mmutk

mmutk BSN, RN, EMT-I

Emergency Dept, ICU

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All Content by mmutk

  1. Triage help....

    The ENA also offers a triage course. Based more on the 5 levels of triaging but it seems as though it would be helpful for a new nurse too. One piece of advice I could give you would be, if they look...
  2. How to cope with a drug error - destroyed confidence

    We all make stupid mistakes, we are only human. This one time I accidentally gave a child sux instead of etomidate during a cousious sedation. Just grabbed the wrong bottle. I'll never do it again....
  3. Self-Triage in the Emergency Department

    I don't think triage is the appropriate word here for this article. It seems like it's just a registration type of documentation. No vitals are taken and there is no decision making process here. All...
  4. What alcohol level do you admit for?

    At this new hosital I work at, a bac over 300 will get you an admission. But all the normal hospitals I've worked at in the past, you stay in the ER a bit until someone can take you home regardless...
  5. Math Quiz For Er Nurses!

    Ha I know the answer to number 10! Not
  6. ER Nursing, Is it considered critical care?

    Yes absolutely the ER is critical care. It has the capability to be critical care all the time. But it just adapts for those less than critical care and yet an ER Nurse can break out the Neo, Cardene,...
  7. Rules for the ER (long)

    "I am allergic to naloxone (narcan)" I said..."What?!" Automatic bs
  8. Your least favorite patient.

    PID's, Vag Discharges, bullsh*t fibromyalgia
  9. MD/NP in triage?

    Vandy currently uses a midlevel or MD at triage also, to seek out the "non urgent complaints" and eval EKGs on sign in. It works well from what I have
  10. East TN pay scales?

    I work in the ER Level I at Vandy and of all my jobs in Nashville Vanderbilt is currently the lowest paying. Mainly because of the number of people who want to work there. The highest paying nsg job...
  11. Doing Floor assessment in ED before admission

    Vanderbilt ER makes you do one, if you hold them for greater than 8 hours.. They even make you switch to a different charting
  12. TN BASIC PAY FOR RNs

    You were prob going to East TN anyways 20 an hour is like gold to
  13. Roane State Nursing Students?

    I went 2 years ago and did fine, be careful though it's not easy and they spring surprise med tests on you
  14. East TN pay scales?

    Having lived in Jackson, TN (West), Knoxville, TN (East) and now Nashville, TN (Middle). East TN by far is the least paying area of the state. Also very flooded with nurses, b/c there are lots of NSG...
  15. Tennessee nursing...

    I was started at 25.00/hr w/ 3.00 hr nights diff w/ 2 yrs experience except vandy they offered like
  16. Entry-Level RN pay in Knoxville?

    Yes Knoxville has quite the market on it's nurses, worst salaries in the state. Covenant will start a new grad currently at 18.25, when I started it was 17.50. Nashville and Crossville have better...
  17. Documention in the Emergency Dept.

    Same here, all over our IV START/STOP times or we can't charge for it. Signs and people's rejected charts posted all in the break
  18. help torn b/n icu and er

    I do believe you are either one or another in general. There are a couple of other posts around here with a similair issue do a search and see if you can get
  19. The drug-seeker file in ER

    In Tennessee we now use a internet program that keeps track of all narcotics a person fills anywhere, for any provider, giving us the ability to say no to someone who should have pain meds
  20. Fibromyalgia

    I have edited to withhold my personal
  21. We can't go on divert!

    That's damn dangerous, no way I would go along with
  22. We can't go on divert!

    We don't do divert either, even though there are times I think we should. There are plenty of hospitals in the area 8 in town and 3 in the surrounding area and we are not even a trauma ctr, but in...
  23. How do you deal with Non-Urgent Patients

    We do this also at our hospital, the minumun payment is $200 and we only do it to level 5's. However allot of the patient's have learned the game and now add complaints to their
  24. How do you deal with Non-Urgent Patients

    I know what you mean... Get this, on a 1am Saturday morning! A 19yo male walks into the triage area for me to check him in, he has written "need an MRI" on his sign in sheet. Hey my name is so and so...
  25. Fibromyalgia

    I agree, I am a triage nurse in a busy ED, and I can usually predict them saying "I have fibromyalgia" , right before they say it. Common indicators.. 2 or more psych meds, Lyrica RX, Pulling up an ED...