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Search Results Type: Posts; User: thelema13

From Date
  1. Sepsis
    Most of our docs stick with 1-2 litres as a bolus, and I have given 8 litres before. Our cardio and infectious disease docs agree, give more fluid and place BIPAP if you are causing HF or respiratory...
    Oct 7, '14
    Forum: Emergency Nursing
  2. Potassium Rates
    10 mEq K+/hr (you can ask the doc for a vial of Neut, which takes the burn out completely, its 5 mL added to 10 mEq, you are adding 5mL of sodium bicarb to raise the pH of the K+ bag).
    Aug 26, '14
    Forum: Medical-Surgical Nursing
  3. Ideas for improving flow...
    We are switching to a 'pull til full' model in a few weeks. We have done this before with bad results, mainly because our ED hires new grads and most of the charge nurses remain stagnant in their...
    Aug 21, '14
    Forum: Emergency Nursing
  4. IV sites for Abd CT
    20g for CT's, but some techs will use 22g. CTA's are 20g AC or higher, preferable R AC. Per policy.
    Jun 1, '14
    Forum: Emergency Nursing
  5. Know How to Improvise a Tourniquet
    We use a manual BP cuff and inflate to 30-60 points above the systolic value.
    May 28, '14
    Forum: Emergency Nursing
  6. Input about gastroparesis
    Have any of the above posters tried high doses of high quality probiotics? Like 500 billion+ a day as a maintenance regimen?
    May 7, '14
    Forum: Emergency Nursing
  7. Cannabinoid hyperemesis syndrome
    How 'bout some Zofran ODT and a sandwich?
    May 7, '14
    Forum: Emergency Nursing
  8. How to treat?
    If the patient is truly recovering from their addiction, you should not give opiates because they are an addict, and the patient should state that as well, having known first-hand. You will just...
    May 3, '14
    Forum: Emergency Nursing
  9. Patients who want to be admitted for minor things
    I once admitted a woman with a dx of morbid obesity.
    Apr 19, '14
    Forum: Emergency Nursing
  10. HCA salary
    My advice would be to RUN AWAY from HCA facilities. They have terrible management and treat their nurses like dog doo-doo. I worked for an HCA facility in South Florida, the ED was a joke (the rumor...
    Mar 27, '14
    Forum: Emergency Nursing
  11. Case study: emergent penis ring removal
    We did try using gauze wrap around his penis and testicles while he was sedated with etomidate to try to compress and push some blood back to his core, but that just made his HR jump to 130's and...
    Mar 14, '14
    Forum: Emergency Nursing
  12. Case study: emergent penis ring removal
    The latter.
    Mar 13, '14
    Forum: Emergency Nursing
  13. Case study: emergent penis ring removal
    No urology coverage for over a month. If the Dremel didn't work he was going to try either injecting neosynephrine at the source or aspirating some blood out. I have seen priaprism reversed on a 24...
    Mar 13, '14
    Forum: Emergency Nursing
  14. Case study: emergent penis ring removal
    51 year old male with a very large metal cock ring that was purchased a few sizes too small. He put it on and had a solid erection for 4+ hours PTA. No other medical history. This is what we did:...
    Mar 11, '14
    Forum: Emergency Nursing
  15. How does your ED handle stocking
    Our techs stock throughout the shift, with nursing staff helping as well. The techs never stock too well so I usually end up stocking my own assignment.
    Mar 7, '14
    Forum: Emergency Nursing
  16. Is anyone using Cerner in their ER?
    We use Cerner, more specifically FirstNet which ports into and works with Powerchart, which is the floor charting program. It could definitely be better, compared to other programs I have used. The...
    Feb 22, '14
    Forum: Emergency Nursing
  17. Full moon
    My VDay at work included a 24 year old that swallowed 75 tabs of APAP and a 50 year old with a surprise STEMI that was in the waiting room for 2 hours.
    Feb 15, '14
    Forum: Emergency Nursing
  18. CEN as a New Grad
    Employers look for experience more than certifications, and you definitely need some good​ experience before taking CEN.
    Feb 14, '14
    Forum: Emergency Nursing
  19. Personal lol
    Shoot, my mum didn't take me to the doctor for nearly three weeks when I had impetigo, and it covered over 50% of my body. She kept bringing creams from the OR..........
    Feb 13, '14
    Forum: Emergency Nursing
  20. Nurses vs Phlebotomist
    In every ED I have worked in, everything is ordered STAT, due to the fact that it is an emergency room. And I too notice that certain days, more samples are hemolyzed. And I guess colour is a...
    Feb 11, '14
    Forum: Emergency Nursing
  21. How do you respond to rude patients?
    AMA form
    Feb 9, '14
    Forum: Emergency Nursing
  22. Best Drug Seeker Stories
    Did something similiar to this idiotic 20 year old, but we rubbed an alcohol prep pad on the ladies forehead and told her "now this may cause you to shake or have tremors if you are susceptible to...
    Jan 24, '14
    Forum: Emergency Nursing
  23. Patients with sticky fingers!
    We had a patient that that took socks, kleenex, and the suction canister from the wall. She filled it up with water before she left.
    Jan 20, '14
    Forum: Emergency Nursing
  24. Tampa,  Florida
    Tampa General is a level 1 trauma center, that will be your best bet.
    Jan 9, '14
    Forum: Operating Room Nursing
  25. Stooopid
    I feel as though the longer I work in the ED, the more I can see how common sense is not common. I wonder if some of these people feel pain from being so dense. 1. I start my shift with 15 in the...
    Jan 8, '14
    Forum: Emergency Nursing