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Search Results Type: Posts; User: ADeks

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  1. 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...
    11:34 am
    Forum: Emergency Nursing
  2. 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...
    11:29 am
    Forum: Legal Nursing
  3. 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: Emergency Nursing
  4. pain management in ed narcotics or nsaids
    It can be different depending on what you're treating.
    Sep 6
    Forum: Emergency Nursing
  5. 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
  6. 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
  7. 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
  8. 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
  9. "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
  10. 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
  11. The Infamous Cab-ulance
    Did you offer the life-saving foley?
    Mar 3
    Forum: Emergency Nursing
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. Role of huc/unit secretary
    So you're trying to find something to show your workplace that a HUC can't make a patient assignment. Have you looked into your hospital's policy about HUCs? Also, it's really your charge nurses...
    Feb 21
    Forum: Nursing Activism / Healthcare Politics
  21. Maximum number of IV meds & lines
    Seeing as you would have a central line, there are certain meds that would definitely need to be in the central line. Of the two you listed TPN and Amiodarone need to be connected to the central line.
    Feb 13
    Forum: CCU Nursing / Coronary / Cardiac
  22. Most common (+ overlooked) reasons for abnormal vitals?
    This! I had a patient that we called a stroke alert on in the ER from the waiting room. Meanwhile were having trouble getting an IV and blood work (delayed lab values). Usually we run labs to our ER...
    Feb 12
    Forum: General Nursing Discussion
  23. V tach leading to an MI
    We received many post cardiac caths and small runs of VTach were not uncommon. I agree that the doc should be notified, but you call once on a patient and they give you that order. Some patients...
    Feb 12
    Forum: Cardiac Nursing
  24. specialites with little experience?
    I wouldn't think OR is a good specialty for a new grad. Every clinical I have been in the OR it's the surgeon, nurse anesthetist, surgical tech, and maybe someone assisting the surgeon. The nurse is...
    Feb 10
    Forum: First Year After Nursing Licensure
  25. Do you want to be jobless after nursing school? I didn't think so...
    I worked as a tech during nursing school and when I graduated my manager transitioned me to RN on the floor. I was lucky. I will say that being a tech and having that experience has helped me in my...
    Feb 9
    Forum: Patient Care Technician / Assistants (PCT/PCA)