LilgirlRN

LilgirlRN ADN, RN

ED staff

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All Content by LilgirlRN

  1. ICU to ER transition issues

    I went from CCU to ER 20 years ago. CCU, everyone was monitored. ER that just doesn't happen. CCU, I knew that the people I was taking care of were legit, they weren't drug seekers (generally). CCu...
  2. What would you do?

    We make sure there is someone with them before
  3. RN experience prior to ER triage?

    On another thread about triage someone wrote about the charge nurse and the triage nurse often have the most experience. I've been an RN for 22 years. It makes me quick and my experience allows all...
  4. Saline flush..saline taste?

    I can tell you from personal experience that there is a chemical taste with NS flushes. Toradol tastes sweet. Why this is, I
  5. Happy Emergency Nurses' Week!

    We get BBQ catered by a local restaurant tonight!
  6. Time to Triage

    Really weird... I came to work today only to be told that the triage nurse will now triage all patients at the bedside. That is until we are full and then I will triage in the triage office. There...
  7. What would you do?

    Really it doesn't matter that you're a new grad or that you don't know this guy. You saw what happened. Tell the truth, "just the facts ma'am" Just know that you aren't responsible in anyway, you will...
  8. Baby Deaths

    The death that that I will never forget was the death of the mother, not the baby. 5 days post section, had fever, abd pain. She coded in the ER when I was in CCU, we went to all codes. We worked as...
  9. Time to Triage

    I'm the designated triage nurse at our facility. The idiots upstairs decided that our security officers should sit at the front desk where pt's sign in (they're lower paid that registration). Ughhh....
  10. Tough Enough?

    Crying is OK! Especially with grief for a child and the family. I always remind myself that I need to be the one who is strong for the patient and the family. It's hard to start an IV with tears in...
  11. This sucks

    mask the patients not the
  12. Best ER Nurse quotes

    Actually from a doctor... "This patient's stupidity is incompatible with
  13. The doctor has to make the determination if the patient is emergent or not. Since opinion differs with each doctor, they are both right (although I'm with you, the patient didn't need an iv etc). The...
  14. Vasovagal syncope with seizure like activity

    Yes, I've seen it. Freaks parents out! There are so many ways to stimulate the vagus nerve... nausea/vomiting, the sight of blood even pain can do it. Hopefully the patients is in the bed when this...
  15. ER nurse/pt. ratio,triage times, & EHS pt. responsibility?

    I work in the second busiest ER in the Birmingham, AL area. I am THE triage nurse. Sundays seem to be the worst day. At times I have 16 in the waiting are that have already been triaged and are my...
  16. ER's Turn Non-Emergencies Away?

    We do this in our ER too. We have quite a number of patients that come in at LEAST once a week. Most of them are either drug seekers or attention seekers. If you come to the ER and tell the triage...
  17. Triage question- what would you do?

    I'd document that she wouldn't tell me a thing. I would also encourage her to talk to me but sometimes that just doesn't work. Some people think nurse are morons. If someone can walk and talk and not...
  18. Triage Rules / Rants

    Three days in a row in triage can really take it's toll.... that's why I am now Baylor and only work weekends. Yeah, I know it's the weekend but I only have to be here for 2 days and get paid just as...
  19. reportable cases in the ER

    I'm not sure how the law in Alabama reads for MVC's, we report assaults and any abuse of course but I've never called the cops to tell them about a car accident unless the family asked me to do so....
  20. add your funny TRIAGE complaints from pts

    What's going on with you today? to an 85 year old woman. "Dr. SonSo sent me over today cause I have a fickling passion." Do what? "Yeah, my bowels ain't moved in a week." (fecal
  21. Male RN-assist with pelvic exams?

    I'm sure that in somewhere among the 16 pages of responses, I have replied at least once. However, I want to reply again. I am horrified at the number of male nurses replying that assisting with...
  22. Emergency Nurses Week

    We got the BEST gift ever!!! Free lunch in the cafeteria !!!
  23. Triage help....

    Give yourself some time in the ER, then you won't even have to ask this question, you'll already know the answer. Remember the ABC's first and foremost. DO they have a competent airway? Are they...
  24. Anyone here tried this littmann on for size?

    I couldn't tell you about that Littman you mentioned. I will tell you this though.... I bought a Littman Cardilogy Model II in 1988. I've replaced the ear pieces a couple of times other than that it;s...
  25. IV size

    When choosing a size for the patient a lot of it depends on what is wrong with the patient. If it's truly a trauma case and we suspect internal bleeding and think that the pt. will need a blood...