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Search Results Type: Posts; User: Sassy5d

From Date
  1. 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
    Forum: Emergency Nursing
  2. 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
    Forum: Emergency Nursing
  3. 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
    Forum: Emergency Nursing
  4. Becoming an independent RN Become a provider.
    Oct 1
    Forum: Ohio Nursing
  5. 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
    Forum: Emergency Nursing
  6. 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
    Forum: Emergency Nursing
  7. Struggling with ED Orientation, advice appreciated
    You're only in your 3rd week of orientation. I would put in a full year before you make a choice. It's amazing how far you come.. How you go from hating/feeling overwhelmed to loving/breezing...
    Sep 22
    Forum: Emergency Nursing
  8. Like a scene from 'MASH'...
    From 3p on we are packed to the rafters.
    Sep 19
    Forum: Emergency Nursing
  9. biggest challenge in ED transition
    Say it with me, all emergencies are not emergencies!! Yes it's busy. If they are breathing, have good vitals and are not in distress, don't distress yourself over it. If you have stable peeps...
    Sep 19
    Forum: Emergency Nursing
  10. Should high absenteeism be cause to be fired?
    My job has a no fault policy. Call off cuz you'd rather be drunk is no different than call off cuz your mom fell and broke her hip. I think my job is pretty generous with these days. If it...
    Sep 18
    Forum: Nursing and Professionalism
  11. Tips 'n Tricks: Pearls the Newbies Need to Know
    Pretend everyone has AIDS. We've all heard it but quite frankly, many have no idea and other's just don't want to bother to tell you..
    Sep 13
    Forum: Emergency Nursing
  12. Lining and labs/ hemolyzed specimens
    I don't use a syringe. I attach my vaccutainer directly to my fitted j-loop. The order in which you draw your rainbow can ruin your entire draw.
    Sep 10
    Forum: Emergency Nursing
  13. Lining and labs/ hemolyzed specimens
    Maybe it's certain lab techs. I dont work in the lab and won't even attempt to know how things go but im willing to bet that most spin the samples and then call me to complain.. Where there's 1...
    Sep 8
    Forum: Emergency Nursing
  14. OB ultrasound...foley or no?
    Besides, I love the radiologist report of 'ectopic cant be excluded' when that was the reason for the exam.
    Sep 6
    Forum: Emergency Nursing
  15. Discrimination Against ER Nurses?
    I always try to put myself in other's shoes. Picture yourself as a M/S nurse 10 years from now. Apply for the dream job. Find out a nurse with 2 years experience and 3 different jobs quit because...
    Sep 5
    Forum: Nursing Job Search Assistance
  16. Hate med/surg is ED any different?
    But wait, here's EMS bringing your stroke and the triage nurse just pulled your abd pain out into the hallway with your acute MI. The floor can't take report, your ICU hold is tanking. I think your...
    Sep 4
    Forum: Emergency Nursing
  17. Hate med/surg is ED any different?
    It's a different kind of crazy.. Like three patients family members irate on the telephone, your pt about to do a back flip off their bed while the labs on the other line to give you a critical...
    Sep 3
    Forum: Emergency Nursing
  18. Help me understand....
    I'm puzzled why we hand out narcs to adults for a lil stubbed toe but giving a child an appropriate opiate dose seems like a crime.
    Sep 3
    Forum: Emergency Nursing
  19. OB ultrasound...foley or no?
    My place requires foleys. They would sit on a pt till the cows came home. I don't like the practice but what can ya do.
    Sep 3
    Forum: Emergency Nursing
  20. What is the worst mistake you've made as a nurse?
    I'll bite. When I was a baby nurse... So proud of my iv piggy I hung.. Counted those darn drips just like we learned.. Except I didn't have the tubing set up properly and wouldn't ya know, as soon...
    Aug 30
    Forum: Emergency Nursing
  21. Difference in pay between Cleveland clinic and University Hospital
    Each facility pays different wages. While you might make 2.00 or whatever more at UH, the insurance is expensive both deductions from your pay and what you pay out of pocket. Prn wages vary also....
    Aug 28
    Forum: Ohio Nursing
  22. Beating a dead horse...bu seriously, when will it stop?
    Imo, let's pretend the rules were changed... I think people would just alter their cc to fit. Much like they state cp when the waiting room is full. I think it's always going to be like this and...
    Aug 26
    Forum: Emergency Nursing
  23. Difference in pay between Cleveland clinic and University Hospital
    Uh pays better than ccf but the benefits from cc far outweigh the hourly wage at UH. This may explain why so many cc employees work at UH prn
    Aug 25
    Forum: Ohio Nursing
  24. Feel like quitting
    There's probably a huge difference between pt volume also.
    Jun 2
    Forum: Emergency Nursing
  25. Assertive with your providers.
    I have not had the opportunity to work with them again. But I'm sure I will this weekend. Did I do something wrong? Depends on how you view it. I was working a pt with a PA, who obviously...
    May 28
    Forum: Emergency Nursing