RunnerRN

RunnerRN BSN, RN

Emergency Room

Member
  • Content

    378
  • Visitors

    7,026
  • Followers

    0
  • Likes

    7

All Content by RunnerRN

  1. What Makes You Feel Burnt Out??? (10 Questions)

    1. In which area of nursing are you working (OB, L&D, ICU, ER, Med/Surg, Peds, Hospice, etc.)? ER 2. Do you work at a hospital? If not, in what type of facility do you work? Hospital - Large level...
  2. New Here, The Good/ Bad /Ugly

    How sad. I work in a large Level I ER, and absolutely love my job. My bosses are very involved, and we have the best staffing of any ED in my area, or that I know of. I work my tail off, but it is...
  3. Was I out of line ?

    I too think that you were out of line. If you thought the pt needed to be collared, then you should have done it. A simple "MD aware, no new orders received" would have been sufficient. I also agree...
  4. Part-time nurse

    It depends on how your dept works. Mine won't allow you to go PT unless there is a PT position open. Sounds dumb, but that's how it is. Check with your manager and find out what the rules
  5. IV Dex for PO Dex?

    We do this as well, but generally mix it with Tylenol. Can't imagine it tastes good at all! Agreed - beats giving a kiddo a
  6. Question about FFP transfusion

    Blood tubing, and infuse over 20-30 min max. This is in the ED, and I think we tend to infuse it a little faster than other
  7. Charm school for new RN?

    I work evenings, so I do a little with days and a lot with nights. You're right - night shifters in the ED are very team oriented and a little cliquey. I like the idea of making cookies, but mainly...
  8. Nurse shortage?? Opinions please

    My $0.02....there is no shortage of nurses, but there is an awful shortage of nurses willing to work in the hospital conditions. This shortage is not going to end anytime soon, so assuming you can...
  9. Say What??????!!!!!!!!!!

    Had to cath a toddler, 2 or 3 years old at the most, whose mother was a psychiatrist we all knew and disliked. As I'm prepping, I hear mom tell her daughter "she's going to put that thing in your...
  10. cpr training for nursing students- HELP!

    YMCAs offer the class as well. My nursing school offered it the week before classes started, just because it was a requirement and so few students had the certification. You may want to check with...
  11. HepB question

    I don't know the physiology behind the medication, but I'm sure it has been tested and tested and tested. I doubt they arrived at their timings for administration
  12. Need some info about Weekend Option

    I do 3pm-3am weekend option, and love it!! I am young, no kids yet, and have a hubby who works a lot of odd shifts too. We've actually been able to work it out so he works every weekend most of the...
  13. Proper training? I believe that is called NP/PA/Med school. And the reason triage is staffed with RNs and not MDs is all about resource allocation. Why would an ED want to take a doc away from the...
  14. Specimen Mislabeling- Help!

    I have 2 thoughts (I'm too ADD right now to read all the replies, so apologies if these have been hit already) 1) When the pt is registered, have several "ER Hold" labels printed off. In our dept,...
  15. PITA ED patients - how to handle?

    Deep breaths? That's truly the only way I know of to handle these people! There will always be those self-centered patients who don't understand that anyone but them is having pain. And there will...
  16. Just remember that you're going to experience a certain level of discomfort (mental) as you learn how to do your new job. BUT there is a big difference from being uncomfortable with a patient because...
  17. Med Recs

    We started doing this sometime last yr. We have a page that has a carbon copy, and we have to write something on every patient, even if it is just "unk BP med" etc. I'm really good at doing that....
  18. Taking floor orders in the ED?

    We do it much the same way that pkapple does. The admitting doc has the option of coming down to the ED (or sending a resident) to do an admitting assess and write orders. If they don't get there...
  19. Pain Scores Effective or not

    I also despise the pain scale. I think it can be good for reassessment of pn after an intervention, but it is generally useless. I chart 2 pain scores - 1 is the required numeric, but I also do a...
  20. Salary negotiating

    Most urban areas self regulate in terms of salary. I live in a pretty average sized city - we have 3 Level 1 trauma centers, a few 2s and lots of community hospitals. If one hospital raises starting...
  21. how to manage the waiting room?

    Here's my method on this....I take the time the I have the patient in my triage booth as a chance to update them on the procedure (I've found that a lot of people just dont' get the processes in the...
  22. Wow....I would not want to work or be a pt in Pelican's ER! As was stated above, the nurses in my ED are EXPECTED to get an IV going, order the appropriate labs, and get appropriate dx tests going...
  23. Can a patient fall for a nurse?

    I've never even thought of this!! I'd be afraid to have my husband on your floor!!!! So how did these relationships end? Are the patients and RNs still together? Does the nurse still have a
  24. Obviously it differs on the patient. If onset is definitely less than 3 hrs PTA, and no bleed on the scan (or other contraindicating factors) then we will give tPA. Many of our strokes are already...
  25. Triage sucks!!! Any tips??

    I actually enjoy triage quite a bit. It never fails to amaze me what people assume is an emergency. Plus, you only have to deal with the annoying crazy people for 5 minutes, then they're out of your...