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Search Results Type: Posts; User: ADeks

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  1. 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
  2. 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
  3. "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
  4. 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
  5. The Infamous Cab-ulance
    Did you offer the life-saving foley?
    Mar 3
    Forum: Emergency Nursing
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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)
  20. Who should make patient assignments??
    So I used to be a night shift HUC during nursing school. The initial assignment was usually done be the oncoming charge nurse. Sometimes if she was running late or something came up then I would make...
    Feb 7
    Forum: General Nursing Discussion
  21. V tach leading to an MI
    On my old tele floor we wouldn't call asymptomatic episodes of VTach until morning. Usually the docs would have an order of "notify if 10 beats or more. " But I would also chart every time on that...
    Feb 7
    Forum: Cardiac Nursing
  22. Free Standing Emergency Rooms
    It's actually only 20 minutes away from the main hospital.
    Feb 1
    Forum: Emergency Nursing
  23. Free Standing Emergency Rooms
    The free standing ER is affiliated with the main hospital I work for. It's actually more efficient. My main hospital "holds" tele/ICU/etc beds for this free standing ER. So here we are holding many...
    Jan 30
    Forum: Emergency Nursing
  24. Do you have a nursing specialty you know you want to pursue?
    When I was in nursing school I really wanted to go to ICU. I hated the ER rotations. I started on a cardiac/tele floor and after a year was over the monotony. The first opening was the ER! And here I...
    Jan 27
    Forum: Pre-Nursing Student
  25. IV Push
    Narcotics I'll mix with 5ml of NS. I push each notch every 10-15 sec. If I lose count it's still pretty slow.
    Jan 26
    Forum: Emergency Nursing


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