What did you do in the ER today?

Specialties Emergency

Published

I am a nursing student and will soon be starting my last year before graduating. I am interested in the ER, but it is really hard to pin down exactly what the job consists of.

I have looked at a lot of old posts that talk about how a lot of the work is determining priority. But it is hard to understand what is usually seen or done in the ER because "no day in the ER is the same".

So, in order to get a better understanding of the variety of situations an ER nurse encounters, I was hoping you guys could answer my question:

ER nurses, what did you do in the ER today?

I would appreciate any answers!

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Today I...

- inserted 3 foleys

- assisted with a STEMI and two strokes

- helped Narcan a heroin OD patient back to life just for them to leave AMA

- admitted and then transferred a patient to a level one trauma center who came in after an accident. he had a brain bleed.

- helped assist with two lac cleaning/dressings

- did a whoooole bunch of ECGs

- assisted with a pelvic exam

I love the ER. It's the best place in the hospital.

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Specializes in ED.

-Went in with the doc to tell the mom of a young child that he had a brain tumor.

-Got yelled at by a frequent flier because the doc was not going to give them narcotics.

-Had to place three IVs on a demented pt that kept ripping her line out after a doc decided to order IV potassium on an already agitated pt with a potassium of 3.4í ½í¸¡

-Stroke alert pt

-Dressed a two year olds bug bites so she wouldn't scratch them.

-Gave IM morphine to a kid with a pretty bad wrist fx so he would tolerate x-rays.

And then the run of the mill chest pains and belly pains.

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Today I:

- Managed the rapid treatment area because we were down 1 tech and 1 LVN. Yay, 8 pts at a time with "low" priority status, meaning they didn't need a bed.

- Held down an kiddo when the doctor was pulling beads out of her ear

- Medicated a bunch of ppl, dipped a bunch of urines, performed a bunch of EKGs and UHCGs

- Cleaned a few lacs

- Started a few "difficult" stick IVs

- Triaged

and covered lunches.

Oh, and had 3 nursing students following me around like a bunch of ducks because I'm the one that will explain why/let them do things/etc.

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Specializes in ED, ICU, PSYCH, PP, CEN.

Squeezed endless bags of blood into a trauma pt who still died on the way to OR.

Started bunches of IVs. Swabbed throats for strep cultures.

Lots of EKGs

Told a pt with a concussion they were in the ER after a car accident 400 times. Fortunately, no serious injuries.

Placed a couple foleys

Did a "rape" exam

Held pressure on a bleeding femoral artery until the doc could sew it up

Good question, and I look forward to reading all the replies

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Specializes in Pediatrics, Community Health, School Health.

A lot will depend on what type of hospital you work in. You will see all sorts of stuff in the big city trauma hospitals, whereas the smaller, community hospitals are sadly frequently used as a substitute for a doctor visit (ear pain, strep, etc.).

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I have been reading all the replies and they have been very helpful! Thank you guys so much I can't tell you how much I appreciate it!

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Is "lac" short for laceration?

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Did a "rape" exam

Thought only a SANE nurse could perform these?

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Specializes in ED, ICU, PSYCH, PP, CEN.

There's still a lot of "little" ERs that don't have SANEs.

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Specializes in Emergency/Cath Lab.

3 stroke alerts

1 medical activation - heroin od not responding to narcan

1 post arrest, didn't make it for long

2 psych, 1 needing 4 points

3 GI/ABD

1 eye abrasion.

It was a long day.

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Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
Thought only a SANE nurse could perform these?

Nope. It's preferable, but not required.

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