TraumaLPN

TraumaLPN

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About TraumaLPN

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  1. conscious sedation

    Thanks susi Q for pointing out my spelling mistakes. I have never heard of diprovan being used for regular CS or it being given IV push either. Ketamine works great with kids and I love to use it. I...
  2. temporal Artery Thermometer and Peds in the ED

    Bottom line rectal and oral temps are the most accurate. And personally I feel it boils down to how good your nursing skills are. If you will accept a 99.9 scan temp on a 3 yr. old that has a HR of...
  3. How does your facilty handle triage of OB pts?

    HAHAHAHAHA!!!!!!! L&D come to the ER to moniter a pt? Our L&D nurses will refuse a pt. if they are 19 weeks and 6 days! It is a constant struggle at our
  4. SO- Patients in Gowns

    Most of our psych pts. come in with PD or SO or EMS so it is up to the nurse to make sure they have no weapons or keys or cell phone. It is ultimately the primary nurses responsibility to ensure that...
  5. Oddest things found in a patient!

    Also sounds like "a human
  6. Oddest things found in a patient!

    Texas LVN, She closer to 700
  7. temporal Artery Thermometer and Peds in the ED

    My rule of thumb is rectal temps on all pediactric and geriatric pts. who can't PROPERLY hold a themometer in their mouth. We have the temperal scan themometers but I have found them to be very...
  8. How does your facilty handle triage of OB pts?

    Our Ed policy is anything under 20 wks. stays in the ED, Over 20 wks. with c/o abd or back pain or elevated BP goes to L&D and of course trauma is evaluated first in ED. Recently L&D have...
  9. SO- Patients in Gowns

    My "true" psych pts. and my suicidal pts. ALL go into a gown and I take ALL of their belongings; cell, phone, car keys, wallet, ect....I have never had a pt elope in 17 years. It is our hospital...
  10. Got any funny acronyms at your ER???

    SMS.....stupid mother syndrome TSTL.....too stupid to live Allstateitis........neck and back pain after very minor MVC's with no damage to the vehicle, arrive fully backboarded of course!...
  11. conscious sedation

    In my ED we only use Diprivan to keep an intubated pt. sedated and we hang a drip that is titrated. As an LPN I hang this frequently. I have been an ER nurse for 17 yrs. now. We use fentenal,...
  12. Security in ER

    The ED that I work in has NO full time security for our department. When it comes time to wrestle with a pt., we nurses have to handle it 99% of the time while we wait for the local police to get...
  13. Oddest things found in a patient!

    This was not found in a pt. but on a pt. A very obese woman can to our Ed and while the Doc was doing his assessment he found half of a ham sandwich stuck inside one of her abdominal folds. The pt....
  14. ICU holds in the ER

    I work in a 14 bed ER. Our admit pts. have orders written when they are admitted. We do the admission orders but that puts a strain on the entire ER. If we are holding an ICU pt. that is generallly a...
  15. What Grossness Is Cool?

    I do love a good abcess! I also am facinated with blood clots! Over the past 15 years I"ve also eaten alot of things out of a clean, unused bedpan........salad, popcorn, cereal, hot chocolate, soup,...