outlierrn

outlierrn

ER

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All Content by outlierrn

  1. Tips and tricks for FirstNet

    outlierrn posted a topic in Emergency

    So, after 10 years with Medhost, we're finally going to Firstnet at my hospital. We've had Cerner power chart on the floor for awhile, but I've never really gotten the hang of it, so I come to you...

  2. Tips and tricks for FirstNet

    outlierrn replied to outlierrn's topic in Emergency

    One new question that's come up is how people enter surgical history? In Medhost, it's bundled in the triage history group that includes allergies, current meds, and medical history, but it seems to...

  3. Tips and tricks for FirstNet

    outlierrn replied to outlierrn's topic in Emergency

    Ah thanks for this (and everyone else), I'll have to talk to my informatics nurse and see about

  4. Missed heart attacks - how can it happen?

    outlierrn replied to Enthused RN's topic in Emergency

    It was not my intention to be rude or

  5. Missed heart attacks - how can it happen?

    outlierrn replied to Enthused RN's topic in Emergency

    I had a 44 y/o guy come in full CPR in progress. We never got him back, but the story we got from the family was that he had started a new job about a week ago, and c/o of vague shoulder pain since...

  6. Triage complaints- the good, the bad, and the shocking.

    outlierrn replied to canoehead's topic in Emergency

    Paraphrased for simplicity: Pt. I think I have a kidney stone. Me. Describe your pain. Pt. Vague, diffuse, mild. Me. ?? Have you ever had a kidney stone before? Pt. No. Me. What makes you think you...

  7. Ordering labs and images in triage

    outlierrn replied to whichone'spink's topic in Emergency

    It's usually institution specific, since, with the exception of what's covered by yout ACLS card, the medical staff has to sign off on any standing orders done by RNs. Where I work I can do...

  8. Qualities of an ER nurse!

    outlierrn replied to kingramon15's topic in Emergency

    Rather than saying think on your feet I would say reprioritize on your feet. You were going to clean that pt up before admitting then? Well not now, there's a multiple casualty inbound. Your pt was a...

  9. Any males working in Pediatric Med/Surg or PICU?

    outlierrn replied to Lericalpoet's topic in Men in Nursing

    I've worked PICU, general peds floor, and peds ER, sometimes with other guys sometimes not. If that's something you're interested in there is no reason not to for try it. Now I work in general ER, but...

  10. Men Do you regret your Nursing Career?

    outlierrn replied to philanurse2b's topic in Men in Nursing

    10 years in, never looked back. Some days suck, but's that's true of every job I ever

  11. Nursing 101 Question - Experienced Nurses, how would you answer this?

    outlierrn replied to julsywulsy's topic in Orthopedic

    I agree that C is the correct answer. It's poorly worded so as not to lead you to the right answer. Look at it this way; what's the worse case scenario? Compartment syndrome. If so then A actively...

  12. looking for cites for subQ morphine in peds

    outlierrn posted a topic in Emergency

    When I worked peds ER we had lots of kids with ortho pain come in. We often gave subQ morphine, got the films, decided if they needed an IV and proceeded with definitive care. Now I work adult ER...

  13. Ketamine

    outlierrn replied to jili's topic in Emergency

    Lots of variation obviously, I've pushed brevitol and propofol before, and for some strange reason out facility doesn't require wasting ketamine, brevitol yes, go

  14. Student nurse confused about suctioning

    outlierrn replied to JSouba's topic in Pulmonary

    Back in one of my other lives I observed that you could ask two farmers about the best way to cultivate tomatos, get two diametrically opposed answers, get reasonable, rational explanations for each,...

  15. Ketamine

    outlierrn replied to jili's topic in Emergency

    I given it a number of times for procedural sedation (we don't call it conscious anymore, go figure). Usu for peds, IM or IV, sometimes with an atropine chaser. I'm an ASRN in California with plenty...

  16. Hemorrhage Question (Check My Work)

    outlierrn replied to RNDave's topic in Nursing Student Assistance

    Lets see, Pressure on the bleeders is fine, be careful about making injuries worse. Can't remember the last time I saw a pair of MAST trouser let alone used them. You're right about the abbreviations....

  17. V Tach

    outlierrn replied to melanie1126's topic in Cardiac

    Good question, Allow me to suggest calling the ER nurse if they're still on to see if this happened there. I take questions from floor nurses all the time. Sometimes the ER doc wrote holding orders...

  18. Hemorrhage Question (Check My Work)

    outlierrn replied to RNDave's topic in Nursing Student Assistance

    hypovolemic shock is a question of degrees, B/P and C/O are maintained in compensated shock by tachycardia and peripheral vasoconstriction, when these mechanisms fail, B/P and C/O fall as uncompesated...

  19. "You know you are an ER Nurse when..."

    outlierrn replied to Divern808's topic in Emergency

    you boast about starting an IV on a pt that hasn't had a pulse for 20

  20. DNR-Comfort measures

    outlierrn replied to FreshRN05's topic in First Year After Licensure

    Although it varies from place to place, the exact meaning varies most importantly from CASE to CASE. Understand that ALL of your pts are going to die, allowing them to pass easily is not killing...

  21. PALS meds

    outlierrn replied to ERERER's topic in PICU, Pediatric

    In my ER we have a dedicated peds crash cart, each drawer is a different color and corresponds to a color on the Braslow tape. Within each drawer are the supplies that are right size for that pt. We...

  22. Have you used Accuscan?

    outlierrn replied to snowchaser1's topic in General Nursing

    Depends on where you work. When I was in PICU I liked it, it was very helpful in keeping 30 doses per shift organized. OTOH, in the ER it would suck, things are changing too rapidly,

  23. My pt made me look like an idiot

    outlierrn replied to NurseEcho's topic in First Year After Licensure

    you absolutely did the right thing for the pt, virtually everybody is grumpy at 3 in the morning. But I would have asked my charge nurse to come in and confirm my obsevations to the on call doc who...

  24. Needing some help with blood sampling

    outlierrn replied to samecat's topic in Pediatric

    I have done a lot of central line draws but have never heard of mixing it with heparin before replacing it. I would draw at least 5ml for a CBC, 10 ml for chemistry or coags if the line had heparin...

  25. Dosage Calculations

    outlierrn replied to bonesrn's topic in General Nursing

    I think Topher has it right on both problems, but I think the problems poorly worded. Never did like dimensional analysis, I always go with dose desired/dose on hand X volume on hand