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As a floor nurse, I carried a lot of crap with me. As an ER nurse, I have downsized, now carry stethoscope, roll of tape, trauma scissors (if I haven't lost them), carpuject (the zofran sticks,...

I would place the patient on a NRB at 15L/min, page doctor, respiratory for bipap, call critical alert (which gets lab, xray and extra hands to the room), and get someone to bring crash cart with...

We have 2 trauma rooms. At the beginning of each shift, a trauma nurse is assigned to one of the 2 rooms. She also has 4-5 other rooms assigned. We work on teams though. A team consists of 2...

The worst thing I have seen is a woman came in by medics, 38 weeks pregnant, hypertensive 140s/90s, headache, n/v, proceeded to rapidly become more hypertensive and coded within 5 minutes of being in...

I personally found ENPC quite valuable as an ER nurse in triaging and recognizing sick versus not sick peds patients. PALS teaches basics in resusitation of pediatric patients, but the key (unless...

This is my favorite IV drug book by far. It is located on every PICIS in our ED and I have a copy of my own in my locker, just in case the others disappear. It is not pocket sized, but such a...

I work in a Level 2 trauma center with 2 trauma rooms, 1 designated as a pediatric room (but still able to take adult trauma as well). We have 1 nurse assigned to 1 room and another nurse assigned...

I have a love/hate relationship with the ER. I have learned to do things as fast and safely as I can, whether that means the discharge or calling report waits, so be it. If the charge nurse, or...

Does your ER have some kind of kit for pediatric deaths, with stuff in it like hand print kits, hand molds, lockets for hair, etc...? What exactly does it have in it? How does your hospital handle...

this is kind of what concerns me. Monitoring patients receiving narcs is a no-brainer for nursing practice in the ER, or at least should be.

The patient in question was getting 2mg Dilaudid IM at a time, but got 5 doses, totaling 10mg over about a 2.5 hr period. The patient was narcotic dependent, so her tolerance was high, I'm sure....

So, after a co-worker expressed concerns about one of our ER doctors prescribing high doses of Dilaudid to a patient with chronic abd pain with frequent visits as well as a couple of past visits for...

I agree. Highest K+ I have seen is 8.6. Pt was weak and bradycardic 30 and 40's. As soon as I gave the Calcium Gluc, she immediately went up to heart rate 70's. I always give D50 before insulin...

Where I work, if you come in on a backboard with a c-collar on, it is standard practice to take the patient off the backboard immediately even before a physician is present and leave the c-collar on....

Agree with this except I would probably bump the SO2 up to 95% for kids, since they really should be in the upper 90's. As a triage nurse, you have to look at your patient and make quick...

Techs are allowed to start EJs in my ER, but not nurses. New protocol within the last year of so. Before that, nurses did it too. Only techs are allowed to do IOs too. Oh well....

Hahahahaahaha!!!! :lol2::lol2:

We used to do "pod" nursing, where we had a block of 5 rooms and up to 2 hallway beds. We switched to team nursing, with 2 RNs, 1 tech and 1 doc, but usually one nurse would end up doing all the...

I agree with some of the previous posters that the best shears are free. I have lost too many in the heat of a trauma or critical alert to ever want to pay for another pair.

Oh my goodness, of course not. I work with a great team. ;)

I have to agree. I am so thankful for all the techs that I work with. They are amazing resources and work incredibly hard. I will never use and abuse the techs I work with because I :redbeathe...

2 at a time? WOW!!! The other day, my ER had 3 GSW, 1 STEMI, 1 Critical CPAP pt and 1 stab wound to the chest, pretty much all at one time. And, they were all stabilized by the time they left the...

A good sense of humor. Ability to leave work at work. Flexibility. Ability to work under extreme stress and chaos (at times). Good critical thinking. Good, well.....really GREAT assessment...

Yes, take some deep breaths. Try to focus on the present, cleanse your mind. It is easy to get overwhelmed and highly anxious before a trauma or coding pt comes in, but it does get easier with time.

In the ER I work at, it is required to be ACLS certified, and in a situation of multiple critical patients arriving at the same time, we are able to give medications per ACLS protocols. I can't...