biker momma

biker momma

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All Content by biker momma

  1. RN to patient ratios in the ED

    ED RN's I could use your imput. During a recent survey in our ED one of the "dissatisfactions" that staff indicated was our staffing ratio - RN to patient. Could you share with me how your department staffs? Specifically: # of RN's to patient # of t...
  2. Blanket warmers

    I am doing some research on blanket warmer temperatures. Specifically I am looking for feedback on the following: 1. What temperature is your department's blanket warmer set at? 2. Who's decision is it as to the setting? 3. Any resear...
  3. Hourly Rounding in the ED

    The ED I work in has instituted a "policy" of hourly rounding. I understand that this is an ideal on a medical/surgical type floor and agree with the concept in the ED but......am wondering about in the ED. Do any of you work where hourly rounding ...
  4. Need Night Shift Tips

    Welcome to the wonderful world of nights! You've gotten great tips here. A couple of things I'd like to add that might help. I have put up light blocking curtains up in my room. I run a fan when I sleep, "white noise", which really helps. In the...
  5. How do you get patients to give you a "very good?"

    The hospital I work at uses Press-Ganey scores and we have the same problem. We are "nagged" frequently that our scores aren't high enough. While I admit there are some nurses who give just the basics in care the majority of us give our all 99% of ...
  6. Multiple Sclerosis

    I am newly diagonoses with MS. Had a MRI due to visual change and numbness - 7 days later I got a call from a Family Practice MD who was covering for my PCP.....I haven't see a Neuro yet but have been told by my PCP, the covering FP and two ER MD's ...
  7. Fever Kits

    Thanks E's mom. I have written to some of the ED's that I have found that have similar programs. Haven't gotten much feedback but what I have gotten is positive! Am currently working on a proposal to do a similar program in our ED. I did a short ...
  8. Anyone currently studying for the CEN exam??

    I too am going to the National ENA Conference. I have thought about taking the review class there but am still up in the air.....by the time I get up the drive to do so it will probably be full! Maybe we will run into each other in Minneapolis?
  9. Restocking

    I work in a 50 bed ER. Stocking is an issue here also. Our tech's are "supposed" to stock (some areas during the wee hours of the day, some early am) but they many times too busy with other tasks. Ideally I think it should be an assigned duty and ...
  10. Fever Kits

    I too am looking into "fever kits" and am wondering if anyone has any experience with these in their ED? In doing a Google search I have found 3 hospitals that are using these but wonder if there are anymore??? If your ED provides these could you co...
  11. Anyone currently studying for the CEN exam??

    CONGRATULATIONS!!!!
  12. Anyone currently studying for the CEN exam??

    Good luck VS!!! You have gotten farther than I have in the process. When you have time, after the test, would you tell me more about the CD's you got and CEN Secrets. Which you found better as a review material, etc. My plan is to seriously start...
  13. Anyone currently studying for the CEN exam??

    I have been in the ED for 11 months, but a RN for over 30. Most of my experience has been in Urgent Care settings where we saw everything from sore throats to MI's and strokes (denial is a powerful thing when people seek medical help). What DVD are...
  14. Anyone currently studying for the CEN exam??

    I just got the CEN review manual and the text Emergency Nursing Core Curricullim to use as study guides. I too hope to take the test in the next 6 to 9 months but am not sure I will be ready by then. I have seen some flyers for review classes in my ...
  15. In Bed with Dying Patient

    When all the technology and drugs can't save my loved I pray a nurse will do the same for me. God bless you. Compassion and healing at it's highest.
  16. Time Management Strategies

    Our ED just starting "rounding". As I understand the concept it was started on the floors in hospitals. The idea is that a RN or CNA "rounds" on the patient every hour. We assess and document the 4 P's (pain, position, potty, and progress). We at...
  17. STEMI..EKG in less than 10 min..

    Our ED has close to 50 beds (including fast track rooms). Currently a patient who presents to registration with any of a list of symptoms is walked to the triage nurse immediately. We page for a ED tech to do a stat EKG, give ASA, NTG, we can start...
  18. SANE training

    Can you tell me/us more about the training? The ED I work in is asking for volunteers to go through the training; think I'd be interested but want to hear more from others. I have taken an eight hour SART training but felt like I need more than tha...
  19. Stupidest reason to go to ER

    We had a patient a few weeks ago who came in by medic: intoxicated (of course) and complaining of abdominal pain. As soon as he was into a bed, he got up and walked out. Turns out he was on the other side of town drinking and needed a ride to get c...
  20. Sobering first day on the job.....

    Your feelings are normal and show you are human, when you don't feel sad or mad or frustrated at the loss of life then you need to move on. With time it will be easier to deal with but it will probably always hurt. I always cry when we lose a littl...
  21. ER Nurses. Read This!

    Thanks for sharing this article. I plan to take it to work and post it in our break room.
  22. Tattoo's on Nurses

    Each hospital has it's own dress code and policy on tats and piercings. Where I work now our policy is very straight forward: tats must be covered if visible. Piercings are limited to two sets of holes in a staff members ears; all others must be r...
  23. Shift times

    I work in the ED, our shifts are as follows: 0600-1830 1000-2230 1200-0030 1600-1630 1800-0630
  24. White Pants Underwear Woes

    Two other options that I have found are: panty hose with no panties underneath or a beige thong.
  25. Urgent Care?????

    i've worked in urgent care's for the past 9 years and love it. you never know what will come through the door next. yes, we see the usual colds, sore throats and coughs but also get the "fun" stuff too. like the 50 year old female who says she has...