TraumaLPN replied to onlyER4me's topic in Emergency
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...
TraumaLPN replied to sguthland's topic in Emergency
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...
TraumaLPN replied to Pedi-ER-RN's topic in Emergency
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
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...
TraumaLPN replied to sguthland's topic in Emergency
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...
TraumaLPN replied to Pedi-ER-RN's topic in Emergency
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...
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...
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!...
TraumaLPN replied to onlyER4me's topic in Emergency
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,...
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...
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....
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...
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,...