Offhand, do you remember where you read about the bicarb? My ER docs generally include bicarb in the hyperkalemia order. It's hit or miss with the kayexelate depending on who's doing the ordering....
First of all, everybody has a different study style. You need to figure out what works best for YOU. I was a B student. Had a steady 93% average, but an A was 94%, so there ya go. My method was to...
Well, I'm 3 months in to my 1st job. Next week is my last week of orientation and then I'm on my own. Been getting good feedback from my preceptors, other nurses, management, docs and patients. Not...
Definitely take the basic telemetry class first. While you can easily pass ACLS through rote memorization, it's far better to understand why you are doing something then to just go with the "if then"...
My ER has standing protocols developed by our ER medical director and our NM that allow RNs to initiate orders for certain critical situations, i.e., acute abd pain, code/MI, stroke, etc. This way,...
We run drips in the ER (whatever drug worked on the code/MI is now the drip until we transfer to the CCU), we communicate with physicians all the time (our docs seek out & take the our input very...
Please show us how you're figuring these out & where your confusion lies. This looks like you're asking us to do your homework.... Also, you have an RN in your screenname, are you still in...
My 1st step is to line everything up on my trusty paper towel: pH 7.35-7.45 CO2 45-35 HCO3 22-26 I then put a dot in the respective place for each value (yes, the CO2 is flipped around, this...
I will be moving from days (7a-7p) to not sure what to call it (3p-3a) next month. New grad, 14 week orientation, 1st 12 weeks 7a-7p, then 2 weeks on my true shift 3p-3a before orientation ends and...
Thanks for the input. My commute is 6-9 minutes, depends on how many red lights I get. Should be interesting. So far I love working in the ER. Excited yet scared to be on my own next month. Very...
First of all: Lighten up, Francis. It actually does sound like you're full of yourself. Also sounds like your experiences are very limited. How much experience are we talking here? Student? Tech?...
emtb2rn replied to roses1130j's topic in Emergency
As someone who's currently 11 weeks into a 16 week orientation in the ER, let me just say this: Ask questions. I've found that virtually every RN, MD & PA in my ER loves to teach. Take advantage...
Not sure I really understand your question. Are you asking how to avoid calling a code? If so, then being aware of your pts and proactively managing any deterioration in condition before they...
Somerset Medical Center, in Somerville, is hiring new grads. Apply online at http://www.somersetmedicalcenter.com/body.cfm?id=470 and then followup with a phone call. Very glad my school pushed us to...
Made an insulin error on Friday evening. Sugar was 321, looked at sliding scale and there were 2 orders (we are totally electronic) that conflicted with each other. I got distracted by verifying the...
The shortage appears to be geographical. Here in NJ with all the hospital closings and schools, there is no shortage of experienced rns or new grads. In my orientation group of 34, 13 were new grads...
You should be able to shadow a nurse. Is your hospice associated with a hospital? If so, contact the nurse recuiter and explain what you want to do. If not, try contacting some local hospitals to...