errn1968

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1. Something all OB nurses should know.

   errn1968 replied to NHmommy's topic in Ob/Gyn

   This is a very important thread for ER nurses to read. I have dealt with countless fetal demise patients in the ER (at least one per week) and I can't remember us making too much of an effort to offer support to those that have come in with problems,...

2. Barbaric doctor or oversensitive nurse?

   errn1968 replied to littlefeet's topic in PICU

   Every LP kit I have ever seen has the lidocaine in it. At our peds Er, we use EMLA cream first for 30 minutes, then they use lido. We don't usually consciously sedate for the procedure. I they have trouble they have scheduled it under fleuro. But I h...

3. Im Injections

   errn1968 replied to Queen of the E.R.'s topic in Emergency

   Oh, I have a great technique. You won't believe this but give the IM in a stretch mark on the butt. I swear, it works every time and I you don't have to dart it in, just smoothly go right on a stretch mark. Something is different with the nerve endin...

4. Stacked Duo nebs any info

   errn1968 replied to JessicRN's topic in Emergency

   don't know if you still need info, but in peds, the resp treatments usually start with a duoneb of alb/at but then add other things like decadron as traumarn said. Xopinex is another new resp tx med that is showing better toleration for continuous tr...

5. Ketamine for conscious sedation in peds in the ED

   errn1968 replied to nanb's topic in Emergency

   We use Ketamine for our ortho reductions, complicated lacs as well, but our docs who have to be certified in Ketamine administration only give it. We always give it with a combination of Robinal (to decrease oral secretions and dry them up) and Verse...

6. Adult change to peds ER help

   errn1968 replied to errn1968's topic in Pediatric

   That is the consesus I'm getting, Thanks. Hope your week is going well. What hrs do you work. I work 36/week. 1pm to 1am.

7. Adult change to peds ER help

   errn1968 replied to errn1968's topic in Pediatric

   Thanks, I will look at the kit labels tomorrow night. Regardless I will use a soft 5 or 8 feeding tube on the boys. And as I suspected, I will run the abx over 20, 30 min to 1 hr. I need to double check a lot of what these nurses say is ok, many of t...

8. Adult change to peds ER help

   errn1968 replied to errn1968's topic in Pediatric

   Thank you, I will take your advice and it is what I was inclined to do...gotta trust my instincts. Do you put iv abx on kids? ie: claforan 250mg over 5 minutes diluted about 10cc ns. Some of the nurses here do that for many abx and I think they all n...

9. What was the MOST ridiculous thing a patient came to the ER for?

   errn1968 replied to JUSTYSMOM's topic in Emergency

   ok, that's a really goog one, gotta tell my er buds. As we er rns all know about 1/3 of our visits are for goofy stuff. Gotta love the dialysis, pulmonary edema patient who needs his Viagra refilled after we have spent thousands of $ diuresing him be...

10. Adult change to peds ER help

    errn1968 replied to errn1968's topic in Pediatric

    Thanks, I am just learning how to reply here. I will take your advice and use the flexi feeding tube. The rigid on is what i've used on adults as well and it just didn't feel right with the kid. I need to go with my knowledge and instinct, I'm just t...

11. Adult change to peds ER help

    errn1968 replied to errn1968's topic in Pediatric

    Thanks for respond. I did let him take a breath but felt such resistance. Do you think its ok to use thos 8fr ?semi rigid? caths or should you use a flex feeding tube. Can you perf through to the colon? or is this not possible. The screaming didn't b...

12. Adult change to peds ER help

    errn1968 posted a topic in Pediatric

    Joined this site for help with my change from Adult ER to Peds ER at an all peds hospital. I need someone to ask "dumb" questions. I am contract so I only had 4 orient days and their nurses tell me ask anything but I feel like an idiot at times. I ha...