emtb2rn BSN, RN, EMT-B

Emergency

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All Content by emtb2rn

  1. emtb2rn

    Objective/ Subjective data

    To follow up on Esme's excellent comments: sYmptoms - You tell me sIgns - I
  2. Ask your manager if you can borrow Sheehy's. You "probably" will go through the ENA orientation program as part of your orientation. Get ACLS & PALS on their dime, not yours as they're going to...
  3. emtb2rn

    how to ask patient for pain scale score correctly?

    I often uae the classic "on a scale of 0 to 10, with 0 being no pain and 10 is you're being mauled by a bear, how would you rate your pain?". I also document what the pt is doing/how they appear to go...
  4. emtb2rn

    Common ER abbreviations for charting

    gomer - get out of my er tstl - too stupid to live ctd - circling the drain tntc - too numerous to count (useful when charting a cutter) echphm - extra cheese half pepperoni half mushroom sk/ft - slip...
  5. emtb2rn

    2 glove technique? HUHH?

    Anytime i do a sterile technique, mostly foley, straight cths & trach stuff i put a pair of vinyl gloves on, then the steriles. When i'm done with whatever was sterile, i can pull off the gunked...
  6. emtb2rn

    What do you pick for breakfast?

    Jimmy Dean sausage, egg, cheese & biscuit followed by a glass of kefir or a chobani yogurt. Or a pbj on a bagel. Lots of
  7. emtb2rn

    drunk EDO

    Hold until sober or a (sober) ride comes in to pick them up. If talking self-harm, automatic hold until sober and can get psych eval. We get a lot of sad drunks who retract their si statements when...
  8. emtb2rn

    Fast Track Nursing

    We have 1 rn who works only fast track. She's been an er rn for over 30 years. She doesn't want to work the main er anymore. She's awesome and is an incredible resource. Our boss was smart to make the...
  9. Reminder, this is a vent thread for ER nurses to talk about the folks who should not have come to the ER. Like the guy who showed up last night c/o possible coughing up blood x1 last week, no current...
  10. emtb2rn

    nclex review for ALL tests

    Every test I took in nursing school was nclex style. I personally liked the Davis nclex review as it had a cd with like 2,000 questions. You could choose the topic(s) you wanted to review. I used this...
  11. Our set up (not including fast track) is 1:4 for emergent and 1:3 for urgent. Urgent gets the brunt of hallway pts so the initial ratio is lower but will double when we're rocking. We practice prn...
  12. emtb2rn

    Rude ED Doctors

    So was this an als run or a call for transport bls run? Did you specify what you wanted or really say "run all possible xrays, tests, etc"? Do y'all even know what that request means? ER docs don't...
  13. emtb2rn

    Rude ED Doctors

    So you as a CNA, actually called the ER and told the doc how to do her job? Pretty ballsy. The ER doesn't cover YOUR bases. We work up the pt based on the complaint, pt hx, the exam and the results...
  14. That nursing 101 crack is pretty snarky. And now we're back to interrupting a med
  15. Ribs. Dry rub. BBQ over indirect heat. Slather with Sweet Baby Rays. Donuts are good
  16. emtb2rn

    Lost my first peds pt

    This kid will stay with you, the first ones do that. Part of the growing process as a nurse. Peds codes are the worse. With ya
  17. emtb2rn

    Nurse/Patient ratio in the ED?

    Manager does staffing based on average census. It's been unusually busy the past few weeks, so we've been getting additional staffing. Yeah
  18. emtb2rn

    Preparation/advice for precepting student?

    In my er the externs/preceptorships are there as students with the same restrictions as in clinical rotations. So it's a learning experience Ask questions, offer to help, learn where supplies are...
  19. emtb2rn

    Giving/getting report

    ER can very well be: suspected/known dx, location of iv, meds rec'd & pending test or
  20. emtb2rn

    Triage Handoff

    Verbal
  21. emtb2rn

    What do you want your CNAs to do in a code?

    Compressions. Nobody does it better than an ER
  22. What, you don't like heart rates in the
  23. emtb2rn

    Nurse/Patient ratio in the ED?

    Agreed. Totally unacceptable. Even in fast
  24. emtb2rn

    RN or EMT-P?

    NP's in the ER don't usually work with critically ill/injured pts. A life is only saved when the pt leaves the hospital alive. One person does not do it all. Emergency medicine, pre or in hospital,...
  25. emtb2rn

    Help! In over my head?

    Agree with last 3 posters. Dive in, ask questions. Nothing scarier than new grad who has no questions. Hang in there. Seek