emtb2rn BSN, RN, EMT-B

Emergency

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All Content by emtb2rn

  1. emtb2rn

    CERNER VS PICIS EDPulseCheck - NEED SOME QUICK HELP!!!!

    emtb2rn replied to ERpinup's topic in Emergency

    Firstnet is not a plug & play app It needs a LOT of finetuning to be efficient. We've had cerner in house for 5 years, modified it to our liking for the er. We went live with firstnet this past...
  2. emtb2rn

    Maybe I just don't know...

    emtb2rn replied to Kdids520's topic in Emergency

    Agree with esme (as usual) on checking local protocols. Most pts with hx of multiple days n/v are going to get fluids but not all (don't want to flood the chf). So, know your protocols and use good...
  3. emtb2rn

    My 4 hours as the ED lobby nurse

    emtb2rn replied to libran1984's topic in Emergency

    While I hear ya on the stories and being in the box, I'm not sure why we need to know some folks are black.... What's it
  4. emtb2rn

    New Grad Advice

    emtb2rn replied to krocks1218's topic in Diploma, ADN, BSN

    Seriously? No disrespect to PCTs but seriously? Whoever told you that has no idea what they are talking about. I very much doubt that statement is true. By that logic, a CNA/PCT with 20 years...
  5. emtb2rn

    How extensive can RN discuss with patient

    emtb2rn replied to Born_2BRN's topic in Patient, Colleague Relations

    I should have been clearer. I will not deliver abnormal results to the pt, especially the dx. That IS the docs job. I'll let pts know everything has come back wnl, if that's the
  6. emtb2rn

    DIAGNOSIS

    emtb2rn replied to GitanoRN's topic in General Nursing

    craniorectal impaction. Unfortunately we see it all too
  7. emtb2rn

    When will people learn NOT to say the "Q" word...

    emtb2rn replied to OnlybyHisgraceRN's topic in Patient, Colleague Relations

    I have experimented with muttering "sure is quiet" on quiet nights. Sometimes something happens, sometimes it doesn't. Here's my question: How come if someone says "it sure is busy", it doesn't slow...
  8. emtb2rn

    How extensive can RN discuss with patient

    emtb2rn replied to Born_2BRN's topic in Patient, Colleague Relations

    I will not inform pts of lab, scan or dx results. If asked, I tell then that I can't as an RN and the doc will be in shortly. You do not want to be the one informing the pt that something came back...
  9. emtb2rn

    Obligated to report if taking care of an illegal immigrant with a fake ID?

    emtb2rn replied to Salisburysteak's topic in Patient, Colleague Relations

    Not something I have to report from the ER like animal bites &
  10. emtb2rn

    JCAHO, how you annoy me.

    emtb2rn replied to brainkandy87's topic in Patient Safety Issues

    Only thing worse than jcaho is the state. Jcaho can snarl & write you up but the state levies
  11. emtb2rn

    Verbal Abuse...I Gave What I Got...

    emtb2rn replied to abundantjoy07's topic in Emergency

    Assault on hospital staff is a felony in my state. I explain that in very simple direct terns to non-psych pts & families. Usually works, if not, I call security. Can't fix stupid. And it sounds...
  12. emtb2rn

    Those that have taken CEN - a few questions

    emtb2rn replied to klmfbp3's topic in Emergency

    Lippincott book/cd, Boswell book. BCEN 150 question practice test. No review class. Hard test, covers a lot of ground but mostly what you do daily. I'm doing the ceu route to
  13. emtb2rn

    Would like a few answers from ER nurses

    emtb2rn replied to missymiss's topic in Emergency

    Staffing is key. You need a float to cover meal breaks. I don't care about the 15 minute breaks as we can eat/drink at the desk, unless jcaho or doh is around. But I do want that 30 minutes of chill...
  14. emtb2rn

    Day of Codes

    emtb2rn replied to libran1984's topic in Emergency

    Good job. We call that kind of day
  15. emtb2rn

    Nurse/Patient ratio in the ED?

    emtb2rn replied to jlan79's topic in Emergency

    Seriously. If those are normal ratios, I'd be looking for a new
  16. emtb2rn

    The ER Doctor's Point Of View

    emtb2rn replied to Erdoc75's topic in Emergency

    Agree with flyingscot & altra. I also smell a troll. And if you are actually a doc, let me ask you how many times a nurse stopped you from killing a patient because you mixed names and
  17. emtb2rn

    Nurses love to give...

    emtb2rn replied to Joe V's topic in Nursing Humor

    Rabies series, 1st round. Weight based. If you're big, could be looking at 6+ 3 mL IMs. One right after the
  18. emtb2rn

    I'm so disappointed; CEN exam

    emtb2rn replied to VICTO3841's topic in Emergency

    Another vote for Mark Boswell's
  19. emtb2rn

    African American male here. I have some questions for my fellow nurses

    emtb2rn replied to Shack502's topic in General Students

    Agree with a lot of what's above. NS isn't rocket science but there is a LOT of material. Don't memorize, understand. Makes it easier to figure out what's wrong with the pt & what to do. This...
  20. emtb2rn

    Motivating the Nurse in All of Us

    emtb2rn replied to Joe V's topic in Nurses Rock

    I personally think the motivational posters & sayings are stupid. Except for the "Demotivators". Those I like, especially "Mistakes - It could be the purpose of your life is only to serve as a...
  21. emtb2rn

    Stuttering Stupid Nurse

    emtb2rn replied to pearlgarden's topic in Patient, Colleague Relations

    I get the same type of fog as jazz, either tongue tied or tripping over the words. No real cause I've figured out, just happens. I stop trying to talk, take a deep breath & start again. I agree...
  22. emtb2rn

    Common ER Meds

    emtb2rn replied to ER-RN2's topic in Emergency

    And don't forget the med most pts take before coming to the ER (esp when c/o fever) -
  23. emtb2rn

    Nurse/Patient ratio in the ED?

    emtb2rn replied to jlan79's topic in Emergency

    How's that work? What happens when everyone 's at 4:1 & a couple of als buses pull
  24. emtb2rn

    Nurse/Patient ratio in the ED?

    emtb2rn replied to jlan79's topic in Emergency

    It depends. If you're in fast track, 7-8 pts is fine. However, in the big show, that many pts as a normal everyday load is dangerous. Outside fast track we staff at 4:1. Depending on the budget &...
  25. emtb2rn

    Need to vent!

    emtb2rn replied to RNin10's topic in Nursing Professionalism

    You did the right