Sassy5d

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 your er's do for treatment? Does anyone have it that ...

Cleveland clinic

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 2.. Technically, i would make hypoglycemia that ...

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 think its best practice.

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

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 'out of your scope'. Sheesh

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 say we're hungry or we need to pee so the pt needs...

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 floor. If I had a shot of vodka for every time I was le...

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 say ok, here's a phone, we're working on getting you...

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

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 legality of it, if you give medications without md ord...

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 prescription med to another person without a prescr...

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 your sentence with fear of unvaccinated children. ...

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 unemployed.

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

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

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 trenches..

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 uncomfy.

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

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

^^^^this!!!!!

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 it's higher or lower than your first draw. No idea...

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 satisfaction.. Oh, btw, that doesn't do much for your ...

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 dramatic

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, they return, get a full work up and bam, they are ...