RunnerRN

RunnerRN BSN, RN

Emergency Room

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All Content by RunnerRN

  1. Funniest Complaint on Press Ganey Scores

    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...
  2. BSN -ER focus??

    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...
  3. Wont this just make it worse?!?!

    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...
  4. VIP Triage

    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...
  5. Choosing a Practicum Senior Year

    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...
  6. starting pay in FL & MO for RN

    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
  7. Mental health pt in ER...

    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...
  8. Effectiveness of alcohol??

    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...
  9. Speaking of adenosine

    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...
  10. OK...Nurses I would like some advice!!!

    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...
  11. Should I leave "the dump unit" or stick it out?

    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...
  12. Can someone explain ambulatory care....

    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...
  13. "Funny Codes"?

    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...
  14. Phenergan IV changes in policy

    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...
  15. Maintaining an Airway

    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...
  16. Teamplaying or Enabling?

    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...
  17. IV drugs RN's can give?

    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...
  18. Why don't the big boys understand??

    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...
  19. Questions about wasting NARCS ????

    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...
  20. Rules for the ER (long)

    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...
  21. pediatric assessment/careplans

    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...
  22. RN-BSN Student needs help

    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...
  23. giving report at end of shift

    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...
  24. Nurse tracking devices

    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...
  25. graveyard shift?

    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...