ernurse1993

ernurse1993

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About ernurse1993

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  1. I was all set to head towards NP now a dr told me PA. Hmmm

    The surgeons at a local clinic have an NP within their group, she see's pt in the ED prior to surgery, and also follows them throughout their hospital stay. If the pt is admitted with a surgical consult she also follows them through discharge, and at...
  2. Zofran ODT in kids

    We very seldom give phenergan anymore for nausea, way to many side effects. Yes, we do give zofran po to small children. We also cut it in half. It works great, no needles for the little ones and frequently they can hold down popsicles within 30 mi...
  3. Paramedics in the ER

    We have paramedics in our ED. I live in Illinois. They can give any of the meds that they can give out in the field, we have expanded their drugs to include tylenol & motrin, phenergan IV & Toradol IV & non medicated IV fluids. We are l...
  4. lidocaine for IV starts?

    We can use the lido in my department, but no one does. And from personal experience I had an outpatient procedure done once and the anesthesiologist used the lidocaine which burned like fire and I still felt the IV stick on top of it all. Since tha...
  5. Self Harm Questions in Triage

    We not only have to ask them about suicidal/homicidal thoughts, and if they feel safe in there home's. But if they have access to enough food, if they need any assistance at home, and if they live with anyone!! I think JC needs to walk in our shoes...
  6. "I don't have the money" OR "I don't have a ride"

    I think we are enabling the people on public aid!! They have the money for the nice clothes, their smokes, and food, but heaven forbid they have to buy their child tylenol!! They always want a script for it!! Oh, and please call it in or fax it bec...
  7. faxing report to the floors

    Thanks for the replies. We do have a meeting scheduled for the end of the week with all the departments involved. Right now we have the pt's c/c, initial assessment, meds given, last set of vitals,monitor rhythm, code status, infection control issue...
  8. faxing report to the floors

    Does anyone fax their admission reports to the floor? And if you do how is that going. What all is listed in the faxed report. We just started approximately 2 weeks ago and they floors are just ripping us apart. We aren't giving them enough inform...
  9. Bye, Bye, LPN's

    I work in a Level II trauma center in Illinois. My hospital just announced last week that they would be phasing out the LPN's over the next 3 years. They are offering to assist them in getting placed into an RN completion program, they also offer t...
  10. Computerized charting in the ED

    We use the Eclypsis system, wouldn't recommend it to anyone, only has spell check in select area's of the document, slow as molasses, doesn't have an efficient way of tracking times for QA. The med list section is very cumbersome and not user friend...
  11. New admits at shift change

    We have a policy that no patients can be transferred to the floor and report can't be give during "quiet time" it is supposed to be from 7AM-7:30AM, 3PM-3:30 PM and again at 7PM. We now call it "happy hour" :wink2: as 15 minutes before the hour and a...
  12. New admits at shift change

    I work in the Ed and it is very difficult getting pt's to the floor at shift change. But a lot of times that is when the beds all the sudden become clean and available. It does seem like a lot of games are played on how long can we stall before we ...
  13. Streamlining triage-required questions

    We also have all those questions in the triage document, it is hard for some of our nurses to leave it incomplete. I say the nurse doing the primary assessment can ask all the mandatory questions when doing their primary assessment, hooking them up ...
  14. How much is your pay?

    I live in central Illinois and the pay range for RN's is 18.50-27.50 for day shift. That doesn't include any shift differential, or charge pay. We have no increase in pay based on certification or if you have your BSN.
  15. Drinks in the nurses station...

    We have a small drink area in my department. I don't think it is JACHO that mandates no drinks at the nurses station, I think it is the Public Health Department rules.:cheers: