MajorDomo

MajorDomo

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All Content by MajorDomo

  1. Need help re: triage assessments

    MajorDomo replied to ValleyRN's topic in Emergency

    The ENA has Standards of Emergency Nuring Practice. Look under standard VII, it includes subjective and objective data to be included in the triage assessment. Also, depending on which triage system...

  2. Standard Times for Vital Signs

    MajorDomo posted a topic in Emergency

    Currently, our ER Department is in a flux. New management with new toys, more personel, ect... I am trying to determine if there are standard times for vital signs. In my level 1 days, our fast track...

  3. Infant IV's for abx: IVF TKO or capped IV?

    MajorDomo replied to camay1221_RN's topic in General Nursing

    Most of the time the kiddies get maintenance fluid (D51/2 or D5 1/4 w/ 20KCl) for the first 24-48 hrs, then it is saline lock with Q4hr flushes. The problems with the maint fluid is that the kiddie...

  4. Civilian Hospitals vs. Military??

    MajorDomo replied to onesmallspark's topic in Government, Military

    What they said. Military nursing is hands down better than civilian, did both. One benefit is that the enlisted personel can do so much more than CNA/Med Techs can do on the outside. You can also gain...

  5. Room assignments and pt load.

    MajorDomo replied to hollykate's topic in Emergency

    Good Morning hollykate, The 'magically appearing pt' is a pet peeve of mine. In the ERs that I have worked we were assigned rooms/teams/zones (or whatever else management decided to call it). Where I...

  6. Carotid's ER Stats (Unofficial of Course)

    MajorDomo replied to Carotid's topic in Emergency

    When polled, 96%percent of interns wondered why nurses thought that listening to 90's club music would calm a pt down, the other 4% saw no connection between WW2 aircraft and

  7. Carotid's ER Stats (Unofficial of Course)

    MajorDomo replied to Carotid's topic in Emergency

    78% of pts w/ postive u tox deny etoh and drugs at triage 27% of all ambulance runs would be better served, and cheaper, by taxi 82% of pts with a diagnoses of STD, should not reproduce. For every...

  8. Carotid's ER Stats (Unofficial of Course)

    MajorDomo replied to Carotid's topic in Emergency

    If I may add a few. 85% of customer complaints are gnerated by pts that do not require emergency attention. Conversely, 0% of intubated patients complain about their care. Parental eduction on tylenol...

  9. What Gets to You??

    MajorDomo replied to mshooha's topic in Emergency

    Mine must be morbidaly obese pts, that haven't left the house for months and require a foley. This is either sex. The aroma and the texture of the skin feels, and the hidden treasures waiting to be...

  10. Need help with Emergency Triage

    MajorDomo replied to TDGEMTIV's topic in Emergency

    We use the five level ESI system, recommended by the ENA. All the material and algorythms are free at this site: http://www.ahrq.gov/research/esi/esi1.htm The info basically covers the basics of...

  11. Wrench in the works - TB test

    MajorDomo replied to SaraO'Hara's topic in General Nursing

    The positive TB skin test means that you might have been exposed to TB at some time. It is just a sceening test that has some false positives. The CXR will show if you have TB signs in your lung...

  12. how strict are they?

    MajorDomo replied to dm22's topic in Government, Military

    I think that if you pass the MEPS physical you should be alright. To double check call either your schools ROTC program or the town's military health care recruiter for information, depending on...

  13. NG/OG tube placement

    MajorDomo replied to Happy-ER-RN's topic in General Nursing

    At my facility we use the aspiration of gastric content and testing the pH for confirmation of placement using litmus (sp?) paper that we also use to measure the pH of the eye. If any thing out of the...

  14. Foley Cath Question

    MajorDomo replied to oxyjen's topic in General Nursing

    If I am not mistaken for the the extra H2O is for filling the channel that leads to the balloon. Hence, if you look at the individual foleys not from kits (I think Bard has each size listed) it states...

  15. Need a little bit of positive...

    MajorDomo replied to pie123's topic in First Year After Licensure

    Welcome to the big scary. Being off orientation is a dreaded prospect but it will get better as you pick up various tips, learn the routines, and quit quadruple checking yourself. Every new job has a...

  16. Foley Irrigation

    MajorDomo replied to jamminworld's topic in General Nursing

    In my mind, flushing a foley is under the nursing interventions. Trouble-shooting a problem, like a clogged CL or PEG tube. And if you have to call the Doc, I have always found that they appriciate if...

  17. Help, advice needed!!!!!

    MajorDomo replied to hreddevil29's topic in General Nursing

    Most state boards of nursing allow for nursing interventions to be done that any 'reasonable and prudent' nurse would do, such as icing a sprain. It has been my experience that mental health nurses...

  18. How to choose? Decisions, decisions.....

    MajorDomo replied to JourneyCC's topic in First Year After Licensure

    In my experience, you will more likely be 'pigeoned holed' as a L&D nurse since there is very little cross-over to other nursing fields. Also, I think that there is some jealousy from other units,...

  19. Triage short form

    MajorDomo replied to rmcgrog's topic in Emergency

    Where I recently started working we use the ESI which was recently implemented. I use to teach the ESI classes at my former ER, and the system does a pretty good job at sorting patients. What gums up...

  20. Family members?

    MajorDomo replied to perfectbluebuildings's topic in First Year After Licensure

    Parents can be your best friend or worst enemy, kind of like haveing a nurse or doc as a patient. When I worked peds, i developed "a look" that I gave the parents if what they said was inappropriate,...

  21. As bad as they say??

    MajorDomo replied to lancerRN2b's topic in Nursing Career

    It all depends. As far as pay goes, nurses tend to be in the Middle class pay bracket wherever you live. After some experience you can do agency or travel nursing, but you have to ask yourself why...

  22. Most Frequently Used ED Meds

    MajorDomo replied to SkateBetty's topic in Emergency

    Most meds varies by hospital, best bet is to check any protocols you might have or the formulary for specific meds. For example during a allergic rx which pump inhibitor is used (Tagament, Pepcid,...

  23. Meds you hate to give....

    MajorDomo replied to UM Review RN's topic in General Nursing

    Compazine and phenergan, don't know what the pt will do. Loopiness, itchness, allergic rx, just don't like them.

  24. Standard Times for Vital Signs

    MajorDomo replied to MajorDomo's topic in Emergency

    Thanks for the posts and information so far. I have yet to find any national standards. JCACHO, ENA, and ANA have turned up nada. I found a couple of articles on Medline, but that requires a trip to...

  25. propofol

    MajorDomo replied to popbob's topic in Emergency

    Please correct me if I am wrong, a study published in Pediatrics about 6 months ago compared CS meds and Dip was included The study pointed out that it was a good drug for CS in the ER d/t the rapid...