mercRN

mercRN

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About mercRN

married, 2 children, graduated June 2003

Latest Activity

  1. Tele transports from the ER

    If they have to be on a monitor for radiology then someone ACLS goes with them. Some of our pt's the docs will say they don't need to be on the monitor to go to radiology.
  2. What's your craziest story of the ER

    Just love reading these. It makes us all appreciate our jobs. I had almost forgot about this pt. until the other night when the Doc that took care of her brought it up. She come in stating that she was "lactating". Now the weird thing is she had a...
  3. precepting in ER....

    I have to agree with the other posts. Ask lots of questions not only to the ER docs but to the nurses. Some of the nurses will be more receptive than others. You will figure that out in the first couple of hours probably. Do lots of EKG's. Anyon...
  4. Tele transports from the ER

    To go to a tele floor has to have someone ACLS certified on a monitor. CCU I am pretty sure has to have an RN plus someone else and one has to be ACLS certified.
  5. why do we baby our pts

    I just had a pt the other night c/o epigastric pain and needed to have lab work done. Well she was one of those ones scared of needles and yes I did have to baby her. I told her let me have one stick and when she said yes and turned her head I put ...
  6. Critical care procedures

    We use NP in our fast track area. We don't use them in the main ED but they do staff fast track. There are times when I think some of them know more than the ED docs do.
  7. Antipyretics Tylenol vs Ibuprofen in Pediatrics

    Thanks alot. Have to take this to work to show the docs. :)
  8. traumatic fire experience

    Last night at work was horrible. I am thankful I was in triage. Our hospital typically doesn't get codes or traumas unless we are the closest facility. Well we got them last night. 3 code's in a row, d/t a house fire. We had a brother and sister...
  9. Antipyretics Tylenol vs Ibuprofen in Pediatrics

    It depends on how high the temp is where I work at. If the temp is below 102 we usually give tylenol unless the parents actually gave them some within the last 4 hours. For temps over 102 we start with Motrin unless it had been given within the las...
  10. Critical care procedures

    I know our hospital is not supposed to do EJ's but I think there are a few who have and will do them if need be. We are getting ready to do all of our competencies in March. We have JHACO coming in August so we need to do all of ours early. I am h...
  11. Charting

    With IBEX when the doc puts orders in it comes right up on IBEX. When we finish an order we mark done on the task and then go chart it in the appropriate spot, either under medication, IV's, lab draws, ua's, whatever. We still have to go to the py...
  12. visitor policy vs alien invasion

    We have 2 visitors per pt. When we had the bad flu outbreak in Dec we had everyone who walked through the door put on a mask if they had flu sx's. We are not real strick on the 2 visitors unless they are in our way. I was very thrilled with all of...
  13. Medic Alert emblems

    I agree 100%. Ask your questions. If you don't you might not ever understand something. If the answer you get doesn't make sense ask again. The day I stop asking questions will be the day I die.
  14. whats your nurse pt ratio for ED?

    I like the idea. I know with us having room assignments we try not to place a bunch of critical pt's in one block of rooms. At our hospital we have the three blocks. The front block has two major medical rooms and the back block has two major medi...
  15. Charting

    IBEX is really great. Make sure when you go live that the "super users" from IBEX are at your facility 24/7. They would leave our facility at midnight and come back between 6 & 7 in the morning. The nightshift nurses didn't get any help from t...