mmutk

mmutk BSN, RN, EMT-I

Emergency Dept, ICU

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All Content by mmutk

  1. Adults Who Can't Swallow Pills

    My wife has to drink water first and then swallow the pill.:zzzzz Who knows what the deal with this is, since I am assuming like my wife these people can eat food in
  2. Ez-io

    Never seen it happen before, but then again I've never seen a resident use it. I'm not sure about infants though. With our EZ-IO we usually only use it for adults (sternum's and what not), I'd rather...
  3. How do you prevent psych/etoh elopements?

    In my general practice I have found that I can do a couple of things to prevent these issues from the start. Several ERs I have worked at have supported this practice as do the MDs. We will hold pain...
  4. How do you prevent psych/etoh elopements?

    I agree with both of you, first of all I have never worked at a facility where drunks and people drunk off narcotics I have given them are allowed to leave without a ride (or public transportation...
  5. New Grad Pay in Nashville

    The best pay in Nashville is St Thomas, and then Baptist, hourly that is. However St Thomas is nowhere you want to start your career at these days unless you like playing license yahtzee. Also note...
  6. Self Harm Questions in Triage

    Not only do we ask each patient over 17 years old of they feel like they are going to harm themselves, but also we ask anyone over 17 if they feel safe at home (domestic violence). Every patient,...
  7. ED Physicians with overkill

    I used to work in an ED where the MDs would order a ABD series on a fart. But you know if I was sick that's where I would want to
  8. Question regarding AMI Core Measure

    Patients with ACS or Atypical chest pain in my opinion should be included in the core measures of the american heart association's treatment of chest pain (AMI or
  9. Cipro and ITP. What would you do?

    I am lost here I guess, help me here.. What does cipro have to do with this patient getting ITP? What does cipro have anything to do with his rxn to Tequin? What did the nurse do wrong
  10. RN Grad starting fresh in the ED!

    1. Always double check your pills or vials you get out of the pyxis. There are allot of meds in the ER avail to you and all you have to do is accidently reach in a grab the wrong one, or have a pharm...
  11. Very academic, what department are u interested
  12. Most common non-emergency visits

    Hillarious, thank god we don't have those damn FEMA trailers here in
  13. If it's just an associate degree prgm, go with the community program. Better value for what you get in my
  14. Most common non-emergency visits

    1.Suture removal (not put in at our facility) 2.Preg check 3.Chronic muscle
  15. It looks like a RR of 20

    I can't think of the last time I really counted resp. rate. I usually just estimate. And commonly it's either 12, 18, 26, 30, 36,
  16. add your funny TRIAGE complaints from pts

    I wish I had the sign in sheet from this one time, she filled it out on the sign in blank and then trailed off the line until the entire page was filled up with like this 800 word description of her...
  17. Anyone use Ntrous Oxide in their ED?

    I don't know of any EMS systems in TN that use nitrous
  18. Drawing Labs without an order

    Yes I would have to agree with some of the previous posters, if I think you need a line and labs you're gonna get it and that's just the start. Often I have ordered xrays or CTs and ABGs and sometimes...
  19. How do you treat involuntary holds?

    We had seclusion at the last ER I worked at and therefore they went into a room (locked) with nothing in the rooms or wall and we had audio visual monitoring. It worked mostly very well. They beat on...
  20. Scheduling

    Sort of self scheduling here, we self schedule but if the manager doesn't like it she changes it (50% of the
  21. Covenant Health - Tuition Reimbursement

    Worked well for me, I enjoyed Covenant health
  22. People who truly need narcotics in the emergency room aren't usually going home. So I would agree that some Tylenol or Toradol will hold you until you get a ride or leave on your own without
  23. Leaving it at the door

    Perfect example. The ones who start telling the paramedics what to do and what not are not true ER nurses. unless CPR is needed and not being done I'm not having anything to do with
  24. TNCC -------How Hard Is It

    Know your full assesment and review the book, otherwise it is a
  25. Leaving it at the door

    I feel your pain and know what you mean, with me it only lasted about 2 years, and then I just stopped caring when I left the door. That's how I adapt, it may not be the best, but if I am not taking...