RunnerRN

RunnerRN BSN, RN

Emergency Room

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All Content by RunnerRN

  1. body fluids, vomit, feces, smells, etc.

    I was very worried about this when I started nsg school. My solution was to wear scrubs w the two front pockets and keep Vicks, a mask, and gum in one pocket. Never feel bad about whipping out your...
  2. Can new grad work Psych & ER too?

    If you are worried about being "typecast" as a psych nurse, why not start off in the ER? We get more than enough psych pts to keep most people happy, but you'll get experience in pulmonary, cardiac,...
  3. what your hospital policy on sick days?

    I have always wondered why admin "gives" sick time if you aren't allowed to use it. In my facility, we have a bank of "time off" and a separate bank of "sick time." If you call in sick, you cannot use...
  4. ER disclaimer

    LOL In our new ED, we have little under cabinet toilets in every room. Oh yes! You can add this one: DUE TO THE FACT THAT YOU ARE COMPLAINING OF CHEST PAIN, PLEASE EXPECT TO HAVE AT LEAST 3 PEOPLE...
  5. Dear nurse, I really don't want to bother you

    As the original poster of this "derogatory, harsh, disgusting" etc comment on the ER board, I was all set to come in here and defend myself. Was I ever surprised when I read all the comments! I am...
  6. How long is the wait???

    I also work in an Urgent Care every once in a while, and the day after Christmas I had a girl go postal on me because I couldn't answer how long the wait would be (the waiting room was full and people...
  7. Family/ Visitors in the ER

    Our policy is 2 at a time, but I have no problem violating that for a) critical care situations/dying pts b)families that are quiet and non-disruptive. I have very strong opinions on family presence...
  8. help me figure out how to say...

    I wouldn't call myself "seasoned" but I like the privacy word a lot. "Mr Jones, it is time for your AM assessment." (smile and look at family) "Can I ask you guys to step out to the WR/hall for a...
  9. help me figure out how to say...

    The OP isn't asking our opinions on whether it is right to ask family members to leave....she is asking how to be tactful and still facilitate the family's needs as well as the patient's. I work in...
  10. Taking Respirations

    I work ER and also do PRN shifts in urgent care. I think the above answer about "you'll know if they're in distress" was pretty accurate. I always chart "Resp even/unlabored" and "Pt speaks w ease"...
  11. Enraged (venting)

    "If you're fighting for your life, it becomes another story. Although that would not hold up in psychiatric nursing where, no matter what, staff are not allowed to lose their cool." THE ER IS NOT A...
  12. Weekend RN option

    My eyes started to cross reading all the replies, so please forgive if this is a repeat. My hospital has 2 weekend option choices. The first is a 24 hr/week benefit eligible, the other is 24 hr/week...
  13. EMS abandonment?

    On the issue of transferring care to an ER PCT.....I don't think it matters if the pt was brought for a hangnail, a cough, or CP. Giving report to a tech is just plain irresponsibile - both for the...
  14. mean arterial pressure

    You can also calculate other important pressure values with the MAP....for example, the cerebral perfusion pressure. Now any idiot understands that a pt w a BP of 60/30 is getting less blood to the...
  15. Pregnant but Negative Urine Preg?

    Hi all! I'm an ER nurse, and had a pt last noc who swore up and down "there's no way I can be pregnant....my period is 4 days late, but I took a test (urine) this morning and it was negative" The doc...
  16. ED triage

    There was a thread a few months ago similar to this, but in more detail about the traige process in different hospitals. That may be of interest to you as
  17. Enraged (venting)

    I wasn't going to add my thoughts (because they're along the same lines as the first page of replies) but after reading the last few replies, I can't resist. I take care of people with diseases every...
  18. Oh yes it happens a lot! Especially on noc shifts when we are just at minimum (or slightly above) staffing. I've had nights where we all get pulled into one very sick trauma, doing everything...
  19. COPD pt's and 2L o2

    I wonder what came first here, the low sat or the anxious feeling? In my mind, it doesn't matter what the underlying patho is, if a pt has a low sat and is gasping for air, you give them Os. You can...
  20. I think the big issue with this policy is that people are going to sit at home, thinking...."gosh, I could barely afford my Rx's this month, is this feeling I'm having an emergency? If I think it is,...
  21. For people that don't want to access the whole article, here are a few paragraphs that summarize it pretty well... "The Rapid Medical Evaluation and Express Care program positions an RME physician, a...
  22. Interesting idea....I think it would be really great for those repeat non-emergent people, but probably not the best way to solve overcrowding. Again, how to determine emergent? If my child were up...
  23. Does your work call you at 0530?

    I have to get in on this. The only number I gave to work is my cell (we only use our house phone for outgoing calls/internet connection....usually the phone isn't even attached!) I have the main...
  24. New here and in need of advice (long sorry)

    Just take a deep breath, and stay calm when she's talking to you. Just say your piece, and explain what the problems were on your end. Good
  25. What's a safe nurse to patient ratio?

    I know we have a variety of charge RNs in my dept. Some are overly helpful and protective, others don't seem to care if you barely have your head above water as long as you're getting your patients...