mmutk

mmutk BSN, RN, EMT-I

Emergency Dept, ICU

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All Content by mmutk

  1. St Thomas Hospital

    Well I must say a warning to all nurses looking for future employment at St Thomas Hospital. The conditions have been rapidly deterating at select units at this hospital. Several units suffer low...
  2. IV Phenergan and Toradol "Push"

    JUST FYI: I have worked at several facilities who ban the administration of IV Phenergan at a perf. site outside of the AC. And at one such that banned IV administration outright. I would check...
  3. reportable cases in the ER

    I would agree that it is odd how stabbings and shootings and STDs are reportable, but now days domestic violence is being termed as "encourage the party to call the police
  4. Tell us about your ED ?? =)

    Wow how sick are these 6-8 ? Seems a bit dangerous to me, 1:4 is ideal per ENA. I wonder how many facilities (outside of CA) follow this
  5. Tell us about your ED ?? =)

    Crappy ER in Middle Tennessee. Staffing is 1:4 ideally, but can go up to 1:6 especially at night. Salaries are the best in the region, 21-23 dollars an hour for new grads is what u can hire in at....
  6. Our security has no problem kicking people out onto the street. And those who panhandle for rides and money in the parking lot too. Once Discharged off property you are too exit the property....
  7. ER's busy and a full triage

    Let's not forget this either... Death of Patient In Waiting Area Ruled Homocide
  8. Feeling unappreciated?

    Yeah I'm almost over underappreciation, I'm picking up my toys and going to the CCU one of these
  9. Strangest thing taken from ER

    Yeah we have to keep ours behind the nsg station now
  10. Help! I Want To Transfer To The Er!

    NRP is good to have too. Not allot of ER nurses carry this cert, but it's handy when you have an imminent delivery because PALS doesn't work on the 5 min old. NRP- Neonatal Resus
  11. Worst doctors orders ever received

    Psych patient going wild in the ER, multiple attempts of calming the patient failed secondary to his schizophrenia and paranoid delusions. Security was already in the room physically restraining him....
  12. Sentinal Events

    Our administration is soo ok with ER holds that they are hiring nurses just to take care of the ER holds in the ER. At least it helps staffing, i
  13. We can't go on divert!

    We have a type of system in this area where it's more than just a plain ole divert. 1. "Advisory"- The ER is at capacity, so advise your patient they may experience long waits. 2."Diversion"- This is...
  14. Blood draw from IVs?

    I see no problem drawing labs from an IV stick, if the site was prepared properly I also see no problem getting blood cultures x 1 from that
  15. I hate it!!!

    We utilize the system that has been discussed on here before. If you are a level 5 or some level 4's (which this is if they just demand a preg test w/o symptoms) they get an MSE, then must pay $200...
  16. Triage question- what would you do?

    I have had that situation before and it has gone both ways in the past. First I usually try to let them know there is a process here that has to be followed. Then if they continue to be uncooperative,...
  17. Yeah sorry, he said he wanted to be a flight nurse, I was just giving a more flight nurse
  18. Emergency Nurses Week

    Here at my ER for emergency nursing week I am pretty sure they plan on getting rid of another RN position. They like to celebrate this event each year (for the past 2) by cutting our staff by one spot...
  19. Joke..You know you are truly an ER nurse if...

    One of the better ones I've seen... Blee O'Myacin , get a
  20. Level 1

    We donot infuse PRBCs through our level 1
  21. Med Reconciliation in the ER

    As an ER Nurse I would agree that inital med recs are not completely up to date although obtained in the ER, secondary to high acuity and stress on both families, patients, and
  22. There is too much risk in my ER for me to do charge, when one RN goes down you can expect to go down with
  23. EMT-P, Better idea. As well as neonatal resus, BTLS, and board certifcation in CEN or
  24. It was a fringe benefit until I got married Now it's a danger zone. And I'm good too. I don't do anything, but my wife still has
  25. Yeah Blount is good. As well as Parkwest and St Mary's North. Not so good, sevier..and