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Search Results Type: Posts; User: Jennifer, RN

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  1. What supplies do you carry on you?
    As a floor nurse, I carried a lot of crap with me. As an ER nurse, I have downsized, now carry stethoscope, roll of tape, trauma scissors (if I haven't lost them), carpuject (the zofran sticks,...
    Sep 3, '11
    Forum: Emergency Nursing
  2. NRB & COPD your input please
    I would place the patient on a NRB at 15L/min, page doctor, respiratory for bipap, call critical alert (which gets lab, xray and extra hands to the room), and get someone to bring crash cart with...
    Aug 16, '11
    Forum: Emergency Nursing
  3. Trauma roon in your ED... who gets it?
    We have 2 trauma rooms. At the beginning of each shift, a trauma nurse is assigned to one of the 2 rooms. She also has 4-5 other rooms assigned. We work on teams though. A team consists of 2...
    Jun 7, '11
    Forum: Emergency Nursing
  4. What is your WORST ER story?
    The worst thing I have seen is a woman came in by medics, 38 weeks pregnant, hypertensive 140s/90s, headache, n/v, proceeded to rapidly become more hypertensive and coded within 5 minutes of being in...
    May 20, '11
    Forum: Emergency Nursing
  5. Questions about ENPC?
    I personally found ENPC quite valuable as an ER nurse in triaging and recognizing sick versus not sick peds patients. PALS teaches basics in resusitation of pediatric patients, but the key (unless...
    Apr 29, '11
    Forum: Emergency Nursing
  6. Critical care drips
    This is my favorite IV drug book by far. It is located on every PICIS in our ED and I have a copy of my own in my locker, just in case the others disappear. It is not pocket sized, but such a...
    Apr 26, '11
    Forum: Emergency Nursing
  7. Trauma Room Staffing (not ratios...)
    I work in a Level 2 trauma center with 2 trauma rooms, 1 designated as a pediatric room (but still able to take adult trauma as well). We have 1 nurse assigned to 1 room and another nurse assigned...
    Apr 23, '11
    Forum: Emergency Nursing
  8. Why I'm sick of the ED
    I have a love/hate relationship with the ER. I have learned to do things as fast and safely as I can, whether that means the discharge or calling report waits, so be it. If the charge nurse, or...
    Apr 3, '11
    Forum: Emergency Nursing
  9. Pediatric death kits
    Does your ER have some kind of kit for pediatric deaths, with stuff in it like hand print kits, hand molds, lockets for hair, etc...? What exactly does it have in it? How does your hospital handle...
    Apr 3, '11
    Forum: Emergency Nursing
  10. Administering Narcs and nurse liability
    this is kind of what concerns me. Monitoring patients receiving narcs is a no-brainer for nursing practice in the ER, or at least should be.
    Apr 3, '11
    Forum: Emergency Nursing
  11. Administering Narcs and nurse liability
    The patient in question was getting 2mg Dilaudid IM at a time, but got 5 doses, totaling 10mg over about a 2.5 hr period. The patient was narcotic dependent, so her tolerance was high, I'm sure....
    Mar 30, '11
    Forum: Emergency Nursing
  12. Administering Narcs and nurse liability
    So, after a co-worker expressed concerns about one of our ER doctors prescribing high doses of Dilaudid to a patient with chronic abd pain with frequent visits as well as a couple of past visits for...
    Mar 30, '11
    Forum: Emergency Nursing
  13. Hyperkalemia and order of meds
    I agree. Highest K+ I have seen is 8.6. Pt was weak and bradycardic 30 and 40's. As soon as I gave the Calcium Gluc, she immediately went up to heart rate 70's. I always give D50 before insulin...
    Dec 27, '10
    Forum: Emergency Nursing
  14. Are ER nurses burnt out or just uncaring??
    Where I work, if you come in on a backboard with a c-collar on, it is standard practice to take the patient off the backboard immediately even before a physician is present and leave the c-collar on....
    Jul 16, '10
    Forum: Emergency Nursing
  15. How do you triage?
    Agree with this except I would probably bump the SO2 up to 95% for kids, since they really should be in the upper 90's. As a triage nurse, you have to look at your patient and make quick...
    Jul 16, '10
    Forum: Emergency Nursing
  16. does any nurse do EJ's in the ER
    Techs are allowed to start EJs in my ER, but not nurses. New protocol within the last year of so. Before that, nurses did it too. Only techs are allowed to do IOs too. Oh well....
    Jul 16, '10
    Forum: Emergency Nursing
  17. Good Personalities for ER Nursing?
    Hahahahaahaha!!!! :lol2::lol2:
    May 8, '10
    Forum: Emergency Nursing
  18. Nurse Assignments in your ER
    We used to do "pod" nursing, where we had a block of 5 rooms and up to 2 hallway beds. We switched to team nursing, with 2 RNs, 1 tech and 1 doc, but usually one nurse would end up doing all the...
    Dec 4, '09
    Forum: Emergency Nursing
  19. BEST trauma shears?
    I agree with some of the previous posters that the best shears are free. I have lost too many in the heat of a trauma or critical alert to ever want to pay for another pair.
    Dec 4, '09
    Forum: Emergency Nursing
  20. Things you would like the ICU to understand
    Oh my goodness, of course not. I work with a great team. ;)
    Dec 3, '09
    Forum: Emergency Nursing
  21. Thank you to the Techs....
    I have to agree. I am so thankful for all the techs that I work with. They are amazing resources and work incredibly hard. I will never use and abuse the techs I work with because I :redbeathe...
    Dec 3, '09
    Forum: Emergency Nursing
  22. Things you would like the ICU to understand
    2 at a time? WOW!!! The other day, my ER had 3 GSW, 1 STEMI, 1 Critical CPAP pt and 1 stab wound to the chest, pretty much all at one time. And, they were all stabilized by the time they left the...
    Nov 29, '09
    Forum: Emergency Nursing
  23. Qualities of an ER nurse!
    A good sense of humor. Ability to leave work at work. Flexibility. Ability to work under extreme stress and chaos (at times). Good critical thinking. Good, well.....really GREAT assessment...
    Nov 29, '09
    Forum: Emergency Nursing
  24. Code Blue Nervousness
    Yes, take some deep breaths. Try to focus on the present, cleanse your mind. It is easy to get overwhelmed and highly anxious before a trauma or coding pt comes in, but it does get easier with time.
    Nov 29, '09
    Forum: Emergency Nursing
  25. Several  unresponsive patients at once?!
    In the ER I work at, it is required to be ACLS certified, and in a situation of multiple critical patients arriving at the same time, we are able to give medications per ACLS protocols. I can't...
    Oct 29, '09
    Forum: Emergency Nursing


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