Sassy5d

Sassy5d

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All Content by Sassy5d

  1. Input about gastroparesis

    Sassy5d posted a topic in Emergency

    I've been having what seems like an abundance of Pts lately with gastroparesis. I'm really trying to understand it. I *know* what it is but I'm feeling like I'm not doing my Pts any good. What do...

  2. ED Nurse Residency programs in OH

    Sassy5d replied to guest901464's topic in Emergency

    Cleveland

  3. ESI Triage Question

    Sassy5d replied to widi96's topic in Emergency

    Im sure there's a link on google somewhere for the official triage system of number ranking. Many times that makes people's triage esi number higher, as in the cheeto eating c/o 10/10 pain would be a...

  4. What is correct way to do gastric lavage using NGT?

    Sassy5d replied to rearviewmirror's topic in Emergency

    We have a gastric lavage kit. Use liter bags of ns. Instill ns, the bottom bag is clamped. Unclamp and repeat until about 3-4 liters were used. I hate it. There are some older providers that still...

  5. MetroHealth Cleveland ER

    Sassy5d replied to QuiltDog's topic in Ohio Nursing

    You need a nursing base to work in metro ER and a

  6. Cleveland Clinic orientation exam questions?...

    Sassy5d replied to lullaby's topic in Ohio Nursing

    Sure, refuse. Then find another job. Your job does not depend on these tests. The test see's where your understanding is and then shows you where you need improvement. It's to HELP you. There is no...

  7. Relationships with floor nurses?

    Sassy5d replied to theantichick's topic in Emergency

    We have a 10 minute policy. 10 minutes from bed assignment to report. The ER doesn't close. We don't get to turn away patients. We can't tell EMS that the bed is dirty and they have to wait. We can't...

  8. Flow improvement

    Sassy5d replied to RNCEN's topic in Emergency

    Besides the fact that many times, there is a critical patient being worked on while a non-critical patient is waiting to be dispo'd, the biggest barrier I find to admit to removal from ER is the...

  9. transportation issues

    Sassy5d replied to countyERNICU's topic in Emergency

    It's amazing, isn't it? I would imagine it's whatever your hospital policy is. To be honest, I'm not exactly sure what my policy is. But I feel your vent. Many times, I pop my head in the room and...

  10. Diluting IVP Natcotics?

    Sassy5d replied to _Andvari's topic in Patient Medications

    Always dilute. But unless they are in heart failure, I always have IV fluids

  11. Ethical question-WWYD?

    Sassy5d replied to mmc51264's topic in General Nursing

    Your child was prescribed glucagon and instructions provided by their doctor. It would be out of your scope to give glucagon to another person. I know this sounds silly, but way down deep in the...

  12. Ethical question-WWYD?

    Sassy5d replied to mmc51264's topic in General Nursing

    That's a tough one. You would essentially be giving someone a prescribed medication at the wrong dose, to someone without a prescription. (Out of your scope) You can't advise a lay person to give a...

  13. Anti-vax nurses? Are you serious?

    Sassy5d replied to dinah77's topic in Disaster Preparation

    This circular argument is really dreadful. If you can't make your point without using negatives words, your argument is invalid. Screaming that people don't vaccinate out of fear and then following...

  14. When did it become OK to treat your nurse like poo?

    Sassy5d replied to paramed1's topic in Emergency

    Sometimes I just want to ask patients soooo bad how they would handle someone coming into their job and acting the way they act and how it makes them feel. Then I remember that most of them are...

  15. "Holiday/year end" gift

    Sassy5d replied to BonhamsGhost's topic in Emergency

    There's always time to go back to school and become a doc or PA so you don't get any more ice

  16. TRIAGE

    Sassy5d replied to canoehead's topic in Emergency

    Yes we stay in for 12 hours. My Place does not tend to utilize triage protocol orders like labs. Sometimes I order streps and

  17. Frustration: taking over patients

    Sassy5d posted a topic in Emergency

    Just venting. How the universe can be thrown out of tilt simply by the staff member you are taking over for... And it takes you sometimes hours to dig yourself out of the

  18. Stroke vs overdose

    Sassy5d replied to joe007's topic in Emergency

    I hope I never have to be placed in that position again. But I looked it up, intoxication is not an exclusion or reason not to give TPA.. I was

  19. Stroke vs overdose

    Sassy5d replied to joe007's topic in Emergency

    How about TPA for a person with Alcohol level over 400? That was my oddest. I wouldn't have thought acute

  20. Fix me NOW (but on my terms or I'll leave AMA)

    Sassy5d replied to HikingEDRN's topic in Emergency

    Tonight it was we were the best hosp ever cuz we didnt have 6 hour wait times..

  21. Rules for Triage

    Sassy5d replied to Anna Flaxis's topic in Emergency

    ^^^^this!!!!!

  22. shotgun knowledge from emergency geniuses

    Sassy5d replied to tarotale's topic in Emergency

    Lactic doesn't always indicate infection. First draw is your baseline. 2nd draw indicates if your interventions are helping. If you wait to draw lactic, and say it's 4. That info is more helpful if...

  23. Emergency room RN minimums in Texas

    Sassy5d replied to starsky3501's topic in Emergency

    Any time/any part of nursing, if you drop staffing.. They are going to freak. Safety concerns much? Sheesh, I bet those dumb nurses really complain when you lecture on core measures and patient...

  24. Rules for Triage

    Sassy5d replied to Anna Flaxis's topic in Emergency

    I'll take all the fluffy cc.. Just eliminate the dramatic pts who come to the window and act like they are dying so I get them back quick. I have yet to master the 'art' of really sick vs

  25. Let's check everything!

    Sassy5d replied to psu_213's topic in Emergency

    Isn't it ironic though, that it seems to work this way... Pt x comes in with vague complaints. They don't get a work up. Give em some po meds and watch em. They feel better and go home. 3 days later,...