dewp_63

Latest Activity

1. ER Nurses Treated Different in my Hospital!

   dewp_63 replied to Jen2's topic in Emergency

   "When I took my PALS class it was taught by the PICU nurses and when I went in for my megacode the instructor said, "OK Mrs. ER nurse lets see how you deal with this one." He made me run the megacode...

2. Nursing Uniform Policy

   dewp_63 replied to rustysflygirl's topic in General Nursing

   I work in an emergency department that recently went to a department specific uniform policy. Our team members wear navy blue scrubs - you may wear a white shirt under a navy lab jacket or a navy top...

3. IV Phenergan and Toradol "Push"

   dewp_63 replied to CrohnieToo's topic in Emergency

   It's amazing when you start looking at the pH of many of the drugs we routinely give. Morphine has a pH of around 4.0, if I remember right. I have had several patients c/o pain with Toradol IV - I...

4. Triage protocols. what does your ER use?

   dewp_63 replied to lifsavER67's topic in Emergency

   I work in a 26 bed ER - 11 ER beds, 10 fast-track/clinic beds and 5 hold beds. We use Canadian Triage Assessment system (5 levels) for determining urgency and frequency of re-evaluation. We have...

5. EMTALA and pt registration

   dewp_63 replied to MrsWampthang's topic in Emergency

   Our hospital uses a "short form" registration, allowing labels and face sheets to be quickly generated and available before pt is triaged. This does not include financial info unless the patient has...

6. Techs Triaging

   dewp_63 replied to tracelane's topic in Emergency

   techs are invaluable in our triage in assisting with vital signs, getting ekg's on chest pain patients (all get an ekg in triage - regardless of the bed status in the department) and in taking...

7. TV in the ED

   dewp_63 replied to RNCENCCRNNREMTP's topic in Emergency

   We have had TV's at most of our bedsides for about a year now - when we move into our new ED, all the beds will have TV's (including the 10 fast-track beds). Noise has rarely been a problem, and...

8. anyone using tPA for acute ischemic stroke in the ED?

   dewp_63 replied to dewp_63's topic in Emergency

   Thanks for all your wonderful information. :) The prevailing thought seems to be that it is the neuro docs who are initiating (and thereby taking on the legal liability). Like I said, we can't get...

9. anyone using tPA for acute ischemic stroke in the ED?

   dewp_63 replied to dewp_63's topic in Emergency

   Thanks for all your feedback. I don't doubt that the therapy can be advantageous for some patient groups, but we don't have a neurology floor in our hospital, and neuro coverage can be scanty. We...

10. anyone using tPA for acute ischemic stroke in the ED?

    dewp_63 posted a topic in Emergency

    We've been discussing the use of tPA in the ED for acute non-hemorrhagic stroke patients. I know that ACLS teaches this algorithm, but our MD's are hesitant to institute. Some of their hesitancy in...

11. ER or ICU?

    dewp_63 replied to 502Nurse's topic in Emergency

    I have recently moved to the ER after 10 years of ICU work. I just finally burned out... The major difference I see in ER work is the variety, as others have pointed out. I finally came to realize...

12. Do you mix your own IV's?

    dewp_63 replied to deespoohbear's topic in Patient Safety Issues

    our hospital is small also, and we have 24 hour pharmacy coverage only m-f. but - we do not keep kcl for infusion on the floors!!!!!!!!!! if we need an iv with k, we call the supervisor, who gets...

13. PAWP readings

    dewp_63 replied to dewp_63's topic in CCU, Coronary, Cardiac

    Thank you so much for your reply, Jena. Hopefully, I can take this information back to the unit, where maybe we'll be able to write an appropriate policy addressing

14. PAWP readings

    dewp_63 posted a topic in CCU, Coronary, Cardiac

    I'm looking for information about standards ralated to manual wedging of PA caths and frequency of such. We are having a "war in our facility about frequency of wedging in absence of direct MD order....