel for a pulse in an emergency. Do not listen for an apical pulse - it takes too long, and is too unreliable with background noise and low quality stethoscopes (such as the isolation stethoscopes found in most hospitals). Do not feel for a radial pulse - it is unreliable, and might be absent in a patient who does have an adequate heart beat. Same goes with other peripheral pulses, and even to some extent the femoral pulse. Feel for the carotid pulse (one side at a time please), and make sure you know exactly where it is before an emergency arises.

  • Jun 12

    Quote from Jedrnurse

    On another note, the winter olympics will be held in Hell the day I address a pharmacist as "Doctor."
    Why? If he has a doctorate He's a doctor.

  • Jun 12
  • Jun 12

    Hire a couple travelers?

  • Jun 12

    Perhaps, administration should realize that short staffing will not be covered .. by a short staff?

  • Jun 12

    I would follow policy. If your family needs to get ahold of you for something serious (or not serious) they can always call work and leave a message.

    I've been a nurse for 19 years and cell phones were not so ubiquitous as they are now. If my kids or husband needed me, they called me at work.

    My almost 15 year old son asked for one a year ago and I said no. He asked me how he would get ahold of me from school if he needed me and I said "Do what your older siblings did. Walk into the office and ask to use the phone to call home". Teenagers and cell phones and access to the internet and texting . . . bad idea.

    We are too tied to our cell phones. Put it in your locker.

  • Jun 12

    Follow policy. Otherwise you open yourself up to discipline.


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