mmutk

mmutk BSN, RN, EMT-I

Emergency Dept, ICU

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All Content by mmutk

  1. Sounds like a MD I may had a run in with in an ER or two i've worked at... You do not need an MD order to check a glucose level at triage, in fact you would be more likely get into trouble not...
  2. Ativan IVP given undiluted into central line.

    Sometimes I dilute it, sometimes I don't. It depends on the situation and I have never had an adverse outcome from either administration
  3. New CEN Exam

    Amen, get the new Core Cirriculum and anything on the exam is in the
  4. Difficult access: Would you go for EJ or pedal?

    Our ER went through a spell where we I-O'd everything that looked bad! Now we generally just have the MD or charge nurse do an EJ if needed. I don't mind sticking a leg or upper arm or chest wall if I...
  5. Critical care drips

    If you have an iPhone there are several apps you can use. Our heart monitors do critical care drips and titration tables that print off for us and they are VERY
  6. Rules for the ER (long)

    Well the ED might not be the best place for you then, because it's not all candy canes, friendly nursing school instructors, and kisses in the ED. The PACU might be better off for you. There is still...
  7. Rules for the ER (long)

    - If you are a staff member here for a needle stick, please understand this is not an emergency. I am sorry employee health is closed but that still does not make your needle stick an emergency, you...
  8. New Unit Secretary - Children's ER

    You will learn a lot as a UC or a tech, see if you can tech some
  9. Educate me on Blood Cultures

    You must get at least one set before the antibiotics are on board. The second set would be nice too, they are not as helpful if there is already antibiotics in the bloodstream. Can't get a vein?...
  10. Failing to carry out a stat order in timely manner

    Please clarify for me, was the order on the ER order sheet or on the admission orders. And what was the order itself and the patient's diagnosis. There is more information I would need to give you an...
  11. Unreasonable female 30 something p'ts

    It's important to point out that you are in psych unit/hospital. In a regular hospital the Intensive care unit is where they would LOVE to go because they get more attention and one on one nursing...
  12. Why are OR nurses frowned upon?

    We enjoy our anesthesiologists and MDs it's just the OR nurses that get a bad rap at my hospital. Mainly because we have had a couple transfer from the OR and you can tell they are without skills and...
  13. RN-EMT conflict?

    I am an EMT-IV and an RN. It sounds like you have it down correctly. When you are functioning on the ambulance you are what your title is.... If you were hired on as an EMT, you practice as an EMT....
  14. How to warm IV fluids??

    What is the ideal or safe temperature for warmed IV fluids? The blanket warmer makes me nervous in that I can't technically guarantee a temperature of the fluids, I just assume it is near the temp...
  15. I suppose these are becoming diseases where there are actual patients who need treatment and those who claim to have the disease without actual diagnosis. This becomes a somatoform disorder for the...
  16. What is your Kryptonite?

    I feel you on the stopcocks for CVP, Arterial Lines, and ICPs. It took me a good year in the SICU before I finally got comfortable with
  17. triage suggestions

    We do not address payment issues until after the triage and a MSE in our ER. In fact we are so used to seeing indigent patients that really we just asume no one has insurance anyways. Our triage is...
  18. Triage VS standards

    I agree this is good for any type of triage and it's easy to
  19. Seeking ED education on Labor/Delivery in the ER

    Don't forget what to do after the newborn is out! The neonatal resus provider course is very helpful in that
  20. Triage VS standards

    ENA has a course for teaching triage to nurses on thier
  21. The BCEN and I

    Or go all out and get your CCRN! I think that is what I plan to get
  22. what's on your whiteboard?

    This post is not asking for your personal "Hi my name is Nurse Nancy" whiteboards in the patient's rooms. It's the board your unit uses for the whole unit at the nursing station or on the
  23. what's on your whiteboard?

    At the ER I currently work at CT and XRAY have the electronic whiteboard pulled up on their LCD/Plasmas too. When the nurse is ready for the patient to go to CT a nurse clicks on the CT ORDED button....
  24. what's on your whiteboard?

    You should repost or move this post to the ER forum. They frequently use electronic whiteboards and old fashion ones probably still exist somewhere. Frequently this whiteboard is electronic and...
  25. Here we go again

    Hahaha to Davey