Kinky Slinky RN

Kinky Slinky RN

ER/Trauma

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All Content by Kinky Slinky RN

  1. 2 hour reassessments in Triage

    We don't leave certain people in the waiting room... We have triage protocols that require people to automatically be walked back to the ER based on their complaints.. We would never leave a chest painer out in the waiting room cause any one of them ...
  2. Phone advice? Do you give it?

    OF COURSE I GIVE ADVICE OVER THE PHONE!!!!!!!! If someone calls looking for advice.... I give it!! Freely!!! I say, "We can't give any advice out over the phone but if you're concerned enough to call, then you better get it checked out." :wink2:
  3. 2 hour reassessments in Triage

    Wow... We also use the 5 level ESI... But we're lucky if the waiting room patients are reassessed in 12-24 hours... I think it really depends on how busy the hospital ER is... Because for my hospital, it is IMPOSSIBLE to reassess every patient in th...
  4. Patients Treat Nurses Like Garbage!

    I think this is one reason I could never work at a private facility where most patients have insurance and expect to be treated like royalty. I work where most patients are homeless and most are thankful for what treatment you can give them. There ...
  5. Unsafe ER - any suggestions?

    Yeah... I work at a county level 1 trauma ER and when WE go on divert.. so do all the other hospitals... divert doesn't mean anything in my city unless your a private hospital that has the ability to dump patients that cant pay onto the county hospit...
  6. Lots of reactions to the flu vax this year

    When I got my flu vaccine in October, I had a reaction as well. I got a fever, had body aches, fatigue. I got the flu shot at the beginning of shift and had to work a full 12 hours feeling like that... I had never had a reaction like that to a flu ...
  7. Sorry if this is a repeat thread, I tried searching but couldn't find anything.. I was at work the other day and was being slammed with some sick pts... I had a conscious sedation on a 13 yr old femur fx for traction/fx reduction... 13 yr old tib/f...
  8. When do you become legally responsible for a patient?

    Yeah, unfortunately those were all of my patients at the same time... Thankfully, most of them were hemodynamically stable so I was able to care for the sick ones first.. I was stuck with the conscious sedation and my 80 yr old ETOH withdrawal (+ 10...
  9. ER Nurses Week-What's everyone doing?

    Our facility has done something every day but I'm not sure what it was every day because I have only been two days. I know on Monday they (being unit mgr and asst unit mgrs) transported all of our admitted patients to the floors (which we have no tr...
  10. What would you do? -long-

    I was told that the reason PT/PTT tubes have to be filled completely is due to the fact that theres an anticoagulant in the tube so if it isn't filled then the values could be off? But I would definitely ask for a central line or PICC...
  11. Status asthmaticus

    I say definitely A as well
  12. med error reporting

    When I was in nursing school, there was also a new nurse on the floor I had clinicals on that had given something like 10 units of REGULAR insulin SQ when the order called for 10 units of 70/30 SQ. It was reported to the charge RN who said, and I quo...
  13. Extremely tempted by large sign on bonus

    Well... I would count Parkland for a reason
  14. Extremely tempted by large sign on bonus

    Gosh, I work at a large Dallas hospital... wonder if it's the same place? =)
  15. 8:1 ratio in the ED?

    In my ER, having 8 patients is a great shift!! It seems dangerous and can be but it works. Just on the medicine side of the ER alone we can have 2 attending MDs, 2 ER residents (one 2nd yr, one 3rd yr), 1 internal med MD, and 2 interns, and (with g...
  16. Giving pain meds thru a colostomy?

    Give morphine SQ all the time. I was surprised too when I got my first order for SQ, I double checked with RPh!
  17. What's your average nurse to patient ratio?

    1:4 ratio is almost unheard of in my ER. Tonight I had up to 10 patients alone and it was fairly slow... About 4 of the 10 of my patients all at once had ankle fractures. One went straight to OR. Another case was to go to OR shortly after the first o...
  18. Waiting for bed- start floor orders sooner or later?

    we do not start floor orders until 4 hours after the orders were written. the only time we start orders early is if we are on divert (meaning we literally have no beds in the hospital), then we start floor orders 2 hours after they are written. when ...
  19. Nuva Ring questions

    I was on depo provera (worst BC EVER) and then i got on the nuva ring... i was on the ring for about 6 months... i had migraines as a kid but then they went away when puberty hit.. when i got on the ring, my migraines came back like CRAZY.. it was te...
  20. Guess this chief complaint

    This is SO funny.. I am a new RN in a level 1 trauma center in Dallas, and during unit orientation our RN educator decided it was very important that we start learning the Parkland language... there were so many different ones that now I can't rememb...
  21. Posters that are not nurses

    I am a new RN, and it irritates me when I see/hear other students do that too... I know I don't know anything about anything when it comes to nursing... I am MORE than fully aware of that... I get so irritated when I hear other students complain abou...
  22. North Lake/El Centro - Fall '06!

    Hi! I'm in 4th semester now but I had Johnston for first semester. I had her for everything... She's alright... She is VERY VERY particular about sterile procedures... In fact, she made us tape every one of our sterile procedures, and she would wa...
  23. Questions from a Struggling ER New Grad

    Hey!! I will be graduating in December, and I am TERRIFIED!!! I have signed on to THE busiest Level 1 Trauma Center here in Dallas.. The ER has about 145,000 visits per year... Our orientation is 16 weeks... The first three weeks are strictly classro...
  24. Pediatric oncology nurses!

    Hi!! I will be an RN in December (hopefully =), and although I have already signed on to a busy busy ER here, I am interested in pediatric oncology. I have been told that it's an extremely emotionally difficult floor, which is understandable... I h...
  25. When patients lie about rides.....

    Oh, all the wonderful experience I will receive by signing on to a busy, busy ER here... Can't wait =)