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I get it of it's a stable telemetry situation, or med-surg situation, but this was a emergency room/urgent care situation, we didnt know who was coming in, and what they would need. Then the...

Hi everyone,I just wanted to get some opinions from some LPNs on a topic.I recently worked with an LPN who was assigned to 6 "urgent-care" patients, I was the charge nurse. My duties included...

So cool, good for you!! I'm a VA RN, graduated from massage therapy school last August, I now work at a Massage Envy in VA for experience, my plan is to become a subcontractor for the nursing homes...

Not so much passé, as just plain unsafe. I am a BSN nurse, I've done ICU, telemetry and ER for the past 5 years, and have found myself in increasingly worsening working conditions. No lunch break...

Do you have to list this job? It doesn't sound like you really got that much experience from it anyway. What you really have to do is figure out what your negative thoughts are that are holding...

I'm sorry to say, but you're just as "bad" as she is. You're judging her based on a preconceived notion about what an"professional patient" is. It's none of your business why she left AMA before,...

I get what you're saying now, that is an exaggeration to not be able to void for 12 hours. I'm just bitter I guess. :)

This sort of angers me, mainly because I've "played the victim card" myself. I've postponed bathroom breaks to chart because I worry if I postponed charting I would be distracted later and forget,...

I pretend I'm performing surgery on the vein, I visualize what the vein really looks like, and imagine sliding the catheter right in:). The visualization helps me with nerves and negative self-talk. ...

1. When I try to delegate things to an ED tech because I'm busy medicating, assessing, triaging, or discharging patients, I get attitude, or "I'll get to it" while they're chatting someone up. That's...

Good point :) But can't you send them into V-fib?

How fast do you administer 2 grams Magnesium for Torsades? I've had MDs tell me to push it in fast, but I looked it up, and its supposed to be over 15 minutes minimum. How do you do it?

Okay, your patient's K+ is 7.2, and he is in ARF. You have orders to give him calcium chloride, sodium bicarb, insulin and D50. What order do you give these meds in? I always put the calcium in a...

Guy comes in with a distraught wife who can barely contain herself: "Coffee-ground stools". No blood visualized in stools, just diarrhea.

Hi everyone, I'm 0 for 4 so far in starting IVs in little kids (under 3), I can do 4 and up. I can get a flash return, but something happens when I try to advance in these little kids. I try to get...

Exactly. This is something I have had to work on. It's hard, especially when it's the same person coming back after not taking their BP/DM/CHF meds with fluid on their lungs, or with a diastolic...

It probably is rude, but when you already have 4 patients waiting for you, and the goal is to get the new patient "on the board" within 10 minutes of arrival, and you have to know how they sound/look...

I've been in the ER for a few months now, and it's a big transition for me as far as teamwork goes. I used to work on a very cohesive unit where everyone would help with a new admit, intubation,...

You know what, I am guilty of doing that: blowing off the paramedic/EMT when they bring the patient in and are trying to give me report. :eek: It just seemed to waste time when I'm trying to get...

Hi again, I worked as a CNA for 5 years, then graduated and worked with CNAs as an RN for 2 years in a CVICU. I became very comfortable with the CNA/RN relationship. Then I moved to the ED, and...

Hey, Oramar, thanks for the article! It sounds like you're at least making a dent, I wonder if health care dollars will be less than average in Pittsburgh in 5 years. I really believe in the annual...

Had patient yesterday, pressure in the toilet, we're putting Dopamine through a 20 in the wrist. I asked 2 ER physicians to put in a central line, they both initially agreed, then changed their...

I had 2 years of ICU experience, and moved down to the ER in my 400-bed community hospital. I got 2 months. There's still some things I haven't seen, but usually there's an "experienced" nurse...

Exactly. I used to work CVICU (we would take ICU overflow pts), never gave the ED nurse a hard time, mostly b/c I was impressed they had the time to intubate this sick pt, start a line in him, get a...

Instead of spending billions (or is it a trillion yet?) on insurance for the un- and underinsured, and mandating everyone have insurance coverage, why don't we spend federal money on more free...