I feel your pain. I can only say that you are ONE person and can't do everything on the crazy schedule that is set forth by companies that rate satisfaction. I often feel like l work an assembly line....
LilgirlRN replied to Scooty Puff Jr's topic in Emergency
When you log onto allnurses and go to specialty to click the ER icon it tells ya how many nurses are looking at the ER portion. "We" always have the most nurses using this site. ER nurses
I always note when I've called the doc about anything especially pain and note if I received an order to do anything. I always chart anything I can do to make the pt comfy such as repositioning, ice,...
In my experience sickle cell crisis, those truly in crisis will drop their O2 sat. We do retic counts too. Benadryl is for itch and just as phenergan does may potentiate the
LilgirlRN replied to Guest219794's topic in Emergency
We're about to start doing this too. There is an ER nearby that gives out beepers like they do at Outback. When you're beeper goes off they take you to the back! It's like I told my charge nurse, if...
I agree with others who've said do TNCC first. Here TNCC is no big whoop, lots of common knowledge things. I'd recommend TNCC, there's also a peds course that ENA does that may be helpful to you if...
I'm in Alabama very near Birmingham. I work in a very busy ER (30 beds, 200-275 pts q 24) After a year of no wage increases the hospital decided that they had enough money to give us all merit raises....
LilgirlRN replied to LilgirlRN's topic in Emergency
How did they take my idea for the clinic? We have no clinic, went in one ear and out the other. Healthcare is just so screwed up. I really wish someone would ask "us" the people who give care daily...
LilgirlRN replied to LilgirlRN's topic in Emergency
Thanks Snoopy for the info for how you do it across the pond. We have some of the same goals. Chest pain pts must have an EKG within 5 minutes of arrival. Average times for door to balloon is falling....
LilgirlRN replied to LilgirlRN's topic in Emergency
Originally Posted by canoehead "I don't think she was posting from work, just giving an example." Yes, what canoe said. We also do fast track, but a PA subs for the doc. PA has a nurse (we're all...
LilgirlRN replied to JOErotorRN's topic in Emergency
I work in a hospital with about 30 ER beds which seem to be full for longer and longer these days. Lots of CYA medicine being practiced here. We've recently opened a room with a couple of recliners in...
LilgirlRN replied to QueensNurseNY's topic in Emergency
As a veteran ER nurse who has worked with numerous new grads... we know that you come to us with just the basics so we anticipate that you'll ask for help. That's just fine with us, we don't want you...
This is what I do.... barring any med allergies.. I take qtips and dip them in viscous lidocaine and put them in the nose for about 5 mins. I spray the back of the throat with cetacaine. I lubricate...
LilgirlRN replied to biker momma's topic in Emergency
31 beds level 3 trauma 6 trauma, 1 holding room aka the crazy room, 6 fast track with a PA, 17 regular beds. We don't usually put pts in the hall anymore, we used to before our ER was expanded. We're...
LilgirlRN replied to LeLeeFNP's topic in Emergency
I suppose it'll always be this way. ER nurses think we're great and ICU nurses think they hung the moon. I think the original question was which do you like better, Icu or ER. The person posting this...
I have the same problem in our ER, only it's not just the techs but the nurses too. I'm old school... if you come to the ER with bellypain then whoever put you in your room should have given you a...
LilgirlRN replied to whichone'spink's topic in Emergency
In my ER we only order things from triage if all the beds are full. We do do accuchecks, EKG's etc, put people on O2 if they left theirs at home (bad pt, very bad pt!). Some of us do flu swabs, rapid...
LilgirlRN replied to ScrubMan0416's topic in General Nursing
I had to have a sympathectomy to restore bloodflow to my left hand. From the top of my head to underneath my breast on the left side won't sweat at all anymore. I'm not advocating this procedure...
As others have said who knows what the job market will be, baby boomers getting older etc. One thing is certain, there will always be sick people no matter if Obama's plan goes into service or not....
I've been in the ED for a long time and sometimes think that I need some sorta refresher course because something will come up that I can't think of the immediate answer to and I'll think to myself "I...