danger

danger

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About danger

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  1. How'd You Get Your ER Job?

    i commuted 2.5hrs one way and slept in my car (literally) for my first ER job. you have to want it!
  2. RN to patient ratios in the ED

    urban level 2 trauma center w/ 40 beds and 160 pt.'s/ day. our "acute" side has 12 rooms w/ four of those set up for trauma and we staff these w/ 4 nurses ideally (3 rooms/ nurse). our less acute side has a 4-1 ratio. and we're just now trying out te...
  3. Sure signs your pt. is sick

    i'm new to nursing and working in an ER and just starting to pick up on the more obvious signs that my pt. is sick. -chief complaint: apnea additional obvious additions are welcome dan
  4. i tend to agree w/ the last post. i'm a new grad living in rural colorado w/ a critical access hospital. out of school i chose not to apply there and instead drive 2.5 hours one way to denver to work three 12's and sleep in my car between shifts in o...
  5. New Grad Pay Denver "atleast" $28?

    new grad here working in denver making $23.91 base (before differentials). this is with some credited prior experience working as an EMT in a hospital. yup
  6. IV size

    i hope you're not in the ER for 24 hrs! in the most recent ACLS they put the IO route just after the IV route and before the ETT; med absorption through a tube is unpredictable. is the risk for osteomyelitis w/ IO access greater than phlebitis w/ I...
  7. IV size

    i didn't see this in the search results. what is the consensus regarding IV size and placement? go big within reason, 18g in the AC, or small and distal 20g below the AC? what is the flow difference between these two? time for a liter to flow through...
  8. The eternal K+ debate

    why do you replace K+ if the serum level is 3.6-4.0? what is your target level? dan
  9. drugs w/ blood?

    what's the consensus with giving drugs through a blood line? i talked to a friend of mine that had a code on an MVA w/ a bit of blood loss. he had two IVs, one giving blood and the other giving dopamine. the doctor ordered bicarb which isn't compatib...
  10. Drug Testing At Hospitals

    so as long as you have a prescription then you can't be fired for controlled substances in your urine? marijuana is legal in colorado w/ a prescription so can a nurse be exempt from testing of this substance? dan
  11. I want to quit my travel assignment after 1 month

    thread drift... how can you leave an icu or any other nursing floor without someone else to cover your patients? isn't that abandonment? i understand it isn't safe to stay but can you just leave? dan (still under the influence of education)
  12. Is it true?

    IV certified EMTs work in EDs but not CNAs. (my experience is limited though.) dan
  13. double checking insulin

    how do you give lovenox IM? i've only seen it available in autoinjectors w/ a short large guage needle. was the patient an athlete w/ rockin' abs of steel? dan
  14. Example Nursing Care Plan?

    carbuncle? is that a barnacle stuck to your car? i'm intrigued and of no help at all. dan
  15. high RBC, low H & H

    i wish i knew more; i don't have access to her CBC. this was a patient on a med/surg floor one day post-op for a cellulitis (sp?) surgery of her foot. late 80's, maybe early 90 year old female w/ history of diabetes. on my way out in the morning the ...