CTFD_RN BSN

CTFD_RN has 2 years experience as a BSN and specializes in ER.

Latest Activity

1. Would love your opinion on this project to help student nurses!

   CTFD_RN replied to sassRN117's topic in General Nursing

   No.

2. Help! Preceptor Issue

   CTFD_RN replied to MQ Edna's topic in General Nursing

   Let it go. Not worth bringing it up to your manager and it would make you seem unadaptable.

3. How common are Latex foleys these days?

   CTFD_RN replied to InACedarGrove's topic in General Nursing

   Our standard foley is not latex free but does have nitrile gloves. We have to order a latex-free catheter and switch it.

4. New ER Nurse , Feel SO stupid

   CTFD_RN replied to jjaye's topic in Emergency

   10 pts is INSANE. I don’t have anything to offer on how to manage that many. Just do the best you can. The ER is really task-oriented. The more you see, do and hear about the more you understand and can anticipate. Good luck!

5. How does your ER handle level 3 ESI pts?

   CTFD_RN replied to CTFD_RN's topic in Emergency

   An example of a 3V would be flu like symptoms, NV, pelvic pain, UTI symptoms in a generally healthy adult ect. A 3H would be ABD pain, generalized weakness in elderly without CP, cellulitis with failed outpatient treatment ect. Stuff that would gener...

6. How does your ER handle level 3 ESI pts?

   CTFD_RN replied to CTFD_RN's topic in Emergency

   This is what I am talking about. We have some providers that order a head CT, IV fluids and IV meds (migraine cocktail) for every HA pt. Management seems to think it is a nursing problem when it is more complex than that. They keep trying different "...

7. How does your ER handle level 3 ESI pts?

   CTFD_RN replied to CTFD_RN's topic in Emergency

   I am asking what process you use to get these type of pts seen and dispo’ed. Our current process leaves them in the lobby for a long time and/or they take up rooms for longer than our goal time.

8. How does your ER handle level 3 ESI pts?

   CTFD_RN posted a topic in Emergency

   We get a lot of ESI level 3 pts at my ER. We splint into 3Hs (for likely admits) and 3Vs (for treat & street). We have a FastTrack for level 4s&5s but our level 3s are clogging up the ER. What system does your ER use to see these pts? We keep...

9. Brain sheet for ED?

   CTFD_RN replied to SR8811's topic in Emergency

   Ditto to all of the above. The only time I use paper is either for an SBAR printed on my admitted pts that I use to stay organized on admitting orders or the paper towel I write VS on in my pts room so I don't have to log on to the computer.

10. New grad with a BSN salary?

    CTFD_RN replied to misskayy's topic in Tennessee

    TN doesn't pay well, at all. $19/hr is spot on. I don't think KY does either unless you work at a rural hospital.

11. ED staffing ratios

    CTFD_RN replied to EDRN522's topic in Emergency

    We are assigned 4 rooms and if it gets bad then we also have a hall pt. Ideally we would be 3:1. We have a flow system where we "pull to full" and then start triaging and protocoling out of the lobby.

12. New grad nurse needs help giving report

    CTFD_RN replied to zbar's topic in General Nursing

    Handoff to the next shift should be pretty easy. There are 3 basic things I want to know: 1) Are they with it (A&Ox3?) ? 2) Can they walk? 3) Do they have an IV and does it work (draws blood)? Those are my top 3 things for standard ER pts anythin...