Terryw

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1. Mandated assessments

   Terryw replied to Terryw's topic in Emergency

   In my opinion it is not necessary. However we are being told that it is a JCAHO requirement to screen all pts for domestic violence, functional and nutritional needs. If a need is identified, then we must have a plan. I'm just wondering if or how ...

2. Ketamine

   Terryw replied to Uptoherern's topic in Emergency

   I worked in the OR for 13 yr, and now in the ED for 14 yrs. Without a doubt, ketamine and propofol are wonderful drugs. In my opinoin they shouldn't be administered in the ED by RN's for exactly the reasons that Veetach mentioned. Let's have these...

3. Code Team, who is involved?

   Terryw replied to ERnurseLaura's topic in Emergency

   Small hosp without 24 hr anesthesia. ED MD (directs), ED & ICU RN (monitor & meds) RT (airway), Med flr RN (compressions) Surg flr RN (records)

4. Ketamine

   Terryw replied to Uptoherern's topic in Emergency

   Propofol is taboo in our ED also.

5. Ketamine

   Terryw replied to Uptoherern's topic in Emergency

   Ketamine is specifically EXCLUDED from our conscious sedation policy

6. Mandated assessments

   Terryw posted a topic in Emergency

   Is anyone doing functional and nutritional assessments in the ED ?

7. pain in the ed

   Terryw replied to MAGIK GIRL's topic in Pain

   No wonder you can't win. I guess I'm lucker than I thought, being able to work in such a supportive environment. Our docs are all on the same page with this problem. NONE of our docs order narcs for "seekers".

8. pain in the ed

   Terryw replied to MAGIK GIRL's topic in Pain

   Providing false information to obtain a controlled substance is illegal. Yes I do call the police, and yes they are arrested.....and I might say, they don't return. Our state has stricter guidelines than others. They have be have provided false de...

9. pain in the ed

   Terryw replied to MAGIK GIRL's topic in Pain

   Well, teeituptom, I been there and doing it for 30 years and have more than my share of gray hair too, but I happen to think that honest patient care is not enabling addiction. If we're going to give up on these people, then we might just as well gi...

10. Hope you don't mind me stopping in

    Terryw replied to scj1719's topic in Emergency

    You know, it you want to be an ED/Trauma nurse from the get-go, I suspect you'll get there. I could never go back "to the floor". I'd rather work at Walmart (I think). After all these years, I am constantly amazed at the # of nurses who say "I don...

11. New Grads in the ED (?)

    Terryw replied to Evelyn2003's topic in Emergency

    ABSOLUTELY!!!! I am a 30 yr nurse who still loves what I do and agree completely with erjulie! Give me a young, enthusiastic new grad any day, who challenges my thinking and keeps me on my toes! There's a lot to be said for training them the way y...

12. pain in the ed

    Terryw replied to MAGIK GIRL's topic in Pain

    I agree, there but for the grace of God go I, or my family. However, I have a strong feeling about enabling negative behaviors. People do what they do because they can, and it works. Our ED only sees 25K pts /yr so we have the luxury of doing som...