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Search Results Type: Posts; User: turnforthenurseRN

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  1. US RN --> South Korea
    Hey everyone, So my husband is in the Army and our PCS is coming up...looks like South Korea is a possibility. How hard is it to get a GS job as a nurse overseas? What are my options? I think...
    Oct 4
    Forum: International Nursing
  2. Icu patients
    Where was your charge in helping with those other patients?
    Sep 27
    Forum: Emergency Nursing
  3. Mid levels in triage
    How many of you work in an ED where you have a MLP out in triage? How does your process work? How much staff so you have out in triage? Do the MLPs do a full medical screening or just eyeball the...
    Sep 12
    Forum: Emergency Nursing
  4. Room Assignments
    Have you tried to speak with this charge nurse and have a heart-to-heart discussion as to why you two feel that way about each other? Maybe it is something that one of you are assuming that isn't...
    Aug 15
    Forum: Emergency Nursing
  5. triage process
    Okay y'all, walk me through your triage process. I'm trying to look for ways to improve it. We are supposed to be utilizing pull til full at all times but I work nights and most of the time I...
    Aug 13
    Forum: Emergency Nursing
  6. Stepdown vs PCU
    The PCU that I worked on did not have patients on vents, only CPAP/BiPAP. Vented pts had to go to ICU. Vents used to be on the PCCN (progressive care certification) because you will see vents on...
    Aug 7
    Forum: Cardiac Nursing
  7. Triage Practices
    We are revamping our triage system and I'm still trying to argue that it isn't safe. An RN sits at the very front so that they are the first person that is seen the moment a patient walks into the...
    Aug 7
    Forum: Emergency Nursing
  8. Ideas for improving flow...
    I'm a little concerned that you only have 1 RN from 0030-0900. I realize that it's probably your least busy time but what if you get a critical patient or CPR in progress coming in? It seems to me...
    Aug 6
    Forum: Emergency Nursing
  9. 4th week at ED.. it's hell, we should be called gods of labor
    I have not used Meditech....but are you able to associate the patient to the room that way vitals will automatically download when you click the time in the computer?
    Aug 6
    Forum: Emergency Nursing
  10. Online Training and 8 weeks of orientation?
    Sounds adequate for an experienced nurse. You're lucky... I worked for 2 years on a progressive care unit before I made the transition to ER nursing and they just threw me into the mix!
    Aug 6
    Forum: Emergency Nursing
  11. DKA dx?
    Where I work we look at the blood sugar, ketones in urine, beta-hydroxybutyric acid and pH via venous blood gas. Diabetic ketoacidosis involves a metabolic acidosis hence increased ketones and...
    Aug 1
    Forum: Emergency Nursing
  12. New nurse and critical patients
    The pharmacist is your friend. If you're ever unsure about a medication whether it's mixing it or how to give it/how to titrate or whatever, consult your pharmacist. ;)
    Aug 1
    Forum: Emergency Nursing
  13. Suture Removal without Medical Screening?
    Our triage nurse removes sutures/staples in triage. Patient chart is created to document and a provider will go out there just to do a brief check and then off they go.
    Aug 1
    Forum: Emergency Nursing
  14. How is ER charting different than floor?
    Assessments are done based on what the patient is presenting with. Everybody gets a generalized head to toe assessment along with a falls risk assessment and assessing for communicable diseases. ...
    Jun 14
    Forum: Emergency Nursing
  15. APPENDICITIS
    Line, labs, meds (usually morphine & Zofran but it depends on the provider + NS) and yes, Flagyl, Levaquin or Zosyn. Vanc is overkill. Abdominal CT and if the appy is confirmed, then a surgical...
    Jun 14
    Forum: Emergency Nursing
  16. When is your shift over
    I always move to a private location if I have some additional charting to do or something.
    Jun 10
    Forum: Emergency Nursing
  17. Hallways
    How do you comply with HIPAA when you have hallway beds?
    Jun 10
    Forum: Emergency Nursing
  18. What's it like at your ER
    Our ratio depends on staffing but 99% of the time it's 1:4. Our techs do not have a set ratio as they help answer call lights and help with patient needs throughout the ER. If we have a patient...
    Jun 9
    Forum: Emergency Nursing
  19. Discharge Areas/Lounges
    We only utilize a discharge room in our Fast Track area that is only open until 2300. After the patient has been treated they are moved to the discharge room where the nurse (or tech) obtains their...
    Jun 9
    Forum: Emergency Nursing
  20. ER Design
    I'm curious to know about other ER designs as we are working on redesigning our own ER. We have already implemented some changes but we're working on more. Triage: preferably 2 RNs and a triage...
    Jun 9
    Forum: Emergency Nursing
  21. Pain Management in the ER
    Our doctors use those cocktails for migraine/HA patients, too...though some prefer Compazine or Zofran. And some like to use mag. It seems to work pretty well for patients as opposed to the use of...
    Jun 9
    Forum: Emergency Nursing
  22. stethoscope?
    I have a Cardiology III and I love it. Mine is in plum.
    Jun 8
    Forum: Emergency Nursing
  23. Pain Management in the ER
    I feel like our doctors always order something for pain relief but that doesn't always work for the patient. You don't always need narcs to treat pain but that's what a lot of patients want. I...
    May 31
    Forum: Emergency Nursing
  24. Are you allowed toasters?
    We do not have a toaster in our ER but we have one in our cafeteria...
    May 31
    Forum: Emergency Nursing
  25. Calling out the pts name in the waiting room...HIPAA?
    We have restaurant style pagers. I like to hand them out but I have noticed that everyone doesn't adhere to that practice...and now they have fallen out of favor with our staff (but not necessarily...
    May 24
    Forum: Emergency Nursing


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