Anybody else have an insane week? Monday & Tuesday were really nuts. Packed, ran out of stetchers, pts sitting in chairs in the hallway. My personal high point: pt 1- rapid afib, cardizem drip pt...
Agree with ESI 4, fast track all the way. If it turned out to be more complicated and an admit, no biggie. Happens. What did the person who criticized you think the level should have
It was actually kinda fun. None of that group was in the er when I came in, started them all from scratch via triage, none by bus. #5 was mostly in the hallway until I could get #2 upstairs. Then...
"Pull your pants up or get a longer scrub top or both." "Don't give me a full handoff report when you're just leaving for a 30 minute break. I just want to know which one of 'em might die while...
I've seen stable and unstable hot messes. Usually some flavor of bipolar and/or borderline for the unstableness. I like the term craptapular. Tell us more about your homework assignment and what YOU...
Not silly at all. My hospital has just addressed this issue. Effective 2/1, all md orders (except emergency or telephone) must be put into the computer system by the
We use the setup described by Altra. Works pretty well, we prefer to get the ekg, vitals & weight before sending the ESI level 2's back. Our docs & mgmt have no problem with us calling the...
If you want to be in the ER, then go for it. Everything is a specialty these days, including m/s, so why spend time there if you don't need to? I'm always amazed when people say "i went straight into...
emtb2rn replied to mkblakley07's topic in Emergency
"The Complete Far-Side Collection" by Gary Larson. Must have for anyone in the ER. Check out Ultrascopes. ultrascope.com. Excellent acoustics and hundreds of graphics available. I went with the...
mmmmmm, in the ER we use acls on a daily basis and pals less frequently, more during the summer. BLS is the foundation of ACLS. And the focus in cardiac arrest is quick and competent CPR. BLS=CPR....
Saw that the other day. My thoughts were: 1) this technology is a looooooooo(deep breath)oooooooong way from deployment. 2) as casi said, it would be cheaper to pay for a few more nurses. There's no...
Review ABGs, backwards, forwards and upside down. Mark Boswell gave some good advice on how to focus on your weak areas, that is, shoot for 70% on the discrete areas on practice tests. If you're there...
emtb2rn replied to prmitchell's topic in Emergency
Agree that you can always go on vacation. You know the stress mantra "I'm in my happy place"? Well, if where you work is close to that, you're OK. Disclaimer: my happy place is not where I work but...
emtb2rn replied to greenfiremajick's topic in General Nursing
Another blood story. Hx of etoh, esophageal varices blew, blood on the walls, the computer, everywhere. Wound up giving him 7 units before stablized after clipping. Also found out that the room he was...
Love it too. My usual response when pts ask if I like being a nurse is: "I can't believe they actually pay me to do this." To all, remember that one of the prime rationales for this site is to allow...
One of our frequent flyers came in over the weekend. Has no actual medical hx, just constant vague c/o pain. Many allergies, except to morphine. Anyway, told us had gb removed 2 weeks ago in out of...