emtb2rn BSN, RN, EMT-B

Emergency

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All Content by emtb2rn

  1. emtb2rn

    Elevated K+--insulin?

    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....
  2. emtb2rn

    A & B students!!!

    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...
  3. 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...
  4. emtb2rn

    Biopatch or similar

    Biopatches are required for cvads where I work. Ours come in a separate spackage. When applying, just remember: "sunny-side
  5. emtb2rn

    adenosine for ER nurses

    Where I am, it's given by a doc using a 3-way stopcock for an immediate NS flush. What you describe sounds ineffective not to mention
  6. emtb2rn

    Acls

    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"...
  7. emtb2rn

    Drawing Labs without an order

    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,...
  8. emtb2rn

    New Graduate ER Nurse

    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...
  9. emtb2rn

    med math problem

    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...
  10. emtb2rn

    Deciphering ABG's

    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...
  11. emtb2rn

    3p-3a

    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...
  12. emtb2rn

    3p-3a

    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...
  13. emtb2rn

    Is one year of med/surg necessary?

    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?...
  14. emtb2rn

    RN Grad starting fresh in the ED!

    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...
  15. emtb2rn

    IVs

    :yeahthat:
  16. 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...
  17. emtb2rn

    ER Karaoke

    Awesome. Thank
  18. emtb2rn

    Did I handle this correctly?

    I would have done exactly the same as
  19. emtb2rn

    New Grad & No one will hire me

    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...
  20. emtb2rn

    should I stay or go?

    Go. The job you're in now sounds like a nightmare. Ask your preceptor for specific names to contact at the other
  21. 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...
  22. emtb2rn

    Good ER reference book for new ER nurse??

    Wibobr, Are you talking about the Pepid RN package or a specific ED package? I was out at pepid.com but couldn't find any emergency nursing software.
  23. emtb2rn

    Highest BP you have ever seen on a pt

    While checking the monitor bank the other day saw 269/101. Not mine, other side of the ED, so don't know the
  24. emtb2rn

    New Grad & No one will hire me

    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...
  25. emtb2rn

    Male nurse career advice

    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...