WAheartnurse replied to BrooklynRN11201's topic in Emergency
I understand the PCAs to be ED techs? Someone who does EKGs, vitals, urine dips etc? I am fairly new to the ED and am having trouble getting techs to do much for me that they don't want to already do. They love splinting and EKGs and blood draws so t...
WAheartnurse replied to emergency_love's topic in Emergency
I have never heard a tech ask me if I want help with anything- I would love that. Many techs want to focus on the cool stuff- ekgs, wound care, splinting, etc and get resentful if I ask for urine to be dipped or to bring a bedside commode to a room a...
I know that I (as a nurse) give cops special treatment if possible. If they are sitting with a prisoner, I offer coffee/drinks/food (from our own supply as our ED doesn't have coffee or really any food). We know they put their lives on the line and t...
WAheartnurse replied to lauriepat's topic in Geriatric
I have never worked in LTC or a SNF but I have friends that have. From what they tell me it is a very task oriented job- you have so many residents that you are often just focused on passing meds because you have so many people to pass meds to that b...
Yes, this is where I make an exception. An elderly (but still VERY strong man) thought we were attacking him and wanted us to call the FBI etc. He was angry and frightened out of his wits. We were doing an excellent de-escalation but he was just too ...
WAheartnurse replied to Mulan's topic in Medications
I have heard about this in the NW. We can look at it in several ways: 1) Addicts need (deserve?) to experience the consequences of their addictions and giving narcan is no long term solution. (BTW I do not agree with this). 2) Liability involved in p...
WAheartnurse replied to LostnNakedNursing's topic in Emergency
Footballnut- I think you might have misunderstood her posting. She is not going to receive minimal orientation with some support and training from others. She has no experience. From my understanding, she is to start day one expecting to be part of t...
WAheartnurse replied to 1fastRN's topic in Critical
This is what I have seen: the patient fits sepsis criteria so we are bolusing with fluids to keep BP/MAP up. The pt develops flash pulmonary edema (hence the wheezes from nowhere) and they crash quickly. I would suspect the death could be more attrib...
WAheartnurse replied to AnieleiLPN's topic in Ambulatory
I think that if RNs were utilized MORE in offices, pt outcomes would improve. For example, at our hospital we have a Heart Failure clinic with RNs giving education teaching pts to manage their CHF (similar to diabetic teaching). The goal is to reduce...
WAheartnurse replied to KNRN2013's topic in Emergency
I am new to the ED also (from floor nursing) and I take a blank sheet of paper at the beginning of my shift and fold it into quarters. Then I take a patient sticker and stick it on the paper and then leave about 2 in for any pertinent facts (RM#, rea...
WAheartnurse replied to Junebug0710's topic in NP Students
Are you talking about Gonzaga's RN-NP program or BSN-NP program? I already have my BSN so I thought that was 3 semesters (full-time)? I am pretty sure I will be applying for the Spring start BSN- Family NP program but that means I need to hurry and g...
I have noticed that many of our patients that receive amiodarone in a peripheral line have extravasation problems. A lot of patients. I have no ideas on numbers- I asked if we could track it to find out if it was worth making it a central line drug b...
My hospital pays an additional $1 per hour for BSN. We are union. I guess that means my school payback will take about 7 years but I think that it opens doors in areas that otherwise you may not qualify for. Like changing from floor nursing to someth...