SteffaDee BSN, RN

SteffaDee has 10 years experience as a BSN, RN and specializes in Emergency.

Latest Activity

1. Tips for New EMR

   SteffaDee posted a topic in Emergency

   Hi there, I just finished training for a new EMR/documentation system for the hospital I work at that is going live in about 10 days. It's called "Meditech Expanse" and I was wondering if anyone had any tips or tricks I should consider; especially fo...

2. Paper Charting venting

   SteffaDee replied to raindrops1234's topic in General Nursing

   In the past I have been provided with and/or made copies of forms and documents that are frequently used. That way you can become familiar with them on breaks or when you go home etc. I consider it like research time as it makes me more proficient at...

3. Orders from hell...

   SteffaDee replied to Leonardo Del Toro's topic in General Nursing

   An ER doc I've worked with will sometimes write orders like "Gown" when the patient is complaining of an ankle or elbow injury, etc. Or "Move to Minor Procedure Room", when the room is already occupied by something more serious and/or I can easily br...

4. Orders from hell...

   SteffaDee replied to Leonardo Del Toro's topic in General Nursing

   I believe its supposed to be "tapered" dose, which is when the dose gradually decreases until they are no longer taking the medication (ie. Prednisone 50mg PO Daily x3 days, then 40mg x3 days, then 30mg x2 days, etc.).

5. What would you do in this situation? (If you know it all ;) )

   SteffaDee replied to Emergent's topic in Emergency

   I would do 2,3, and 4 all at the same time! Bring the BSC, give the Lasix while counseling on better medication adherence, and monitor while waiting on labs. Once the BSC has been used, I'd then obtain a urine sample and advocate for a drug screen. ...

6. Verbal Hand-off Reports - Are they no longer necessary?

   SteffaDee replied to yr.pedsnurse's topic in General Nursing

   In the hospital where I work, whenever a patient is being transferred internally, any sending floor is required to pneumatically tube a written Transfer Report form (organized in SBAR format) to the receiving floor at least 30 minutes prior to transf...

7. Several questions about piggybacks, Y siting, rates, and IV med admin

   SteffaDee replied to Dangaard's topic in Medications

   Of course, the following can be facility specific. So make sure to look up your policy. Your primary should be NS or the ordered fluid and your secondary is the medication. The secondary should be above the level of your primary (at my facility we us...

8. Feeling down and very discouraged :(

   SteffaDee replied to RNinCali15's topic in Job Hunt

   LinkedIn sometimes has job postings for nursing positions, or try looking at online job posting sites like Monster.com or Jobs.com, and such. Your state or province may also have a database where facilities may post job openings specifically for heal...