PedsER-RN

PedsER-RN BSN, RN

Pediatric ER

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All Content by PedsER-RN

  1. developing that "thick skin"

    the way i look at it is, they are no better than anyone else. ignore it. if it gets excessive, confront him/her, write it up, or tell your nm. i'll never forget the time i had a trauma pt that came with 2 non-functioning ej's. it's pretty much pr...
  2. Help..RN-BSN Nurses

    i completed my bsn while working nights (7p-7a) full time. i attended school full time; my semesters ranged from 12 hours to 18 hours. while i managed the 18 hour semester ok and made good grades, it was stressful ( between working at night and goi...
  3. How long is the wait in your ER ?

    tonight (which was eerily slow) it was approx. 30 to 45 min., but on busy nights it's 1-3 hours, and nights during peak season when we're slammed it can be anywhere from 4-7 hours. i really don't care if they give me the evil eye. the ones that nee...
  4. IV Dex for PO Dex?

    we do this alot. we usually mix it with sweet-ease.
  5. Taking Patients down in the ER

    :rotfl::rotfl::rotfl::rotfl::rotfl:
  6. No blood draw from IV starts?

    working in a pedi er, i draw my blood from the iv if possible, and i put my iv's wherever i can get it on the 1st stick. if an iv won't draw, then i'll do a butterfly on the ac of the opposite arm or a heelstick if it's a newborn. i don't have too ...
  7. Male ED nurses in the GYn room

    ditto. this is exactly what i was thinking. thanks for a great post.
  8. transferring pts. from ED to floor

    we fax. we call the floor, let them know we're faxing report and orders, then wait 15 minutes, and take the pt up. seems like a good plan until they call down, "can you give us more time/did you start my fluids/etc." or like the other night "there'...
  9. we have sane on call 24/7, but before we had them, the er docs did the exams with one of us assisting.
  10. strange request in the ER

    in our er it depends on the time between the alleged abuse and when the pt presents to the er. if it's been >72 hours, they are referred to the care center (a seperate clinic that performs culposcopic exams on kids); if it's been to answer your ...
  11. Why the stupid reasons to come to the ER?

    i think one of the big reasons is that we live in a society where people don't want to wait, they want what they want when they want it, and they feel as if they're entitled to it. why call your pcp for an appointment in a few days for a cold when yo...
  12. how to manage the waiting room?

    we're supposed to be doing this, too. the only problem is, management doesn't seem to acknowledge that if you're in triage on a busy night (and our dept has 1 triage nurse), there's abosolutely no way you can keep up with your triage list and still ...
  13. yes, it does help. we've been doing this for a couple years now. when we used to call report, it was always, "can you call back?", or "the nurse taking the report is busy". now, we call and let someone know we're faxing, send it up, and 15 minutes...
  14. Emergency Nurses, what is it about ER that you love?

    the lack of routine, the autonomy, the relationships with co-workers and the docs, and i love the fact that if my pt's status changes, i don't have to waste time paging docs and talking on the phone. they're right there. i love that if i have a pt/...
  15. Would you let your hospital treat your loved one?

    given my choices, yes i would.....the other hosps in town are downright scary! i had a knee scope last year and everything went fine. now, if it were for my younger siblings, i'd be a little more picky (ex: wouldn't want one of the pedi surgeons......
  16. What certs required for Peds floor/ER?

    our peds er requires: bls, pals, acls, tncc, and enpc. i think the floor just requires bls and pals. not sure about your 2nd question....sorry!
  17. from the schools that are around here (including the one i graduated from), the level of competency (of the students) is pretty low. then again, it's not really the students' fault, b/c (at least at my school), most students aren't allowed to do proc...
  18. grrrrrrrrrr.........

    i'm not familiar with the 'abbocath' system, but she might have hit a valve and decided to try to float the iv in with the first stick. there's many occasions when i put the torniquet on and then set up.....it lets the veins fill. saying your instru...
  19. i've asked docs i work with for a script before, but then again i work in an er and know them pretty well. i got sick at work one night and the doc offered me a phenergan rx. i certainly wouldn't ask a doc i don't know well. the cn should have sent...
  20. What do experienced nurses expect from new nurses?

    don't come in expecting to (or acting like) you know everything (not an attack against you personally, just a general rule for anyone new to a unit). if you don't know, ask someone. if you're unsure of a procedure, talk about it, watch/assist anoth...
  21. one of the best was a bilat leg amputation of a toddler-an older sibling had shot her with a shotgun. when we were moving her to the stretcher for or i had the job of holding the bandaged legs and it was the weirdest feeling to feel where the amputa...
  22. Eh? Pedi field protocols?

    so i guess if a kid has no airway, they just bag away and hope for the best? sounds like whoever told you that was talking out of their @ss. some of our transfers come intubated, and some scene calls do. if they come in and they're not, then we do...
  23. Rules for the ER (long)

    I didn't read all the posts, so some may be repeats: Don't chat us up and then 6 weeks later write complaint letters full of lies. We have copies of your chart-we know what time everything happened and what was done. We're not stupid. Don't withold t...
  24. Figuring out dose for Rocephin

    yes, 1.4 ml is correct. that's how we calculate at my facility, also. say you have a 500 mg vial and you want 400 and reconstitute with 1.5 ml lido. then you would draw up 1.2 ml (1.5 x 400 / 500 = 1.2). if you ever have doubts check with pharmac...
  25. New grad

    i started in the peds er during the beginning of my senior year as a nurse tech. when i graduated i was hired as a gn and have been an rn there ever since. i'd say either icu or step-down/tele would be a good place to work since your hosp. doesn't h...