mmutk

mmutk BSN, RN, EMT-I

Emergency Dept, ICU

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All Content by mmutk

  1. ER vs. PACU

    mmutk replied to groettger's topic in Emergency

    PACU nurses and ED nurses are very similair and have almost equal autonomy. If you'd rather not have to deal with families, crazy drug seekers, and don't mind dealing with vents and swans i would...

  2. How fast do you push metopropolol

    mmutk replied to Guest219794's topic in Emergency

    I dilute it and push it as fast as I think the patient can tolerate

  3. An interesting policy

    mmutk replied to Guest219794's topic in Emergency

    Vanderbilt in Nashville has a similair policy posted on the entrance to their waiting room specifically mentioning dental pain and fibromyalgia. It seems to be rarely followed

  4. Tell me if this is the norm in your er!

    mmutk replied to missnurse01's topic in Emergency

    I would also assume laws vary by state, In TN it is the norm for the MD to do the cleaning and closure, although at busy times I have seen an RN or two do it all. I do believe this is out of their...

  5. troponin question!

    mmutk replied to firstyearRN's topic in CCU, Coronary, Cardiac

    He could benefit from a stress, then I would feel more comfortable saying he has no underlying cardiac

  6. How do you organize your day?

    mmutk replied to Sterren's topic in MICU, SICU

    [email protected] if you could send me a copy of your brain too, or just post a link or download it here.

  7. patient ratios in the ER

    mmutk replied to tina_the_nurse's topic in Emergency

    1:4 is pretty much standard these days and the recommended staffing from the ENA. In california 1:4 is law I believe. I have seen it as a 1:7 or 1:10 in a fast track (minor setting). I still think...

  8. EKGs in triage

    mmutk replied to quickcath's topic in Emergency

    It is and should be the standard to get EKGs on any patient with CP, SOB, or otherwise noted ACS systems within 10 minutes of arrival to the ED. If we can get the patient straight to a room in the...

  9. A simple question for ER Nurses

    mmutk replied to android654's topic in Emergency

    "Order meal for IDDM pt. who has been in ER too long and needs to eat. " That's funny usually at my ERs it's all the other patient's that NEED TO EAT becuase they are starving and haven't "eatin all...

  10. Non emergent ER visits

    mmutk replied to Guest219794's topic in Emergency

    Glad you had a good

  11. Suggestions for student in ICU

    mmutk replied to littlecandle's topic in MICU, SICU

    Don't forget to go to the ICUFAQs website

  12. ER-101...Route/Meds/Terms

    mmutk replied to shill's topic in Emergency

    hmmm well I have never heard of NAVEL...The current EMT-P Curriculum (National Registry) Uses LEAN... Lido, Epi, Atropine, Narcan It seems he V could sometimes be confused as Versed OR Vecuronium...

  13. What do you want O.R. nurses to do during a trauma alert?

    mmutk replied to linda2097's topic in Emergency

    OR at our level 1 center is in the always dedicated Trauma OR room and stays there on standby during an alert. If we need OR we call you from the trauma bay and tell you we are on the way - so you can...

  14. What gauge IV to use?

    mmutk replied to Hilinenursegrl's topic in Emergency

    I disagree with this statement. Patients are different and have different anatomy and history regardless of their chief complaint nor how "semi-urgent" Unfortunately we cannont stick the same gauge IV...

  15. What gauge IV to use?

    mmutk replied to Hilinenursegrl's topic in Emergency

    I agree with the majority of the posters here, if she/he's got something that will hold a 18g or 16g, and is in an emergency department situation I don't hesitate to place it. Now where is debatable....

  16. Things you would like the ICU to understand

    mmutk replied to I_LOVE_TRAUMA's topic in Emergency

    I appreciate the idea, but I enjoy taking on critical patients, all because we work in the ER doesn't mean we can't handle a critical patient. Not that I think you are saying that. I have an idea how...

  17. How do all the experienced ICU nurses feel about....

    mmutk replied to student200977's topic in MICU, SICU

    Hey don't leave us ER nurses out of this, you know the whole hospital says we talk down to all the 'floor' nurses too... and what is this bed bath you speak of???! Well it's

  18. Pulling Hair Advice (No really pulling hair)

    mmutk replied to onerzray's topic in Tennessee Nursing

    Ok so I'll ask.. what city DID this happen

  19. Looking for job in Nashville area

    mmutk replied to bakermama's topic in Tennessee Nursing

    Depends on what dept you want to work in.... I would avoid St Thomas Hospital though (not the whole heath system just St T) they have some poor leadership right now and the intensive care units are...

  20. What was the MOST ridiculous thing a patient came to the ER for?

    mmutk replied to JUSTYSMOM's topic in Emergency

    I had a 20 year old last week present at 4AM! for a cough. I was like why are you coming in at 4am for this cough you have had for 2 weeks. He was like I looked it up and think it could be a...

  21. vent--angry patients--your input

    mmutk replied to RN4911's topic in Emergency

    Amen girl, I am transferring the SICU this week. Patient's who abuse the ER and the ER staff have finally run me

  22. A Useful Bedside Test

    mmutk replied to ACRN06's topic in Emergency

    I love this MDs blog it is very funny, especially his what is warm, wet, and costs 10,000 to diagnose?

  23. Fall Risk Screening in the ED

    mmutk replied to RNintheER's topic in Emergency

    We also have an electronic medical record we chart with and we do this on initial assesment and it generates a fall list score (either std or high risk) Then we just checkbox the precautions i.e side...

  24. Things you would like the ICU to understand

    mmutk replied to I_LOVE_TRAUMA's topic in Emergency

    I agree with you totally, and don't get me wrong I've coded a few in the nurses station cause we just didn't have anywhere else for them. And I understand if you have no beds avail. I don't care to...

  25. Things you would like the ICU to understand

    mmutk replied to I_LOVE_TRAUMA's topic in Emergency

    I've noticed they don't post allot. Prob half as much as we do over