amyjm333 replied to FiremedicMike's topic in Emergency
We have medics in our ER in northern Indiana. They can do almost anything and RN can do except some meds. They can:
Start IVs including EJs (nurses can’t)
Draw labs.
Run EKGs
Hang fluids and give almost all meds.
Intubate if ...
amyjm333 replied to JUSTYSMOM's topic in Emergency
My very first day in the ER an ambo brought in an 8 year old girl with a stubbed toe. Her parents followed in their private vehicle. Medics were shitty and I was shocked. That was almost 6 yrs ago. Since then I’ve learned that people come in to the E...
amyjm333 replied to sea_otter123's topic in Emergency
I have a few simple tips that I feel might help ? 1. One of the most important things to know as a new grad is that the large majority of your patients are NOT going to be there for what we as health professionals consider truly emergent situations...
In the ED our standard is to initiate Seizure Precautions (bed rails up and pads placed), blood glucose taken, seizure time and length recorded, VS, verify suction is available, MD notification with med orders if applicable.
amyjm333 replied to shakabrah's topic in Emergency
I would take the above advice and talk to the director in your current hospital’s ED. They are often happy to hire nurses with experience- even if it is not in the ED. At least that’s how it is in my state. We hire even new grads, so a nurse with a y...
My other small piece of advice is to focus on the truly emergent patients. Most people in an ED on an average day are not at risk of dying, but some are- focus on those. Good luck to you!
Ten patients is too many! I’ve got a few years experience as an ED nurse and we get 3 patients. There are times it’s so busy I feel rushed and time crunched. I’m pretty sure if we had ten patients each and every nurse in my department would quit. (N...
Our ESI 3s generally get labs (according to complaint), rad studies (again, according to complaint), a bag of fluids and appropriate meds to control symptoms. Once tests are resulted we either dc them w/ referral to specialist, or work on admitting t...
As a new RN in the ED, I made my own "cheat sheet" - it included all the things I needed to know in order to enter the info into my triage without getting any "hard stops" or things we MUST know to complete the triage screens in our EMR (first net). ...
We staff 1:3. But when we get a truly emergent patient our zonemotes absorb our other two patients while we are 1:1. Charge also helps out wherever anyone needs it. And we usually have a throughput RN as well who helps by discharging patients, catchi...
amyjm333 replied to Warningsign's topic in Emergency
Hello! I know I'm a little late to the party, but I want to tell you firstly, do not be disheartened or discouraged. As nurses, PAs, NPs, Docs, we are all on the same team! I read through all of the previous responses and bits and pieces of each rang...
amyjm333 replied to hannahsannah's topic in Emergency
Hi there! I am a newer ED Nurse and there are a few tips/tricks/notes that I feel can help any new ED Nurse: 1. Realize that a very large percentage of ER nursing is not dealing with actual emergent patients. You will be kept very busy with patients...