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Search Results Type: Posts; User: msjellybean

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  1. Critical Alarms, who answers?
    In my ED, we have two nurses stations. One larger, more central area that shows all the monitors and a smaller area that only shows the monitors in the rooms close to that station. It seems to be an...
    Jun 10
    Forum: Emergency Nursing
  2. Guns and Wepons
    Access to our ED is badge controlled. Visitors get an ED visitor sticker, which allows them access through the locked doors. Mental health patients and combative patients are stripped only to a gown...
    Apr 17
    Forum: Emergency Nursing
  3. Portal cath
    As always, refer to your P&P. In my facility, if a patient has a port, it is expected that you will access it and use it. Unless the doc suspects it as an infection source. In which case, we...
    Apr 16
    Forum: General Nursing Discussion
  4. tPA
    tPA
    This is tPA for CVA. We do use it PEs and DVTs, but I'm not sure what the standards are because we don't do that in the ED. All of that is started in IR and then sent to the ICU. VS and neuro...
    Apr 8
    Forum: Emergency Nursing
  5. Radiation danger, repeated CTs by frequent flyers
    We have an alcoholic frequent flyer, who typically presents drunk after a fall of some kind. She has had 8 brain CTs so far this year. I hate to think about how much radiation her brain has received...
    Apr 7
    Forum: Emergency Nursing
  6. Chest pain protocol
    Forgot to add we also give 325 ASA if no contraindication/allergy
    Mar 3
    Forum: Emergency Nursing
  7. Chest pain protocol
    We're supposed to initiate the CP order set with in 3 minutes of presentation to registration. From presentation to registration we have 7 minutes to get the EKG complete. Our standing orders...
    Mar 3
    Forum: Emergency Nursing
  8. What's in your pocket - ER Style
    Depending on what scrubs I'm wearing, the location tends to vary a bit. But... in my left top pocket I have my phone, gum, and carmex. Top right pocket is a couple pens, dry erase marker, & a...
    Feb 14
    Forum: Emergency Nursing
  9. Cnas and sheath caths
    This is facility specific. My hospital allows our techs do d/c PIVs, provided they show us the catheter before disposing of it. Since that rarely ever happens, most RNs d/c their own lines.
    Feb 1
    Forum: General Nursing Discussion
  10. When Hospitalists Attack
    Reminds me of an incident I had a few weeks ago while sending a patient upstairs. College age girl with SOB x5 days. Chest CT reveals multiple PEs... described by the radiologist as "significant"...
    Jan 10
    Forum: Emergency Nursing
  11. What is the lowest HGB you have seen?
    Pt came in via EMS for a fall. A&O x4, no SOB or cardiac complaints. BP stable. Lab calls with a critical hemoglobin of 2.4. A recollect is automatically ordered, based on that level. After the...
    Jan 7
    Forum: General Nursing Discussion
  12. Holding admitted patients in the ED
    I don't mind taking holds, so long as they aren't ICU patients. And my reasoning is this: while they're held in our department, they are to receive the same care standards as if they were...
    Jan 5
    Forum: Emergency Nursing
  13. ER nurses bringing pts to the floor soiled
    I'm an ED nurse now, but worked on the floor for 3.5 years, frequently with a 6:1 ratio and one tech. If the IV site became problematic, I'd would start a new line and move on with my day. I...
    Dec 30, '13
    Forum: Nurse Colleague / Patient Relations
  14. New and 'fun' things
    Anecdote from when I was a floor nurse... had a rapid response code on a patient and by the time EKG got there, she was already to the ICU. They ended up performing the EKG on her roommate (oops!)....
    Dec 4, '13
    Forum: Emergency Nursing
  15. What are your pet peeves?
    Anytime an EMS patient arrives and they are ambulatory to the room. If you weren't even in bad enough shape to come in on the cot, you should go to triage.
    Oct 16, '13
    Forum: Emergency Nursing
  16. What was the MOST ridiculous thing a patient came to the ER for?
    Had a college age girl come through the fast track part of our ED yesterday for jaw pain. R/t ahem, sexual activities from the night before.
    Sep 23, '13
    Forum: Emergency Nursing
  17. What critical vital signs would institute a rapid response
    This this this. When I used to work the floors, while I was looking information up before report started, I would always scroll back 24-36 hours and look at their vitals. I've managed to catch...
    Sep 19, '13
    Forum: Nursing Issues On Patient Safety
  18. Irritating things about being a nurse VENT
    I know this isn't the topic at hand, but I just had to reply because this struck a chord with me. I have a previous bachelors in a health field + a minor in chemistry. I went back and got an...
    May 24, '13
    Forum: Nurse Colleague / Patient Relations
  19. Irritating things about being a nurse VENT
    I think one of the most irritating things I deal with is when lab calls me to tell me that a specimen hemolyzed or something. And then they ask if I want a re-collect. Yes. Duh. Why are you even...
    May 23, '13
    Forum: Nurse Colleague / Patient Relations
  20. What Is The Shift You Will Never Forget?
    My worst shift ever. Worked a 12 bed in patient oncology unit. It was me + a newish RN, who had been off orientation probably 3 months. Plus one CNA. We had 11 patients. There were multiple total...
    May 6, '13
    Forum: General Nursing Discussion
  21. National Nurses week
    They're providing tours of our new building and set up a nursing documentary, in the cafeteria on the weekend. Perhaps they have no discretionary money left over for this year with the new...
    May 6, '13
    Forum: General Nursing Discussion
  22. Cost Cutting/Budgeting --- the patients suffer the most
    About 9 months ago someone in our ICU found the tax records from my hospital online. Since we're a NFP organization, I guess with the freedom of information of act, they have to be available? Anyway....
    May 3, '13
    Forum: Nursing Issues On Patient Safety
  23. Question about heparin
    Used to be an onco nurse and I've seen several patients with plt counts <10k end up with DVTs and PEs. Given the hypercoaguable state that exists with cancer, it's appropriate to give it.
    Apr 28, '13
    Forum: General Nursing Discussion
  24. Losing respect for nursing students
    No but you said that students do some of our work. I think the majority of people would assume that you are insinuating that since you are doing some of our work, that our load is somehow lighter.
    Apr 27, '13
    Forum: General Nursing Discussion
  25. Losing respect for nursing students
    Just this week, we finished up with a group of first semester students. I'm the first to admit that I don't like students (especially first semester) because they are often more of a hindrance, than...
    Apr 27, '13
    Forum: General Nursing Discussion


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