LilgirlRN

LilgirlRN ADN, RN

ED staff

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All Content by LilgirlRN

  1. ER stories

    Try the Echo Herron books.
  2. Advice to the LTC nurse...

    I would suggest putting together a form that details a report so that you don't leave anything out... Pts Name Age Drs name Nurse name Facility's name phone number where you are calling report from...
  3. Your ER policy on giving rides home

    How in the world did this go from do you provide a way home for your patient to us (ER) mistreating people? No, we do not give rides home. Never. It's a liability
  4. Triage shifts: how long/how many pt.'s?

    Triage 12 hour shifts 3 times a week. Love
  5. new to the ER with a question for you experts :)

    Our administration will no longer let us go on diversion. Doesn't matter if there is not ONE bed left in the house. To me, this seems to violate EMTALA. If we knowingly accept a patient from the field...
  6. Intubation Question

    ACLS!
  7. Triage

    I used to be the RN that routinely did triage. I have 20 years plus in the ER, easy for me to say who goes where, right? Then we got a new doctor group. They're emphasis is on speed. To me this is...
  8. CEN, ENA, TNCC

    TNCC, easy, don't sweat it. Lots of common sense
  9. Triage without an office

    This may have been asked and answered but I'm lazy and don't wanna look at all the ER stuff to find out. I work in an ER where we see about 150-200 folks a day. The ER doctors don't work for the...
  10. SPIT AT....AGAIN!

    Being spit on on your clothing can be wiped off. If you can't get him/her to stop using legal avenues, protect yourself with the face shield. You can put on garb for isolation to protect your...
  11. What's with the drug shortages?

    here it's Bumex instead of Lasix
  12. Inept New Grads?

    We take new grads in our ER, most have done their preceptorship here. My take on it is this... NG's are a blank slate. I don't have to unteach them things that they may have learned elsewhere. I...
  13. Rules for the ER (long)

    If I call your name for triage and you're outside talking on your phone or smoking.... I'm skippin'
  14. Most of what I do everyday has nothing to do with just about anything they teach in nursing school. I work in the ER, we got no careplans unless you call treat and street a care plan. We don't use...
  15. Blood Pregnancy test needed?

    yes the patient comes in with c/o belly pain, nausea vomiting etc. when really she should just say that she doesn't believe the home test or she doesn't want to wait at the health
  16. when to call a code

    Is the patient still alive? Then you did the right
  17. Post Arrival Gait Disturbance Syndrome(PAGDS)

    Oh yeah, me too. I love to quote them. Whatever they say that I think is relevent I put quotation marks around it. Love it when the abdominal pains have to wait for a room and I chart that they're...
  18. What Are THE Major Pediatric ER Points

    Bringing 30 years of ICU experience to the ER! You'll be a godsend! Don't let the pediatric population scare you. I'm going to assume a lot and assume that you are a parent. You know what a sick kid...
  19. Being a nurse and being a military medic definitely don't compare... it's like oranges and apples. You do things everday that I will never do in a lifetime and I do things that you can't do because I...
  20. The trauma I cant let go of

    You did the right thing by posting here! You need to talk about this. Maybe you do need to cry, we all get choked up by something tragic. We're nurses and we're strong people but we're human too. I've...
  21. does any nurse do EJ's in the ER

    Never done an EJ though some I work with say we can. Have no idea what the policy is. I've started thousands of IV's some in weird places... a boob for example, shoulder, feet, ankles,
  22. Funny Sign In Slips

    "I have poison ivy in a place it shouldn't be." Ok, where do you have it? "My as$hole" Uhmm ok, tell me the whole story. "well see, my BF had been cutting grass all day and he came home and we had...
  23. Bad code

    We may not ask for a blood sugar in someone who we know their medical history. However, if we are fighting a losing battle D50 is one of the things we throw at the situation. Sort of a shotgun
  24. What is your Nursing Kryptonite?

    Ya know, you're taking care of the poor lil old man from the nursing home. He's dried up, dehydrated, feverish. I'll think he's comatose and then he opens his mouth to speak and has those white...
  25. How do you triage? How do you assign levels?

    Yeah, we do the resource thing too but just started it. I am reluctant however to make someone we see once a week with belly pain a 3. SSDD ya know (Same Sh*t Different Day). With resources in mind...