RunnerRN replied to nursebrandie28's topic in General Nursing
We need to put up a sign in triage: If you leave the ER a)better b)not worse c)alive then we did our job. We've beat this issue to death, but it still gets me riled up! I can do my best to be Suzie...
RunnerRN replied to Firemedic7's topic in Emergency
As far as I know (and I haven't researched this at all....just know from talking to people) there are NO ED focused programs out there. Actually, most completely brush over emergency care, and if you...
RunnerRN replied to NeosynephRN's topic in Emergency
We have a "fast track" area that hasn't really been advertised much. Whenever I'm in triage, you get a lot of people who say "and I heard you have an urgent care." I have to correct them very...
RunnerRN replied to mannurse65's topic in Emergency
I ran into this last week. A (very famous) baseball player's spouse called ahead to say she was bringing their child in. We held a room for over 90 minutes waiting for them. How irritating! The...
My $0.02.....go to the highest acuity setting you're allowed. We had to get a certain score on the HESI test to be allowed in the ICU, ED, or PACU. I flirted between med surg, ICU, and ED, and am SO...
St Louis area hospitals are starting around $19.00/hr. I started 2 yrs ago as a new grad at $18.50 + $0.25 for BSN differential. No clue on Florida....sure sounds good
We built a new ED last year, and had 4 rooms specifically built for our psych patients. These rooms have cameras in the corners (built in), all medical equipment is behind what we lovingly call a...
So what does everyone use to prep before IVs? We are supposed to use Chloraprep - even had an inservice a few weeks ago that we can use it for blood cx draws. I use the chloraprep on adults, but...
We had a patient a few weeks ago who was taching along in the 200s. No idea how she was tolerating it, but she was. We were all over her...monitor, IV, Os, etc. We'd just pulled the crash cart in...
When I interviewed a few years ago, I felt very prepared for all the "usual" questions - name a situation in which you went above and beyond the average call of customer service, etc etc etc. They...
Another ER nurse here...as someone who loves her job (most of the time!) there is no reason in the nursing field that you should stay in a position that drains you so much and is so difficult. It is...
The only bad experience I've had with an ambulatory surg center was a woman we got in the ED who'd had breast implants placed earlier that day, and somehow managed to also get double pneumos. They...
Not much up to par with those above, but I love when one of my docs is getting ready to intubate a drunk that we've been bagging, tilts the head back, and we get a nice big BURRRRP right in the docs...
We now have a "trigger pop up" in the Pyxis/Omnicell (we changed in the last few months and I can never remember which is which) when we try to pull out Phenergan. It reminds us to dilute in at least...
Great replies above. I don't know if this is why you're asking, but I remember in nursing school how the instructors would also say (in reference to NCLEX questions) "alway maintain your airway" or...
At different times of the year, it seems like I get called with requests to come in every day off. I generally say no (I like my days off!) but will go in if they offer overtime or other perks. If...
We also cannot use Propofol for IVP in our ED. We are allowed to hang it as a drip for intubated pts that we will be holding for awhile. I personally hate the drug, mainly because I'm pretty...
I have a slightly different perspective. My full time job is in a >40 bed level I with all the resources. We accept transfers from everyone, and the only time I hear anyone complain about it is...
RunnerRN replied to BrnEyedGirl's topic in Emergency
Here's my perspective from working in the ER....I often accept meds from the previous shift, but only from the RNs I really trust and work with a lot. In our dept, we have 5:1 and 10:1 morphine...
RunnerRN replied to EDValerieRN's topic in Emergency
Very well said! I think there are two big issues that make ED nurses seem "callous": 1) it takes a very specific nurse to function sucessfully in the ER. 2) All nurses spend time during school on the...
RunnerRN replied to nurseofalltrades's topic in General Nursing
Similar to med surg care plans, but you need to be sure to include more psychosocial, play stage, and age appropriate info. Also medication dosages are much more important in peds than adults - just...
RunnerRN replied to Annabelle07's topic in Emergency
Here's the big issue....a lot of times you can't. And a lot of times people come in w cco upper abd pn and end up having the big one (esp women). I'm sure you're asking about ways to differentiate...
I completely agree with you - I hate when I'm giving report and the receiving nurse is wandering around, etc. BUT I also hate when the nurse I'm taking over from is so anxious to get out that she...
Our ED uses them. They have saved our butts a few times when a pt was complaining and said "I haven't seen anyone in here for HOURS!" We were able to get into the system and prove that a nurse had...
I do 3pm to 3am shifts and LOVE them. This probably isn't an option for you - I've never seen this shift available outside of EDs - but it gives me enough opportunity to get things done w family and...