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Search Results Type: Posts; User: Sassy5d

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  1. ESI Triage Question
    Im sure there's a link on google somewhere for the official triage system of number ranking. Many times that makes people's triage esi number higher, as in the cheeto eating c/o 10/10 pain would...
    Apr 24
    Forum: Emergency Nursing
  2. what is correct way to do gastric lavage using NGT?
    We have a gastric lavage kit. Use liter bags of ns. Instill ns, the bottom bag is clamped. Unclamp and repeat until about 3-4 liters were used. I hate it. There are some older providers that still...
    Mar 5
    Forum: Emergency Nursing
  3. MetroHealth Cleveland ER
    You need a nursing base to work in metro ER and a BSN.
    Feb 15
    Forum: Ohio Nursing
  4. Cleveland Clinic orientation exam questions?...
    Sure, refuse. Then find another job. Your job does not depend on these tests. The test see's where your understanding is and then shows you where you need improvement. It's to HELP you....
    Feb 14
    Forum: Ohio Nursing
  5. Relationships with floor nurses?
    We have a 10 minute policy. 10 minutes from bed assignment to report. The ER doesn't close. We don't get to turn away patients. We can't tell EMS that the bed is dirty and they have to wait. We...
    Feb 14
    Forum: Emergency Nursing
  6. Flow improvement
    Besides the fact that many times, there is a critical patient being worked on while a non-critical patient is waiting to be dispo'd, the biggest barrier I find to admit to removal from ER is the...
    Feb 14
    Forum: Emergency Nursing
  7. transportation issues
    It's amazing, isn't it? I would imagine it's whatever your hospital policy is. To be honest, I'm not exactly sure what my policy is. But I feel your vent. Many times, I pop my head in the room and...
    Feb 14
    Forum: Emergency Nursing
  8. Diluting IVP Natcotics?
    Always dilute. But unless they are in heart failure, I always have IV fluids running.
    Feb 14
    Forum: Nursing and Patient Medications
  9. Ethical question-WWYD?
    Your child was prescribed glucagon and instructions provided by their doctor. It would be out of your scope to give glucagon to another person. I know this sounds silly, but way down deep in...
    Feb 6
    Forum: General Nursing Discussion
  10. Ethical question-WWYD?
    That's a tough one. You would essentially be giving someone a prescribed medication at the wrong dose, to someone without a prescription. (Out of your scope) You can't advise a lay person to...
    Feb 6
    Forum: General Nursing Discussion
  11. Anti-vax nurses? Are you serious?
    This circular argument is really dreadful. If you can't make your point without using negatives words, your argument is invalid. Screaming that people don't vaccinate out of fear and then...
    Feb 5
    Forum: Disasters: Preparing and Responding
  12. When did it become OK to treat your nurse like poo?
    Sometimes I just want to ask patients soooo bad how they would handle someone coming into their job and acting the way they act and how it makes them feel. Then I remember that most of them are...
    Jan 31
    Forum: Emergency Nursing
  13. "Holiday/year end" gift
    There's always time to go back to school and become a doc or PA so you don't get any more ice scrapers!
    Dec 17, '14
    Forum: Emergency Nursing
  14. TRIAGE
    Yes we stay in for 12 hours. My Place does not tend to utilize triage protocol orders like labs. Sometimes I order streps and urines
    Dec 9, '14
    Forum: Emergency Nursing
  15. Frustration: taking over patients
    Just venting. How the universe can be thrown out of tilt simply by the staff member you are taking over for... And it takes you sometimes hours to dig yourself out of the trenches..
    Nov 17, '14
    Forum: Emergency Nursing
  16. Stroke vs overdose
    I hope I never have to be placed in that position again. But I looked it up, intoxication is not an exclusion or reason not to give TPA.. I was uncomfy.
    Nov 17, '14
    Forum: Emergency Nursing
  17. Stroke vs overdose
    How about TPA for a person with Alcohol level over 400? That was my oddest. I wouldn't have thought acute stroke
    Nov 16, '14
    Forum: Emergency Nursing
  18. Fix me NOW (but on my terms or I'll leave AMA)
    Tonight it was we were the best hosp ever cuz we didnt have 6 hour wait times.. 😀
    Nov 10, '14
    Forum: Emergency Nursing
  19. Rules for Triage
    ^^^^this!!!!!
    Oct 22, '14
    Forum: Emergency Nursing
  20. shotgun knowledge from emergency geniuses
    Lactic doesn't always indicate infection. First draw is your baseline. 2nd draw indicates if your interventions are helping. If you wait to draw lactic, and say it's 4. That info is more helpful...
    Oct 20, '14
    Forum: Emergency Nursing
  21. Emergency room RN minimums in Texas
    Any time/any part of nursing, if you drop staffing.. They are going to freak. Safety concerns much? Sheesh, I bet those dumb nurses really complain when you lecture on core measures and patient...
    Oct 17, '14
    Forum: Emergency Nursing
  22. Rules for Triage
    I'll take all the fluffy cc.. Just eliminate the dramatic pts who come to the window and act like they are dying so I get them back quick. I have yet to master the 'art' of really sick vs dramatic
    Oct 13, '14
    Forum: Emergency Nursing
  23. Becoming an independent RN
    Carestar.com Become a provider.
    Oct 1, '14
    Forum: Ohio Nursing
  24. Let's check everything!
    Isn't it ironic though, that it seems to work this way... Pt x comes in with vague complaints. They don't get a work up. Give em some po meds and watch em. They feel better and go home. 3 days...
    Oct 1, '14
    Forum: Emergency Nursing
  25. Cyclic vomiters (drive me up the wall)
    Every cyclic vomiter i've ever taken care of smoked large quantities of weed. I've yet to take care of one who wasn't demanding of pain meds. It is what it is and working in ER keeps me...
    Sep 28, '14
    Forum: Emergency Nursing


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