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Search Results Type: Posts; User: ADeks

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  1. Warmed lidocaine
    Do any of your ERs use warm lidocaine for anesthetic during suturing? I was wondering how do you warm the lidocaine? Ours usually comes in 10ml plastic vials. The one with epi comes in glass... I...
    Dec 21
    Forum: Emergency Nursing
  2. What was the MOST ridiculous thing a patient came to the ER for?
    I'm visiting a family member in the ER and my back hurts so I'd like a bed to sleep.
    Oct 29
    Forum: Emergency Nursing
  3. Levophed concentration and hospital policy.
    I work in the ED and we will run the 4mg/250ml for peripherals and 16mg/250 for PICC/CL. Sometimes the MD isn't willing to place an central line before sending the patient up to ICU.
    Oct 26
    Forum: Critical Care Nursing
  4. Male modesty double standard
    My hospital is not a Level 1 trauma ER. We do however get trauma codes and police are there to help identify the patient and help find a contact person. Also if a trauma alert goes south as in the...
    Oct 3
    Forum: Nurse Colleague / Patient Relations
  5. Precepting tips
    So my ER doesn't hire new grads in our ER. They have an internship program that has 6-8 weeks of class then 6-8 weeks of orientation on the floor. Well, guess who was picked to be a preceptor this...
    Oct 3
    Forum: Emergency Nursing
  6. Cyclic vomiters (drive me up the wall)
    I've only had one cyclic vomiter that made me believe in him. He wasn't even complaining of pain really just that awful feeling retching. Which I believed.
    Sep 27
    Forum: Emergency Nursing
  7. Learning sick vs. not sick
    I feel like I'm always getting stronger about being able to feel sick vs. not sick. Another, helping factor another nurse taught me. Touch the patient. And I feel like it's so true. You just get...
    Sep 14
    Forum: Emergency Nursing
  8. Should I Carry Malpractice (Liability) Insurance?
    Well, from my understanding if someone is suing the hospital. The attorney casts a very wide umbrella to try and find anyone at fault... So you could be apart of this lawsuit with or without...
    Sep 14
    Forum: General Nursing Discussion
  9. morphine ivp
    For kidney stones, the usual order is Toradol 30mg iv, Zofran 4mg iv, and Dilaudid 0.5 mg iv. Then off to CT to r/o kidney stones. I was talking to an ER doc and she told me there's a big push...
    Sep 6
    Forum: Nurse Practitioners (NP)
  10. pain management in ed narcotics or nsaids
    It can be different depending on what you're treating.
    Sep 6
    Forum: Nurse Practitioners (NP)
  11. OB ultrasound...foley or no?
    My ED does the same thing with the foley. It's a radiology thing. Patients can refuse, but I have seen them send patients back saying their bladder isn't full enough. They also insist they can't do...
    Sep 6
    Forum: Emergency Nursing
  12. The best excuses for positive drug screens
    We don't need consent to do a UDS. But I had a patient refuse to provide a urine specimen in the ER because he figured we were going to do one when we asked for a urine specimen. He was right. There...
    Aug 31
    Forum: Ob/Gyn Nursing
  13. accessing a port for just one blood draw
    I would ask the patient. I work in the ER and it depends. Sometimes depending on the port we still need a peripheral iv. We don't usually heparinize the port in the ER.
    Jul 16
    Forum: General Nursing Discussion
  14. Local hospital now says "BSN or MSN preferred" for all bedside positions?!
    I wonder if the push for MSN bedside RNs will stick. And if there is any pay increase?! The difference between ASN and BSN in the south is minimal.
    Mar 21
    Forum: Registered Nurses: Diploma / ADN / BSN
  15. "I need my Lipitor!"
    We've been having the same problem. Though the admitting MD is supposed to put orders in within a certain amount of time. If there is anything more pressing like their BP is high and they usually...
    Mar 15
    Forum: Emergency Nursing
  16. Pull until full triage
    We have a PA that starts orders based on triage interview from 9a-9p. That same PA May d/c some of the less complicated patients from the waiting room basically. We do have a designated fast track...
    Mar 3
    Forum: Emergency Nursing
  17. The Infamous Cab-ulance
    Did you offer the life-saving foley?
    Mar 3
    Forum: Emergency Nursing
  18. Seriously?!?!
    A husband and wife with 3 children in tow (one being a small infant). The husband and wife both checked in with "heart palpitations after taking unknown diet pills 3 hours ago." They had gone to...
    Mar 3
    Forum: Emergency Nursing
  19. Pull until full triage
    We triage patients out in a triage room next to the WR after triage back out to WR. We will pull patient and do bedside triage if there is something emergent. We also have a PA who sits in in...
    Mar 3
    Forum: Emergency Nursing
  20. The Infamous Cab-ulance
    Pt here via EMS c/c "I need my Nexium, it's the only med to relieve my heartburn and my Medicaid won't pay for it." Her husband followed the ambulance to ER met pt in WR. Where, when pt was dropped...
    Mar 3
    Forum: Emergency Nursing
  21. Migraine treatment in er
    Usually Compazine 10mg, Benadryl 25 mg, Toradol 30/15mg, and NS 1L. They bust out the narcs if pain persists.
    Mar 1
    Forum: Emergency Nursing
  22. RT over-stepping boundaries?
    Many of the RTs I know go through an extensive program. Similar to to ADN and BSN. Many of my RT coworkers have a Bachelors degree in science. They are very well educated and are apart of the care. I...
    Feb 27
    Forum: Nurse Colleague / Patient Relations
  23. Help! Am I Responsible
    I would be weary of taking pictures of hospital orders... Also you may not be allowed to record conversations.
    Feb 27
    Forum: First Year After Nursing Licensure
  24. nurses dating nurses?
    I'm currently dating an EMT. It's nice being able to vent about work and for him to get it. Same thing when he had a bad night. We both work nights and relatively have the same schedule. The nights...
    Feb 23
    Forum: Nursing Humor / Share Jokes
  25. Role of huc/unit secretary
    If all the charge nurses agree that this should be standard. Why don't you all just implement it. If you all stand together that this is now the charge nurses responsibility.
    Feb 21
    Forum: Nursing Activism / Healthcare Politics


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