RunnerRN

RunnerRN BSN, RN

Emergency Room

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All Content by RunnerRN

  1. Pt demanded a stronger pain med

    I had a similar situation last weekend, but with a psych pt ("refusing" to be made involuntary....ummmm hello?) I think you handled it fine. My way of handling things like that is kind of a step by...
  2. One grateful family made a horrible day better

    I love people like that! Last weekend was pretty much like that for me. Trauma after trauma, and this woman kept asking when her husband would get his promised ICU bed (he was a med OD and was going...
  3. How embarassing (LONG)

    My guess would be that you may be getting some apologies yourself when you head back to work. Maybe it took you snapping at them to realize that they were violating your privacy and being...
  4. Consents When Under The Influence

    I will still consent psych pts because a lot of them, even the ones w a hold, are voluntary. I figure giving them the benefits and risks can't hurt....and if we have a hold, and they refuse to sign,...
  5. Imput please: change of shift and admits.

    You're right, all nurses are busy :) But I will say, there is a difference. The floor has a finite capacity. The ED cannot put more patients than you have beds (and in my hospital, we have more...
  6. How to choose an ER?

    Are you up for the Lvl 1? Is so, go for it! You will (hopefully) be in a setting where people are helping you succeed and strengthen your weaknesses. Go there, learn all you can, suck it up for a...
  7. Assessment Skills

    I assess differently when I'm working w kids or adults. Adults, unless I get that kick in my stomach, get the focused assessment. You can tell alot by the way they speak and skin tone. If I have...
  8. I think not only to make your own decision in situations like this, but also to make your own assessment decisions. Story time.... When I was brand new, I was orienting in our peds area (about 2...
  9. Medical terms you'd rather see changed....

    I'm going to be the voice of dissent on the "obese" term. For many people, hearing that they have been classified as obese or (God forbid) morbidly obese was one of the things that convinced them it...
  10. In nursing (as in life) there is a big difference in being assertive and aggressive. A good nurse is assertive - she stands up for her rights and those of her patients in a respectful manner. An...
  11. Pregnant but Negative Urine Preg?

    Her quant was barely 100. Very interesting replies...keep 'em
  12. ER Or The Floor?

    I can honestly tell you I've never charted about a fart :) You're going to get a ton of biased answers, but GET THYSELF TO ED!!! I love it here....I see my pts for 12 hrs, then go home and (95% of...
  13. What's better: Nurse Extern or LPN???

    I didn't do either, but some in my class became nurse externs, and had great experiences. I think (given the choice) I would choose the externship....your duties and scope will be somewhat closer to...
  14. Flow of your Triage/MSE area

    Here is how our Level 1 works.... Front desk in WR/triage w 1 experienced RN and registration. Pt presents w cc, RN 1 "eyeballs" pt and decides whether to take pt directly to room, if pt can go to WR,...
  15. Should I have done anything differently?

    Another way to approach it in the future would be to simply say "You say that x happened, but traditionally when x happens we see injuries xyz. You don't have those injuries." And see what the pt...
  16. Has anyone tried this?

    I am a repetitive visual learner, so there is no way that would have worked for me. I rewrote my notes several times (until they made perfect sense) and made out notecards. I have to write to...
  17. Rules for the ER (long)

    :lol2: :lol2: Thank you for helping us bring this thread back to where it started! These were wonderful! By the way, all of these meanie responses remind me of a saying an old ER preceptor taught...
  18. ? about Fentanyl

    As far as I know, Fentanyl doesn't have the afterload reduction capability that Morphine does.....but I may be wrong (and I'm too lazy to look it up right
  19. Rules for the ER (long)

    I can only assume this was directed at my "numbing" post. In my ED, we don't have the luxury of an hour to wait for EMLA to work. And in the past, I've had nothing good come from attempting to numb...
  20. Rules for the ER (long)

    Truely, if you aren't an ER nurse, or haven't been one in the relatively recent past, you have no reason to come into this thread. It can make an awful day even worse when you come into this thread...
  21. Time Management Success While Also Caring For Your Kids

    Not a mom, but there were several moms in my nursing class that I used to ask how they did it....it seemed difficult enough to juggle school w job w extra curriculars and a husband. Best advice they...
  22. Is there anyone "in charge" over your boss there? Maybe a quick phone call is in
  23. Legal/Ethical staff issues

    I can (kind of) feel your pain.... My hospital went to white tops/navy bottoms as our uniforms a few years ago. They did, however, give us a clothing allowance that first year. Not quite...
  24. kids and parents

    Drives me crazy when parents bring their kids in (I'm talking adolescents....15 and up) and talk about them. I have actually stopped an assessment and said to the kid "You're 16, I want to hear from...
  25. Rules for the ER (long)

    Had a woman ask me if we numbed before IV (she came in for leg swelling w redness, hx PE...what did she THINK we would do?) When I told her that we didn't, except for in kids, on non-busy nights,...