debbyed replied to ICUNurse11's topic in Emergency
Since I've been in the ER for >20 years I have seen attitudes change including mine. When I started all graduate nurses were supposed to have a year of Med/Surg. experience. I was lucky in that I...
Most of our overdoses are reversed in the field. They arrive awake and :angryfire very, very mad. The Medics restrain them with the bandages to the side rails. If they are awake when they come in,...
We have developed a working relationship with all the units in the hospital. Because we have become so busy and the acuity so high, We as a group of nurses had to come up with a plan. Admitted...
If a patient states they want to leave with a med lock in place, first we inform the patient why that isn't allowed and then we tell the patient that if they do leave with the med-lock in place we...
You have my thoughts of encouragement and wishes of wellness. From reading your posts I'm sure you do portray an image of being "put together and in control" and I am sure you are wonderful support...
debbyed replied to peg gallagher's topic in Emergency
Initially I was hired as a Clinical Coordinator with job descriptions simular to RNCEN...... This position worked very well and overall increases the efficiency of the ER and ER staff. Of...
If you want to work in a hospital, you need to get used to hearing "Customer Service". On evaluations, at our facility, customer service is worth more points than competency. In their favor, the...
Not sure what our policy is but I always have my insulin doses checked. Also do that with a few Peds dosages of potentially dangerous drugs. My motto has always been "Better safe than
Our hospital just revised it's dress code and no facial peircing are allowed except for documented religious resons. All visiable tattoos must be covered. Peircing and tattoos are a personal choice,...
We do conscious sedation in the ED for things like dislocated shoulders and recover them as well ..However...Once a patient leaves the ER for either an inpatient or outpatient procedure they are no...
Rule of thumb at our facility is that if the patient will require vital signs or other treatments (ie: Blood sugars) more frequently that q1hr they got to ICU. If more frequently than q4 hour they go...
I love when I read about new ER nurses that are truely loving their job and I cry when I read about the ones who get no training and no support. ER is a terrific job if you don't mind running at full...
We've been holding like crazy lately, even after the hospital opened up another zone to take both PCU and M/S patients. The new ER will have a built in Holding area but what do you want to bet that...
From what you write you sound like you'll do fine. Basically I'd just be repeating what CEN35 and Teeituptom have said. From spending some time on this board it usually sounds like CEN35 and I work...
Although we are in the process of having all of our Emergency Room nurses ACLS certified it is not necessary to do Moderate (Conscious) Sedation. However, that said, Every year we have mandatory...
As Senior Clinical Nurse who runs charge all the time I'm the one that gets called to deal with irrate patients and families and with waiting times getting longer and longer there are more and more of...
Always used the "dart"approach with lots of wrist action. Get complimented frequently that they never felt the needle, but boy did that medicine hurt. Never tried it slowly. Thinking about it makes...
We've all been there, done that...and I can promise you this too will pass. As grannie used to say, "it's always darkest before the dawn". Do something nice for yourself and remember that we are all...
I work with several guys in the ER and they love the work as much as I do. We find we can live quite confortable on our income and when we go home our job is done. No patients calling all hours of...