RunnerRN BSN, RN

Ok, so I'm sure you know that these meds are used to correct K+ imbalance as well as fluid retention. Here is my order: -Calcium first, over 5-10 minutes...for the same reason as the PP. Plus, it is the one most likely to cause problems so you will s...

We use CNAs, but not in a true CNA position. We have ER techs, and no matter what your background, the hospital requires all techs to go through a 4 week training before starting in the department. I think being a CNA improves your chances of getti...

Even though "everything really bad gets transferred" you'll still have to care for and stabilize those patients until the helicopter/ambulance gets there. The biggest no-no I can think of is making assumptions about patients. Just because someone is ...

I PRNd a little in an urgent care last year. I'm in my 20s, but wanted something a little lower stress to bring in some extra money. It was definitely lower stress - almost too much - but the flow was very similar to the ER (get 'em in, get 'em out...

If I recall correctly (and my knowledge of this radio personality is pretty much nothing) he does have a hx of ETOH and drug abuse, maybe back in his 20s?

In reading about this experience, I think he made a few stupid decisions, was poorly informed on a few points, but also has some valid concerns. I'm not going to go into everything that struck me in the article, but I'm definitely hung up by his acco...

My hospital does not allow us to bolus it in my ED. We are allowed to hang as a gtt to "keep someone down" until we can go to the ICU. There are some RNs in my dept who will "accidentally" bolus someone by opening the propofol up for a moment befor...

I know you said you don't want to hear that you need to get out, but YOU NEED TO GET OUT OF THERE! I don't care what shift you're working, any ED that is willing to throw 15 pts at a new grad is no where I'd want to work even with 20 years ED experi...

How awful. If they were referring to "physical" ugliness, they should be ashamed. There is only one way to handle this (in my mind)...whatever your choice may be to stay or leave this church, write the pastor a letter detailing your feeling and dis...

Our "holiday pay" is $1.75 an hour. Wahoo. I don't call in unless I'm really sick, but our holiday pay isn't much of an incentive......

Holy poop! I also work weekend option and agreed to pick up days during the week this summer. My boss knew to check with me before scheduling me for anything else during the week. Apply online for a new job tonight, and go in to your boss Monday a...

I think the thing that strikes me most is that you friend has HTN despite the fact that he appears to take good care of himself. A 30 year old non-smoking, non-drinking, occasional exerciser who isn't significantly overweight shouldn't have high bl...

The key to starting in a specialty (whether ER like I did, or OB/L&D, or another) is to find a fellowship/residency program. These are usually offered in larger cities, and in large teaching hospital. I think a residency is the only way to go w...

I work in a Level I, approx 50 beds, and our standard is a note less than q1hr, but we are supposed to "strive" to chart every 30 minutes. We are also asked to check on patients q30min to update them on "delay" - use the word delay because Press Gai...

I work in a Level I, approx 50 beds, and our standard is a note less than q1hr,

Oh my....at first it seemed funny to me, but when they started to interview the idiots I got a little angry. I can handle the ones who are uneducated and don't understand what the EMS/ER systems are for, but the one who said "I just didn't want to ...

Other thing to remember about Level I/II vs lower levels of trauma care are the number of resources. No, I'm not a huge fan of traumas and pts bleeding out, but I stay at my Lvl I because I have all the resources there to care for them. I would hat...

I just did my ACLS recert last week on the computer. I was really nervous about it at first, but once you get into the groove of working a code on the computer, and figure out what you're doing, it is much easier. You go through 10 scenarios....from...

We have some semblance of a bereavement program, but many of our nurses aren't comfortable getting into the details with the moms. Pretty much, we have a folder full of info that talks about what the moms will go through physically in the coming day...

I was thinking the same thing! I would also think you'd have more of a chance of someone moving because they aren't expecting the stick for another moment. I still think the best way for pain control for IMs is to insert the needle quickly, then inje...

SVT = PAT ST is simply normal heart conduction sped up, either for stress, low blood volume, etc.

We get $1.75 per hour to precept, both new grads and new employees. If enough people refuse to precept unless paid, management will figure it out :)

Most insurance cos limit expensive medications. I know that my friend who had awful morning sickness during her first trimester had her Zofran limited. She was allowed to fill x number of pills every 2 weeks (I can't remember the exact number), and...

I remember hearing this story back in August. Glad for the update, but this story still breaks my heart. I was really trying hard to side with the health care providers up until the point of the post op distended belly. I'm sure things have been e...

Many studies have shown a positive correlation between keeping BG levels at the norm and faster recovery. When I'm camping people and doing a fingerstick, I just tell them that. Most people are happy to do anything that will get them out of the hos...