emtb2rn BSN, RN, EMT-B

Emergency

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All Content by emtb2rn

  1. emtb2rn

    EKG reading and leads

    The positions of the limb leads is incorrect in that diagram. Limb leads need to be on the limbs, not the torso. The latest ena journal has a great article on the science behind lead placement. Don't...
  2. emtb2rn

    PALS and ECG

    Not sure i understand your question. Are you talking about paying for prep classes for pals & acls? If so, you are way overthinking the
  3. emtb2rn

    Nursing student asks nurses the question..

    Did the pt have a chf hx? If so, s3 is an expected finding. Did you peruse the h&p & consult notes? Did a doc notice the gallop? As noted by others, an s3 isn't an
  4. emtb2rn

    Nursing student asks nurses the question..

    OP, are you questioning the nurse in front of the patient? If so, expect a trip to the woodshed. And as for that s3, what is clinically significant about that
  5. emtb2rn

    Advice for new grad starting in ER

    Congrats on joining the dark side. Check out the top of the er forum. There are a lot of threads with just the type of info you want. Don't worry about anybody else, just focus on your own...
  6. Go down to your ed and ask them what THEIR ratio is, you might be surprised to see it matches most of the responses from ed nurses around the
  7. emtb2rn

    IV Benadryl

    Doubt it was anaphylaxis. Ativan's not a 1st line treatment for a legit allergic reaction. I'm going with my thought above, that the benadryl was
  8. emtb2rn

    IV Benadryl

    How fast was that 25mg pushed? Slamming benadryl can cause significant paradoxical
  9. emtb2rn

    silver nitrate sticks & silvadene creme

    In my er experience, not interchangeable. We use slivadene for burns and silver nitrate to cauterize epistaxis in cases that don't warrant a rino rocket. Whatchu you doing with
  10. Be married to a corporate executive. She will make more, much more, than her now rn
  11. emtb2rn

    Codes

    We run a lot of codes but very very rarely call them overhead. Most of our codes arrive in progress
  12. emtb2rn

    Goal: Informatics

    Ahh, experience. I deal with our in-house bsn & msn informatics folks a lot. They're nice people but their education didn't really prepare them for the realities of system project management....
  13. emtb2rn

    New grad in ER residency - feeling so overwhelmed!

    Perfectly normal. You'll learn like the rest of us, 1 mistake at a time. Just don't make any
  14. emtb2rn

    ICU stuff

    All of the above and know your hospital
  15. Diploma rn here, went through rn-bsn program. Also have bs in another field. My question (which has been brought up by others recently and is also your question) remains: do any of these studies...
  16. I'm in emergency. Ain't not no ratios for us, not before, not now, not ever. We staff 1:4, but the pts don't know
  17. emtb2rn

    Codes

    We use the standard acls protocol. Primary writes, 1 rn pulls drugs/does electricity, 1 rn pushes drugs/is hands on the pt, 2 techs who rotate compressions, if going for long, we rotate techs...
  18. emtb2rn

    Magnet status...yay?

    Has anyone ever had a patient/family ask about magnet? I never have and that tells me all i need to
  19. emtb2rn

    Are You Where You Thought You'd Be?

    Yep. Knew i wanted to be in the ed. And here i
  20. emtb2rn

    RN-BSN SCAM

    A side note relating to having a bachelors vs an associates. In my first career when i was hiring new employees, i preferred a ba/bs over an as/aas. That was because i felt those who completed a 4...
  21. emtb2rn

    Should ICU get more pay than floor nursing?!?

    So if a icu nurse commands higher pay d/t criticality of their pts, where does that put ed
  22. emtb2rn

    what's your pet peeve?

    Not being able to actually order a stat umbilectomy for that helicopter
  23. emtb2rn

    Struggling

    Congrats. Take what you've already learned and grow from there. Ask for specific orientation goals/objectives so you have a clearly defined path. PM if something comes up that you don't want to...
  24. emtb2rn

    when do you chart?

    After emergent care is done on esi 1 & 2's, i chart the initial care & interventions. I then chart on the fly as i do things. Esi 3/4/5 pts after i them & again on the fly as i do things....
  25. emtb2rn

    Alert, no stick, no BP.

    Pink wrist bracelet that has "LIMB ALERT" printed on it which is placed on extremity that's off limits. Works