smile_through_it

smile_through_it

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About smile_through_it

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  1. Com'on, you got one...What is your heart wrenching moment?

    My first loss in the ER.. 70y.o. comes in hypotensive and vomiting large amounts of blood. Alert and oriented x4. He was a DNR but wanted blood. I rapidly infused two units of blood... And his blood pressure continued to decrease. In a matter of 30 m...
  2. Now THAT'S a lab result

    Hgb 2.8 ... Alive and saying she'd come back tomorrow for a transfusion because she didn't have time tonight.
  3. Now THAT'S a lab result

    Mag of Serum alcohol of 685- drunk, but alive!
  4. Funny things your patients have said

    When I worked in memory care we had a retired RN who would come up to the staff and ask if she could give you report for the night. She'd also push other residents around in wheelchairs.
  5. Displaying credentials

    I don't have all my credentials listed on my badge but I'm darn proud of every single letter in that alphabet soup. :) I've worked hard to get where I'm at. But I do agree that when you have more letters than your name it can get confusing!
  6. Just Melted Away

    I remember when I was fresh off of orientation. EMS brought in a guy who woke up throwing up blood. He was 86. No family around. AOx4. In about 10 minutes he was hypotensive. He agreed to let us give him blood but was a DNR. I couldn't get the blood ...
  7. Getting report during change of shift

    I have worked both on a cardiac floor and the ER. On the floor it stinks getting that change of shift admission but you have no idea what is going on in the ER. The three hour time lapse since the bed was assigned could be due to the cardiac arrest t...
  8. Do you clean bedpans or throw them out?

    I have never even thought to reuse it. We have plastic ones but ew, I wouldn't want to clean a BM out of that! I flush the majority of the stool down the toilet but then I pitch it.
  9. HACC or Pa College of Health Sciences RN program

    I went to PA college before the name change and feel I got a very good base of knowledge to start my nursing career. LGH is not required to hire you but employers like that you have been using their system for two years and have a better understandin...
  10. What was the MOST ridiculous thing a patient came to the ER for?

    Tonight I had a pt who twist his ankle, walks two blocks then call the ambulance. When he gets to me he says he can't stand and pivot due to 10/10 pain and can't scoot to the bed... So we slide him. MD comes in right away, does the whole assessment (...
  11. Nursing with P.O.T.S..

    I also have POTS. My case is not super severe but I sometimes become symptomatic. I take medication that helps. I have worked on an inpatient cardiac unit and am currently working in the ER. I think it would be a good idea to take your concerns to yo...
  12. What can you tolerate the least?

    Bugs in ears!
  13. Fake crying and bad acting in the ER

    I had someone yelling out and moaning in pain and self inducing vomit. I would pull the curtain shut, she would rush to the sink, turn it on and then a few seconds later turn it off, rush back to bed and then 'vomit' the sink water all over the bed. ...
  14. Residents....

    When there is a code blue in the hospital the residents respond. It always makes me giggle when they are flipping through their medical books and the experienced RNs are like 'um, what do you think about epi/amio/shocking?' And the resident is always...
  15. ER nurses bringing pts to the floor soiled

    I worked on a tele floor and now am in the ED. I see both sides of it. When most pts come to they ED they have family in the room and they usually don't want to say 'excuse me nurse? I wet the bed.' They want to wait until family leaves and usually ...