outlierrn replied to outlierrn's topic in Emergency
One new question that's come up is how people enter surgical history? In Medhost, it's bundled in the triage history group that includes allergies, current meds, and medical history, but it seems to be buried in the bedside nurses assessment in Firs...
So, after 10 years with Medhost, we're finally going to Firstnet at my hospital. We've had Cerner power chart on the floor for awhile, but I've never really gotten the hang of it, so I come to you for your: Tips Tricks and Shortcuts Thanks in advanc...
outlierrn replied to Enthused RN's topic in Emergency
I had a 44 y/o guy come in full CPR in progress. We never got him back, but the story we got from the family was that he had started a new job about a week ago, and c/o of vague shoulder pain since he began (left, of course). If he had presented to...
outlierrn replied to canoehead's topic in Emergency
Paraphrased for simplicity: Pt. I think I have a kidney stone. Me. Describe your pain. Pt. Vague, diffuse, mild. Me. ?? Have you ever had a kidney stone before? Pt. No. Me. What makes you think you have one now? Pt. I have a diagnosed staph infection...
outlierrn replied to whichone'spink's topic in Emergency
It's usually institution specific, since, with the exception of what's covered by yout ACLS card, the medical staff has to sign off on any standing orders done by RNs. Where I work I can do accuchecks, 12 lead ekg, initiate o2, ua/ucg, and plain film...
outlierrn replied to kingramon15's topic in Emergency
Rather than saying think on your feet I would say reprioritize on your feet. You were going to clean that pt up before admitting then? Well not now, there's a multiple casualty inbound. Your pt was a stable abd complaint? Not now, the wife tells you...
I've worked PICU, general peds floor, and peds ER, sometimes with other guys sometimes not. If that's something you're interested in there is no reason not to for try it. Now I work in general ER, but it's a rare week when a parent doesn't compliment...
outlierrn replied to julsywulsy's topic in Orthopaedic
I agree that C is the correct answer. It's poorly worded so as not to lead you to the right answer. Look at it this way; what's the worse case scenario? Compartment syndrome. If so then A actively harms you pt, B&D delay care for no gain, tha...
When I worked peds ER we had lots of kids with ortho pain come in. We often gave subQ morphine, got the films, decided if they needed an IV and proceeded with definitive care. Now I work adult ER and find the docs resistent to this; usually I hear ...
Lots of variation obviously, I've pushed brevitol and propofol before, and for some strange reason out facility doesn't require wasting ketamine, brevitol yes, go figure.
Back in one of my other lives I observed that you could ask two farmers about the best way to cultivate tomatos, get two diametrically opposed answers, get reasonable, rational explanations for each, and damned if you could tell them apart come harve...