lyraesullivan

lyraesullivan has 14 years experience and specializes in ER, ICU.

Latest Activity

1. Docs and their dirty sharps...

   lyraesullivan replied to neneRN's topic in Emergency

   Any of you that work in hospitals that don't require Doc's to do this may want to remind risk management of OSHA. The hospital I work at is pretty good but there were a couple bad apples. One ER doc.....I just smiled and told him that unless he wan...

2. Press Gainey AARRGGHH

   lyraesullivan replied to susi_q's topic in Emergency

   Can you say UNION? That will stop that nonsense

3. ER newbie here, please give me some tips to meet my co-workers expectation

   lyraesullivan replied to mtreyes's topic in Emergency

   Welcome to the ER. Things I always tell my preceptees. 1. Give yourself a full year to adjust and feel comfortable. 2. Ask questions please, there is nothing more dangerous than trying to figure it out on your own. 3. If your work is caught up, help ...

4. Pt demanded a stronger pain med

   lyraesullivan replied to AstrosFan's topic in Emergency

   The thing about Press-Ganey is they only call a very small percentage of the patients so the odds are not really good if one or two of them were drug seekers that didn't get what they were looking for. It is sad that hospital administration place a l...

5. Emergency Nurses, what is it about ER that you love?

   lyraesullivan replied to Razorbacks's topic in Emergency

   Nowhere else do you have the variety. The staff is usually a pretty close knit team (not unlike combat troops!) We have a lot of autonomy and our docs are always right there. I made a foray to the ICU for a year and got floated out to the floor one ...

6. Funny Sign In Slips

   lyraesullivan replied to TraumaInTheSlot's topic in Emergency

   "my toa is mest up" (Broken toe)

7. ED admitting orders

   lyraesullivan replied to bill4745's topic in Emergency

   HAHA! Most of the docs I know haven't even mastered the telephone;)

8. The War with the Floors

   lyraesullivan replied to zima60's topic in Emergency

   I don't hold on to patients til the end of the shift just to annoy the floors, but I think we have already covered the myriad reasons why that happens. what gets me is the floor refusing to take a patient at change of shift, does all nursing care co...

9. ER Tips

   lyraesullivan posted a topic in Emergency

   The most interesting thing, have never encountered and now have had it happen twice in recent events. What? Trying to cath a little old post-menopausal woman and not being able to find the urethra anywhere and found it behind the pubic bone in the ...

10. ER disclaimer

    lyraesullivan replied to Jen2's topic in Emergency

    I've always felt that if you need to go to the BR more than once and it requires my interventions then foley it is;)

11. When pts lie about rides Part Deaux

    lyraesullivan replied to TazziRN's topic in Emergency

    funny you should bring this up, recently we had a patient that drove 45 miles and passed up three closer hospitals to come and see us, red flag # 1 right there and despite being told several times no pain med until a ride is there (yes the Dr. did pr...

12. Funny Sign In Slips

    lyraesullivan replied to TraumaInTheSlot's topic in Emergency

    How about "staff infeksion" caused no doubt by the local killer spiders;)

13. v. tach or aberrancy which one is it?

    lyraesullivan replied to MQ Edna's topic in CCU

    Always treat the patient and not the monitor. If you have a 12-lead EKG, there are some clues you can use, they are not 100%, nothing is. If the QRS complexes in the V leads are concordant (either all positive or all negative) that favors v-tach. A l...

14. CCRN

    lyraesullivan replied to KatMcRN's topic in CCU

    Mosby has an excellent review book called 'Pass CCRN' it's relatively inexpensive, around $30. The book is organized into systems. Each system starts of with a brief review of A & P then goes into an outline of diseases and treatments. Each chapt...

15. Critical Care Staffing Patterns

    lyraesullivan replied to k.Sheldon's topic in Safety

    Check with your state department of health to see if they have guidelines for staffing in specialty areas.