emtb2rn BSN, RN, EMT-B

Emergency

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All Content by emtb2rn

  1. emtb2rn

    Critical care drips

    Levophed a.k.a. "leave 'em
  2. I agree with completeunknown. Haven't used a nursing diagnosis since school. In my ER, we use medical diagnosis terminology not
  3. As I see it, the issue being raised about the OP's post is that post vents about people venting. I see from your profile that you have "lots of management experience". Good, then you should realize,...
  4. emtb2rn

    do you get paid more for certifications?

    Hospital pays for all mandatory cert level courses (acls, bls, pals) but no extra pay. Hospital pays for cert exam (cen, ccrn, etc) and we get $2/hr cert pay. Hospital paid for my enpc class (we see a...
  5. emtb2rn

    Get through it without laughing - dare ya

    I also liked how "offering a pillow" and "offering more pain medication" were used in the same sentence and apparently have the same importance. "hold on you two. Shimmer is a floor wax. And a dessert...
  6. emtb2rn

    Should I become ACLS or PALS certified?

    As an LPN, can you push iv meds? A huge part of acls/pals is drug administration and that includes meds that are critical care infusions once the pt is stabilized. I don't know about the LPN scope...
  7. emtb2rn

    What subject or subjects would you take out

    You take those classes for the same reason your classmates who are accounting majors take them. If you are in a BSN program it means your major is nursing. The degree requires more than just the...
  8. emtb2rn

    MRSA precautions in the ER?

    Welllll, OP, you're talking about your ER, not every ER. If a pt comes into my ER and is known to have mrsa/vre, the computer system automatically pops up a warning (which appears every time you open...
  9. emtb2rn

    Thank you, nurses

    I'm sorry for your loss. Thank you for your kind words. As stated above, a brief note to hospital management about your grandpa's nurses would be
  10. emtb2rn

    Diltiazem

    Push it slow like lasix, over 2 minutes. If the 1st dose doesn't have an effect after 15 minutes, we give another round. Anything beyond that is dependant on the individual
  11. and don't forget about dilaudid for pain. I'm thinking the doc will order 4mg ivp q30 minutes pushed fast with a benadryl 50mg chaser. And a turkey
  12. emtb2rn

    Pre Nursing Student--ER Tech?

    The vast majority of pcts in my er are nursing students. It's great exposure to the field and you will learn many fundamental skills that are the core of pt care. You will also become a true expert in...
  13. emtb2rn

    Ding Dong the Witch is dead

    I look at ceu's as a way to maintain & increase my knowledge, not as punishment. I do about 30 hours a year. Plus my hospital provides us with free access to spectrum and also requires about 15...
  14. emtb2rn

    My Hiatus

    Agree with Lunah, go straight to the ER. I would advise against trying to set up a float to the ER gig unless you have buy-in from all managers. In my hospital, the only floats we ever get are very...
  15. emtb2rn

    ADOLAS

    So, after years of s/s, predating my getting into ems, much less nursing, I have been offically diagnosed with ADOLAS. Yes, the infamous "Attention Deficit Oh Look A Squirrel!". Oh well could be...
  16. I'm a chart hoarder, I admit it. I don't know why, hard habit to break. Just like having them sit next my terminal. It's a difficult habit to break. But I'm tryin' real hard Ringo. We're mostly...
  17. emtb2rn

    ER?

    Lets's put it this way - Sometimes I can't believe they actually pay me to do this job. So, yeah, I like it. A lot. otoh, I love pressure, the endorphin rush, the fast pace, the organized chaos and...
  18. emtb2rn

    Supplies You Can't Live Without

    I carry shears, kelly, carpuject, pda (davis drug, iv & tabers used most) in my pockets (aviators). My tape is hanging from a peds extension on my stethoscope. That's it. Might wind up with a...
  19. emtb2rn

    Starting as an ER Tech, what do you nurses want from me?

    Lots of good advice above. Can't overemphasize being proactive. If you have a list of things to do, EKGs come first. Always. Expect to do a LOT of CPR. You will become an expert. Have
  20. emtb2rn

    Seeking advice from current RN's

    Non-verbal communicatio, conflict resolution and abnormal psych will all come in
  21. emtb2rn

    Since when is it okay to brag about abusing a patient?

    Should've just reported 'em & moved on. Yeeesh. OP, if you really want to hear hypothetical trash talk, hang out next to the pyxis in an ER. Now that would really bring out your inner Lynne...
  22. emtb2rn

    I want to become Male nurse but am under qualified

    Mail nurse. Workin' triage at the post office. Folded, spindled and mutilated envelopes get a full trauma work-up, use a lot of tape too for those minor
  23. emtb2rn

    Blood cultures and antibiotic iv meds

    Our protocol is iv abx within 4 hours of triage for pna. Our computer order set for pna abx actually states "do not administer until blood cultures are drawn". I've never heard of an issue with meds...
  24. For me - ER. Never know what's coming through the door, different pts every shift, see everything, my pt age range has varied from 2 days old to 104 years, get to see immediate results of your...
  25. emtb2rn

    Emergency nursing help

    I would also suggest that the questionnaire have the responders look at themselves. The ER is not for everyone. Here's a few, I know all y'all can come up with more. (no, I'm not from the south, but I...