emtb2rn BSN, RN, EMT-B

Emergency

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All Content by emtb2rn

  1. emtb2rn

    I'm not an ER nurse.

    I said "generally" not
  2. emtb2rn

    WE WON! Let us know if you do.

    Headed in for another medical monday. Somehow i don't think we'll win today. I will settle for a tie
  3. emtb2rn

    Undiagnosed A Fib w/ RVR Medication?

    Controlled? No bolus mentioned so I'm guessing the rate wasn't excessive. Cardizem is the gold standard drug for afib. I don't see a need for amiodarone for this pt in the ER
  4. emtb2rn

    ENPC

    Great class. The whole idea of enpc is to assess and intervene the kid so as not to need your pals skills. Respiratory, respiratory,
  5. emtb2rn

    Home med lists make me crazy.

    We do our best to get the med rec done in the er. We use surescripts. 3rs party real time download from participating pharmacies and all pharmacies in our area participate. Doesn't work for snf or the...
  6. emtb2rn

    newER

    Staff 4:1 or a hard set ratio of 4:1? Methinks the former. Which means it's a guideline. When everybody has 4 pts and the squad rolls in with cpr in progress as a chest pain and a new onset facial...
  7. emtb2rn

    Can a pt hyperventilate themselves into resp failure?

    White coat syndrome? Tubed after apneic x5 seconds?!?!?! Isn't that jumping the gun a
  8. emtb2rn

    WE WON! Let us know if you do.

    A 21 carpuject salute in your honor. I'll post if we ever clear house completely. Never seen it happen. 50 bed
  9. emtb2rn

    I'm not an ER nurse.

    My manager hires new grads & experienced er rns. She generally doesn't like non-er rns, says it takes too long to untrain them from the floor to think emergent. In my limited 5 years, i'd have to...
  10. emtb2rn

    Parents!!!

    Isn't the choice to not vaccinate irrelevant? Vaccines aren't entirely safe and I doubt that her children's respiratory illnesses are related to not being vaccinated. To each his own. Not entirely...
  11. emtb2rn

    CEN review-which one to get

    Another vote for Mark
  12. emtb2rn

    From the floor to the ER

    Same setup as one1, you can work any section in our er. That's part of the fun. With kids, numb them if it's not an emergent stick. Emla cream or fluoro ethyl spray. Also use distraction, music, a...
  13. emtb2rn

    5150 holds

    We have separate locked psych area. 5 rooms plus hallway recliners and chairs for a total of 10 possible patients. 1 rn, 1 tech, at least 1 security guard. We're the county psych receiving center so...
  14. emtb2rn

    How are you paying for Nursing school?

    Look specifically for non-needs based scholarships. I was in the same boat because of my wife's income. I got a scholarship which paid for my final year of
  15. emtb2rn

    Ouch. :(

    Vent
  16. emtb2rn

    Fluids in Moderate Sedation

    Civilian ER. Hang fluid for conscious/moderate
  17. emtb2rn

    which math to take

    Take stats. You WILL need it for bsn. Get it done
  18. Same way you get to Carnegie Hall - - - practice, practice,
  19. emtb2rn

    Extremely BAD night...

    Please get in touch with your nm and hr to find out what's available for debriefing. That was a bad bad shift. We're with ya
  20. The other classes round you out as an individual. They, in theory, help you expand your viewpoints, think in different ways and add tools to your toolkit. Nurses write. Nurses also move away from the...
  21. emtb2rn

    Skinned knuckles

    Second skin works very well to cover minor skin breaks and it won't wash off. Agree with tait on next care clear/waterproof bandaids, very
  22. emtb2rn

    Just Interviewed for an ER job and have a question

    Daisy, Am i correct in assuming this was interviewing new grads
  23. emtb2rn

    How often do you have codes on your unit?

    We use acls every day. Quite a few of our patients arrive in what I guess would be rapid response condition on the floor. We usually fix them before they crash. Sometimes their determination to die...
  24. emtb2rn

    Without Orders

    You may want to doublecheck your facility's policy. I'm pretty sure a iic/heplock requires a physician order. It's invasive. Could be wrong, wouldn't be the 1st
  25. To prevent the accidental intubation, I suggest getting DNI tattooed across your upper chest. Solve the potential issue right