TiggerBelly

Dizzy can be any number of things. I think it's a bit extreme to call a stroke alert just based on that assessment alone. If someone presents with neurological issues that have started within the past eight hours, the ED physician is notified and presents to bedside. He/she will do a quick neuro assessment (facial symmetry, gait, grips, etc) and if they feel it's legit then we call a stroke alert. CT scan immediately, labs drawn (FSBS already was done while physician at bedside) monitor placed, IV established We utilize Tele Neurology out of Charlestown. It's kinda like Skyping with a neurologist who will interview the patient/family, speak with physician and nurses and look at CT scan done They give recommendations and we go off of that (TPA or not, transfer or not,etc) I think that covers it

Stethoscope, pens, penlight, trauma shears, hemostats, nail file, Motrin, healthy snacks, water bottle, phone with apps (no way you can get to your locker to look something up right away. Plus unit should have drug books at the nurses station) extra set of scrubs and hair ties. I work ED.

One time that I can remember. Playing a game called "wall ball" (don't ask), when I slammed into the brick wall, chipped two of my front teeth and split my top lip open. Didn't even want to go, but someone told the recess aid and she almost passed out when she saw my face. Guess I looked pretty bad. Mom had to pick me up and take me to dentist that day

That was classic!

We never check ID before giving scripts for controlled substances. They will need their ID when they get to the pharmacy to pick up the meds. If the name on the script doesn't match the name on the ID they present, then no meds will be dispensed

Was there a blood alcohol level done? Sent from my iPhone using allnurses

In my ED we will sign pink commitment papers for someone who is abusing drugs or alcohol. These papers are good for 48 hours. White commitment papers are for psych issues (SI, depression, acute psychosis). These patients can be either minor or adult. White papers good for 72 hours Sent from my iPhone using allnurses

We use Medhost in our ED. Best charting system ever. Point and click, very simple to use Sent from my iPhone using allnurses

Denied again. So frustrated Sent from my iPhone using allnurses

Mine still says under review. Sent from my iPhone using allnurses

In the ED we give it frequently IV. Sent from my iPhone using allnurses

Has anyone not had a credit check done and gotten the award? Do you have to have a good credit score to be in the running for the award?

sorry for the confusing title. I need some input My father-in-law had a massive stroke 4 days ago. Right side paralysis, no swallowing ability, no coherent speech Until tonight He had (on numerous occasions) told us that he absolutely did not want to have feeding tubes/ breathing tubes to sustain life. He would always tell us that if he could live on his own, that he did not want anything "artificial" to sustain him. So in honoring his wishes, he is now a DNR/DNI. One of his sons leaned over him tonight to tell him goodbye and that he loved him (he lives out of town and had to leave). My father-in-law (after days of no speech at all, only moaning) clearly said to him "I love you too". Is this type of purposeful movement/speech common in end-of-life patients? Any experience with this? I am not looking for medical advice. I understand the rules of this message board. Just trying to get an idea if this is expected. Thank you for reading and for any replies you may have.

Medhost. I find that it has a good flow thru the charting.

Generally whoever has the trauma room also has two other rooms. If that nurse gets a trauma, then we try to not put any patients in her other two rooms, or if we do then they are very minor care patients (med refills, coughs etc). We all try to pitch in and help and keep an eye on her other rooms. After all, if we were in her shoes, we would want someone to help us as well. Gotta work together!