LubbDubb77 BSN, RN

LubbDubb77 has 4 years experience as a BSN, RN and specializes in Pediatrics, Emergency Department.

Latest Activity

1. Change in Triage Policy

   LubbDubb77 replied to skylark's topic in Emergency

   It sounds irresponsible of management to implement something like that, but not surprising? I wouldn't agree to work triage, that's for sure. Also, management may have read a research article pre-covid and thought it would work. Today, too many peopl...

2. The Unsung Hero of The Emergency Department: The 24G IV Catheter

   LubbDubb77 replied to Damon McGill's topic in Emergency

   Yes, they are so flexible it feels like you are chasing the vein and running along side of it. I agree that when necessary, I will use a 24G, but never ever is it my 1st, 2nd, or even 3rd option in kids/adults. I go for the 24G in neonates and that w...

3. Physician Giving Sedation Without Nurse

   LubbDubb77 replied to Udmert's topic in Emergency

   The whole scenario is terrible. Don't leave any medications unattended, EVER. Just don't do it. I would have spoke with that physician directly about this and wrote them up. Honestly, the nurse should be written up for leaving that med out. Multiple ...

4. Constantly being put in triage or fast track

   LubbDubb77 replied to Stella_Blue's topic in Emergency

   I would just ask to switch it up and ask to take a regular assignment. In my ER it wouldn't be that big of a deal to get tired of taking the same assignment everyday and ask for something different. I am a mid-shifter 1200-0030 and I end up kind of a...

5. What are medics doing in your ED?

   LubbDubb77 replied to FiremedicMike's topic in Emergency

   Where I work, we don't have medics in the ER. Although, I wish we did have medics! IMO medics would be perfect for triage. Also, their scope of practice is pretty big, they would be able to do a lot in our ER. The reason I think they don't utilize th...

6. Alaska RN License Application

   LubbDubb77 posted a topic in Criminal

   Hello everyone!, This post is about licensure, not a criminal background. Does anyone know why the Alaska nursing board would want dental records? I am looking at this application and they want the release of all medical and dental records. This...

7. Hospital requiring ER nurses to chart full admission assessment

   LubbDubb77 replied to Halestorm21's topic in Emergency

   I work in a small hospital in a rural area in Washington state. Yep, we are supposed to be doing these assessments on patients that are boarded - IF they have been sitting in our ED for more than 2 hours after boarded status is applied. However, it i...

8. how to get into hospital??!

   LubbDubb77 replied to RN78's topic in New Nurse

   You are gonna probably need to know someone that works there to put a good word in for you and your BSN. It's the same way where I live - tough to get into the hospital here unless you know someone that can get your application pulled for an intervie...

9. Yale Nurse Replaces Fentanyl Vials with Saline

   LubbDubb77 replied to J.Adderton's topic in Headlines

   I just want to say people like you with so much experience are the reason this website is so good. I am a new RN and reading this thread and responses is just jaw dropping! This story and all the stories I have read on this thread are just insane. I ...

10. Suspicion About Med Error

    LubbDubb77 replied to Sharmilagrg00's topic in Safety

    Why don't you look in the MAR and see if she administered it? Or, are you saying that you think she is documenting that she is administering it - but really isn't? Personally, I wouldn't jump to conclusions. You should observe and investigate ...

11. Primary v.s. Secondary Diagnosis?

    LubbDubb77 replied to livelovenursing's topic in Student Assist

    Not sure why my reply has a quote attached. My previous reply may have been confusing, I apologize. I wasn't directly giving an example from what the student had provided. I was giving a generalized statement.

12. Easy Win-Wins to Impress Your Clinical Instructor

    LubbDubb77 replied to J.Adderton's topic in General Students

    I'm sorry, I don't agree with most of your comments. They are very generalized and detached. The only time where some of what you said might have been true is during the beginning stages of the pandemic. But, most programs have adapted and some are e...

13. Primary v.s. Secondary Diagnosis?

    LubbDubb77 replied to livelovenursing's topic in Student Assist

    Primary dx - the problem you are focused on. Secondary dx - what it is caused by. Ex. Primary: Ineffective airway clearance r/t increased airway secretions (symptom, what the pt is experiencing) Secondary: Pneumonia I would...

14. New Grad Pediatric Home Health Care Help?

    LubbDubb77 replied to mandalynn.mandolin's topic in PICU

    I will agree, it is a bad idea for a new grad to be in home with a medially fragile child annnnnd I would advise against it. Usually the companies will say they will give you additional hours of inhome training, like 40 hours total. Additionally they...

15. How to deal with staff who blame you for stuff on their shift?

    LubbDubb77 replied to Convoy2022_TrumpSupporter's topic in General Nursing

    I think this is pretty common. It happens at my work too but we have pretty good communication, so, we talk about it openly. It would be good to address it in a nonconfrontational way and just discuss these things during report. Pts are not the sam...