mmutk

mmutk BSN, RN, EMT-I

Emergency Dept, ICU

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All Content by mmutk

  1. Yeah I would deff do some shaddowing first, then maybe a tele unit or something first to ease you back in. Cause the ER will sure enough burn you out
  2. Cannulated an artery

    Yeah it happens that's for sure, I'd say get some blood while you are there, but be sure to d/c the line and apply pressure like everyone else said. Or you could always hook up a pressure bag and...
  3. Strange things found on (or in) a pt.

    This thread has definately made me nauseated, and that doesn't happen much
  4. Comments from the peanut gallery....

    And while we are venting.... Something that has really gotten on my last nerve lately is these patient's who bust into triage with (insert complaint here) like it's the worst thing in their life....
  5. Giving Vitamin K IV

    Doh! I feel so stupid. Potassium SQ out of date,
  6. Immediate Bedding. Thoughts?

    Yeah I realize not all MDs are as efficient as ours, but according to our tracking board records the AVG Room to MD time is 10
  7. Giving Vitamin K IV

    That is correct facilities that still use the SQ method are out of date with standard practice. It is more effective and controllable with the IV route. The most important thing with IV K+ is the...
  8. Largest ED in the US

    Dam* you need a 40 bed
  9. Not fast enough

    Hang in there, the ER is a fast paced place but even more important is the people you deal with. You will find some doctors who care more about pee and blood than actually treating the patients. Some...
  10. Immediate Bedding. Thoughts?

    It's real simple the docs' sitting at thier desk and see it pop up on the tracking board, but you are in one of your other rooms starting an IV, doing an EKG, giving meds, ect, ect. And by the time...
  11. Immediate Bedding. Thoughts?

    We do that occasionally here too. It doesn't work for the benefit of the patient though in my opinion. Next thing I know, I look up and I have had a chest pain in my room for the last 10-14 minutes,...
  12. Ugh! Delivered Baby On My Own The Other Day...

    I don't do babies, I am an ER nurse just board crusing around allnurses.com But it's so funny I didn't even think about you guys delivering babies, I guess it all goes back to nurses always saving the...
  13. Vandy-ASN & BSN?

    I am an ADN, I work there. Got hired in the last 6 months. They don't
  14. Informed Consent Dilema!

    I understand where you are comming from here, I used to get consents signed with or without the MD. But these days I never consent a patient for surgery unless they have spoken with in person the MD...
  15. lidocaine for IV starts?

    What state do you live in that ER Techs can start IVs, or are you an EMT-I or
  16. You should also shadow and what not to determine if you want ER or ICU, because there is a big difference. I am a big believer in you are either the ER type or the ICU type and your training will suit...
  17. How do you prevent psych/etoh elopements?

    Yeah I would agree to that, I will try and hold a patient, but I am not wrestling anyone to the ground w/o a 6404 commitment. This is a big topic to me though being a male nurse in a female dominated...
  18. Cath Lab questions

    ED experience is helpful here, as well as living close to the hospital. Good
  19. New Grad Pay in Nashville

    I work at Vandy, St Thomas, and Centennial medical center, and by far Vandy pays the least even after thier rase. This is mainly because all the "new nurses" want to work there because "you can work...
  20. Ez-io

    Now I disagree there, allot easier than an IV to get when they really need
  21. lidocaine for IV starts?

    TraumaNurseRN, As usual I couldn't agree with you more. It is an ER, if it is such an emergency than SUCK IT UP and take the 2 second IV stick. And if you ask me to "numb it up", I'm just going to...
  22. add your funny TRIAGE complaints from pts

    I can't remember the exact details of the conversation, but i'll never forget this 17 year old girl. She came in and once I got her back to the triage room she broke down on me and wanted me to talk...
  23. What are your duties?

    Did you say a 4 bed ER? The minute clinic at CVS has more beds than
  24. Do you arrest abusive patients?

    Oddly enough we sent one out today in handcuffs to tha jail. It was his third visit in a week and finally we had enough and they took him for disorderly conduct. He was drunk and abusive to staff and...
  25. How do you prevent psych/etoh elopements?

    If they are impaired, no it is not a violation. From my unsderstanding of the duty to report