RunnerRN

RunnerRN BSN, RN

Emergency Room

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All Content by RunnerRN

  1. questions about doing CPR

    RunnerRN replied to ajaxgirl's topic in Geriatric, LTC

    People aren't dead until they're warm and dead......people who are stiff, however, are deader than dead (generally). If the patient is a full code and they're code and pulseless, I would still CYA...

  2. What do I tell her?

    RunnerRN replied to HisHands's topic in General Nursing

    I would disagree with this statement. When precepting nursing students - or anyone without a license - I agree that the preceptor is ultimately responsible for the patients and the preceptee's...

  3. NONCOMPLIANCE, why be at the big H? in the first place?

    RunnerRN replied to CaLLaCoDe's topic in General Nursing

    Here's my issue with just letting the pt remove their bipap (when he was obviously huffing and puffing, had a poor sat without it, and had to breathe between every 2 words): poor oxygenation and...

  4. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    RunnerRN replied to DutchgirlRN's topic in General Nursing

    Wow. I don't think I would have ever come up with that one. I also would like to commend you - many OPs run away and never return to their posts once things start to get a little hairy. I too feel...

  5. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    RunnerRN replied to DutchgirlRN's topic in General Nursing

    This was obviously not a black and white situation for the medic. "Do I assume the pt is competent and completely aware of all pathophysiology, potential risks and complications, ignore the sat of...

  6. NONCOMPLIANCE, why be at the big H? in the first place?

    RunnerRN replied to CaLLaCoDe's topic in General Nursing

    I work in the ED, and we've used the fact that a patient has gone outside to smoke as a reason to d/c. We are a nonsmoking campus. Usually, this is for people like the "abd pains" who say none of...

  7. worked my very first ED shift,.assessment question..

    RunnerRN replied to BrnEyedGirl's topic in Emergency

    In response to your question above....my response isn't nursing school right, and I'll probably be flamed for it. But I feel that (in the ED) I am okay to accept meds pulled up by coworkers I trust....

  8. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    RunnerRN replied to DutchgirlRN's topic in General Nursing

    :yeahthat: The above is pretty much what I think this all comes down to. We live in a very litigious society, and work in a field that is very susceptible to lawsuits. Unfortunately, a lot of what...

  9. Im not sure if I want to keep going to nursing school...

    RunnerRN replied to ShimmyMeli's topic in General Nursing

    I felt similarly many times during school. My suggestion? Take a breath and get organized. For me (because I'm a control freak) I always felt crazed when I wasn't in control of the situation. I'd...

  10. Theme of the day....

    RunnerRN replied to TouchstoneRN's topic in Emergency

    How about "No, Grandma doesn't have a living will and we never talked about it but I want you to do everything to keep her alive even though she has cancer everywhere and doesn't know who she is...

  11. worked my very first ED shift,.assessment question..

    RunnerRN replied to BrnEyedGirl's topic in Emergency

    Also, just keep your eyes open. You've gained excellent assessment skills through your ICU time. Someone on here tells a great story about a young guy with cc of shoulder pain. The RN walked into...

  12. worked my very first ED shift,.assessment question..

    RunnerRN replied to BrnEyedGirl's topic in Emergency

    When it comes to my assessments, I tend to be focused except on: old people, people recently d/c from hospital, babies, people that give you that "uh oh" gut feeling. Okay, so pretty much all of my...

  13. Damn Hippa!!!

    RunnerRN replied to nursebrandie28's topic in Emergency

    My understanding is that it would have been okay to f/u if you had simply been a transferring facility. The fact that she was also a coworker in your department makes things a little more...

  14. Chronic COPD'er, 1 lung, 02 @ 6L/min. What would you do?

    RunnerRN replied to DutchgirlRN's topic in General Nursing

    I would have to agree with most of the above posters. When you called the ambalance, the EMT-P became the person directing this patient's care until arrival at the hospital. Do you really think it...

  15. Job type during Nursing school?

    RunnerRN replied to taicjc's topic in General Nursing

    Another option.....you'll be working in the nursing field for (theoretically) the rest of your life. While I was in school, I worked in a completely different field. I can't imagine what it was like...

  16. Rules for the ER (long)

    RunnerRN replied to EDValerieRN's topic in Emergency

    I think we established a long time ago in this thread that "working in the ER" is not the same as "working as a nurse in the ER." You can keep a smile on your face when running a code on a kid? How...

  17. Multi-Drug Resistant Acinetobacter

    RunnerRN replied to nurse4theplanet's topic in General Nursing

    I'm not a burn nurse, but our burn unit was shut down for weeks about 2 years ago because everyone had acinetobacter. They stopped accepting new patients, and new admits went to the regular ICU (they...

  18. So you thought your ER experience was bad? - this is long but certainly ices the cake

    RunnerRN replied to SK-222's topic in General Nursing

    It really does seem that, once again, a thread is turning into a "let's bash the ED nurses" thread. Just as not all LTC nurses and facilities give excellent care, not all ED nurses and doctors give...

  19. I;m New and I have a question.

    RunnerRN replied to ERNURSE02's topic in Emergency

    I would prefer triage if I were you. If you're really nervous about some people, make a deal with your coworkers that you'll triage all the kids (if possible) and they'll do the psychs. I would do...

  20. Chest pain protocol in the ER

    RunnerRN replied to StillBelieveRN's topic in Emergency

    This is an interesting concept. If a pt looks crappy do they go straight to the main ED room? How about the patients that are most likely not cardiac CP? We had a 29 year old the other night with...

  21. disrobing psych pt?

    RunnerRN replied to pb57's topic in Emergency

    If pt is suicidal or homicidal, everything off (I let them keep their underwear) and belongings taken from room. The one time I didn't do this (the kid's mom was in the room....stupidly assumed she...

  22. OB in the ED

    RunnerRN replied to Sugar9486's topic in Emergency

    Why am I okay with a 2 day old septic neonate but not a mom whose water has just broken? I KNOW how to do septic neonates. I have no idea what I'm supposed to do if mom's laboring too fast and all...

  23. Chest pain protocol in the ER

    RunnerRN replied to StillBelieveRN's topic in Emergency

    Ours is similar to above, but a little different. Ours includes: Monitor, O2, IVSL w blood draw (if we're really busy I'll send CBC, CMP, coags, and hold the cardiac panel), EKG in 5 min, ASA 324mg...

  24. What would you do?????

    RunnerRN replied to banbulance's topic in Emergency

    You're allowed to learn :) Just remember that you don't want to give any form of NTG is the BP is at all sketchy. I go so far to say don't even give SL NTG if you don't have an IV in your pt. I've...

  25. Three c's

    RunnerRN replied to MissRainy's topic in General Nursing

    Clear, concise, comprehensive? Those are the only "c's" related to charting I can come up with. I can understand quizzing on the 5 rights of drug admin, but charting? Come