LilgirlRN

LilgirlRN ADN, RN

ED staff

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All Content by LilgirlRN

  1. Question about Phenergan and tachycardia SE...

    Had a lil ole lady code after phenergan 12.5 IV, she just bradyed down. We did get her back though it scared the crap outta
  2. Flu Cases

    Seeing lots of "A" Rxing Tamiflu, cough syrup or lortab just for the body aches. We've also been seeing the "stomach flu" which I was unlucky enough to have two weeks ago. Ended up in my own ER, 2...
  3. Tips on how NOT to appear like a Drug seeker

    I used to be very judgemental of people who were in "pain" when they came to the ER. If they didn't appear to be in any pain and rated their pain at 10, I automatically assumed they wre drug seekers....
  4. The drug-seeker file in ER

    We stopped doing that years ago. We had "the seeker book", we got sued because of the seeker
  5. My First Day In The Ed And I Feel Like The Unit Idiot!!!

    Don't feel like an idiot, you're not a nurse yet. Your preceptor let you take on too much and perhaps that's a lesson within itself. You can only do what you can do. Some people like making others...
  6. Please ... any ex-ICU, now ER nurses for advice!

    Best thing I ever did was switch from critical care to the ED.... make like Nike....JUST DO IT!! Go to the ER, you'll be glad you
  7. hb2041 in az, help support it.

    My big question is why aren't all states doing what Cali has
  8. Share your ED assessment tips, tricks and routines!

    I suppose the best tip I could give you is this... treat the patient, not the monitor, treat the patient using their history as a guide but remember not everything is set in stone. Don't rush to...
  9. How do you deal with Non-Urgent Patients

    What we've started doing at our ER is.... we screen them out. If they do not meet emergent requirements, they are asked to pay their copay if they have insurance, 110 bucks if they don't. Word has...
  10. NGT placement

    Before inserting the NG tube, I place the end of the tube over the stomach and walk my way back up the tube, I hold the tube up to the nose and then over to an ear. I make a mark on the tube with a...
  11. Where to go from the ER

    Let me know when you figure it out! I've been in the ED for 19 years and I'm burnt to a crisp! I'd like to do something else I just don't know what. I thought about (and applied for, but didn't get) a...
  12. Stupidest reason to go to ER

    Actual, real life and death emergency? Maybe 5%. Really, really sick and don't wanna sick in the doc's office for a work-in, 20%. Could go to the doctor but using the ER for convenience sake (like...
  13. Fibromyalgia

    I have rheumatoid arthritis, one of my doc's put me on Lyrica. I had MORE side effects from Lyrica than from narcotics. He started me out on 75 once a day then twice a day after about a week. I was...
  14. Phone Triage

    Any facility I have ever worked in didn't allow us to give information over the phone, I tell them to call their doctor and if they feel they need to be seen by someone NOW, then come on
  15. Communication

    I don't have time to look through all the threads and this may have been covered recently, it's been awhile since I've been around. I went to a meeting last week, many other depts were there, it was...
  16. Stupidest reason to go to ER

    I may have already responded to this (haven't been here in awhile, and pardon me if I did).. I used to work with a doc who said that TSTL should be a diagnosis.... too stupid to
  17. STEMI..EKG in less than 10 min..

    Hospital I used to work in, if you were over 35 and had chest pain, you skipped the triage office and went to a room.... when available. We have 8 monitored rooms, most of the time I can triage...
  18. Salary questions for AL nurses

    I don't know what the new grads make. I do know that when looking at salary you gotta factor in the cost of living. Alabama has very low taxes on property, some of the lowest in the nation. Everything...
  19. Any Nurses With RA?? How do you Cope?

    I have RA too, I work in the ER. I've gone from ER nurse to working just as the triage nurse in the past 2 years. I've had a tech that could take patients to their rooms, get patients out of the car...
  20. Fibromyalgia

    I don't think it's up to us to say if a condition is real or not. The condition is real to the patient. As it has been said it's diagnosis de jour lately. Also as stated it seems that depression is a...
  21. how does your triage work?

    The way our triage works is this... patient comes in fills out a fast registration form that tells their name, social, address and what the chief complaint is, gives to registration clerk. Clerk...
  22. RN's w/chronic pain, using narcotics

    Many people who take narcotics for chronic pain function just like anyone else, their medication does not make them foggy and in many instances opiates can act like medication for ADD and help people...
  23. ER Nurses Treated Different in my Hospital!

    OK, how in the world did this thread go from ER Nurses Treated Different in my Hospital! to discussing girls and bitches? To the poster of this thread. I have been a nurse for 18 years. 2 in CCU the...
  24. What's the Youngest CAD/MI Pt. You've Had?

    Yeah, you just never know. You never know who's been doing tons of meth or smoking crack, snorting coke etc. Those are the young MI's that I have seen. Yesterday we had a 17 year old that woke up in...
  25. spooky spooky spooky

    I recently dreamt that my aunt was sick and in the hospital. In my dream she was lying in a hospital bed and she had all this stuff that looked like slime or pus allover her. One of my other aunt's...