LilgirlRN

LilgirlRN ADN, RN

ED staff

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All Content by LilgirlRN

  1. is this what its really like? 2 wks in...

    LilgirlRN replied to chicagobsn's topic in Emergency

    The ER is very chaotic.... the best way for me to describe what we do in the ER is controlled chaos. If you're not happy with your preceptor, ask the charge nurse to change you. Everyone has their own...

  2. Tough time with senior co-worker

    LilgirlRN replied to Dempather's topic in Emergency

    When we get someone new in, I feel like it's our job to help train the person. Even if you had years of floor experience, it's not the ER, we do most everything differently than anywhere else in the...

  3. Strange things found on (or in) a pt.

    LilgirlRN replied to squeakykitty's topic in Emergency

    I had a patient come to the ER after putting a spermicidal suppository in her urinary meatus instead of her lady parts. She was young and thought sex was supposed to hurt. I had to catheterize her and...

  4. stupid question 1075 - b

    LilgirlRN replied to bigreddog1934's topic in Emergency

    If your IV is running KVO, then it can become a problem. The BP cuff can cause blood to back up and may indeed clot your line off. I've seen it about a gillion times and had to restart IV's on the...

  5. Question/Concern about pt and Dilaudid IVP

    LilgirlRN replied to Christy1019's topic in Emergency

    I've put IV's in thumbs when I could find nothing else, for KCL though I think I would have requested the doc put in a central line. Could also be that the dilaudid was leaking out into the tissues...

  6. Phenergan Supp given to toddler; child dies

    LilgirlRN replied to Mom23's topic in Emergency

    The only problem I've ever had with phenergan was with an elderly patient and it was given IV. My pediatrician didn't like phenergan for his patients so we often ended up with Tigan suppositories. My...

  7. I'm going to probably open a can of worms here, but I want your opinion

    LilgirlRN replied to dspring's topic in Emergency

    Would I knowingly give someone who is Jehovah's Witness blood products? No. Would I tell a Jewish or Muslim person that the heparin in pork-based? I probably wouldn't have ever thought about it. If...

  8. OPINION PLEASE-er triage situation-overwhelmed!

    LilgirlRN replied to Uptoherern's topic in Emergency

    Get your ER director to buy t-sheets, they prompt you to ask the right questions. However, a place where I used to work, we used t sheets but if I had 5 or more waiting I only had to fill out the 1st...

  9. How many visitors in the ED?

    LilgirlRN replied to twright's topic in Emergency

    The book says 2 at a time but because no one ever enforces it there may be 10 in a room with a patient. They also allow the whole family in during a code, so they can see that we did everything we...

  10. pain in the ed

    LilgirlRN replied to MAGIK GIRL's topic in Pain Management

    Ya know I used to have people come to the ER ( Ijust do triage now, I don't have to take care of them in the back) mostly women with fibromyalgia who would say, "I have pain medicine at home, I take...

  11. RN's w/chronic pain, using narcotics

    LilgirlRN replied to SRbear's topic in Pain Management

    Tracy, I can believe anything could happen in hospitals! I have chronic pain and am on medication for it. Because of my pain sometimes I do not sleep for nights at a time even though I take Ambien, I...

  12. Tolerance wearing thin in Triage,Help!

    LilgirlRN replied to concededrn's topic in Emergency

    Every time I go to work I work in triage. Why? Cause I asked to be put out here by myself for the most part, permenantly. I have rheumatoid arthritis and ankylosing spodylitis so it's musch easier...

  13. Warning Nurses! Holding It All In Can Kill You!

    LilgirlRN replied to Nurse_Advocate's topic in Health, Stress Management

    I am THE triage nurse for an ER that sees (usually) at least 80 people during my 12 hour shift and I triage 80% of them. Many times we are full to the brim in the back but the patients just keep on...

  14. Stupidest reason to go to ER

    LilgirlRN replied to DachRN's topic in Emergency

    Not get off topic but... If someone comes in with a headache I always ask if this is the worst headache they've ever had. We had a coworker (not a nurse) that had a terrible headache and although we...

  15. 18 gauge insertion

    LilgirlRN replied to Murse7's topic in Emergency

    When I worked nights I would get called allover the hospital to gain IV access for a patient. To me, 18's aren't always the answer, put in what you can get in until you pump them up with some fluids....

  16. I Need Some Advice

    LilgirlRN replied to SupeRNursERatchet's topic in Emergency

    CEN is great for personal achievement, here it doesn't increase the hourly wage one cent so I've never attempted to take it. I have ACLS, PALS, TNCC because I have to, my job requires it, and again,...

  17. "Tips for the ED Drug Seeker"

    LilgirlRN replied to loricatus's topic in Emergency

    If I had a dime for everytime I've heard someone say, "I'm allergic to toradol, ultram and darvocet," "the only thing rthat ever works for me is that... oh what's the name of it... oh I'm in so much...

  18. Why do I keep doing this?

    LilgirlRN replied to Dave11's topic in Emergency

    It sounds like a bad situation but it's like "they" say. They can only give you as much sh*t as you're willing to take. I have been in your position before, in most cases whatever needed to be done I...

  19. Question for the experienced ER RNs

    LilgirlRN replied to nursemommyof3's topic in Emergency

    MOst nurses would tell you to stay on your floor and gather experience that can be used in the ER, however, if you want ER go there. With the nursing shortage as it is you can always go back to the...

  20. Streamlining triage-required questions

    LilgirlRN replied to vampireslayer's topic in Emergency

    We use T sheets in out ER, you can google the T system if you don't use it in your ER. It asks all relevent questions depending on complaint. However on some complaints they ask personal questions...

  21. Miss pronounciations of medications and medical terms!Way to Funny!!!!!!!!

    LilgirlRN replied to rgroyer1RNBSN's topic in Emergency

    I frequently triage patients who have vomickin and direaer which is made worse by their bleebin heemeroids. "they usually gimme that finnegan when I comence to vomickin." "scuse me ma'am, he dunn...

  22. ER Nurse Salary??

    LilgirlRN replied to honeyrosc's topic in Emergency

    If she is the "head ER nurse" it may be possible. One place I worked paid the managers "incentives" to keep costs down. My boss was very good at it. She had a brand new home and a lake home

  23. Student politely asking for help

    LilgirlRN replied to Shenanigans's topic in Emergency

    I actually took care of a woman who had had an abortion earlier in the week, came in with bleeding and terrible pain. They had taken an embryo from her uterus when she had an abortion but evidently...

  24. Do you let ambulances drop off in triage?

    LilgirlRN replied to Anagray's topic in Emergency

    Unfortunately yes.... I've patients go from the ambulance to a wheelchair in the waiting room, IV in their arm when we have no bed to go

  25. Trauma Case Study--any tips on prioritizing care from the pros??

    LilgirlRN replied to isis73's topic in Emergency

    Concurs with