LilgirlRN

LilgirlRN ADN, RN

ED staff

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All Content by LilgirlRN

  1. Retired RN from AL with a question

    I retired from nursing about 5 years ago. Back then if a patient came in with drugs on them we didn't call the cops because of HIPAA. A troubled family friend bought Fentanyl. Couldn't wait till he...
  2. Triage times (under 3 minutes)

    Under 4 minutes you're gonna miss something. With triage like you're talking I would have to redo everything myself when they got to a room. Plus, most patients wanna tell you ALL about it. You can...
  3. IV forms of Zofran and Decadron given PO???

    Have done IV Zofran PO when there was abug going around and we were out of the PO version. Tasted bad but
  4. Get ready for a different kind if rat race. You have more patients on the floor but also more time to get things done. Everything in EDland is stat. Everything is in hurry up mode. The only thing...
  5. Retired RN from AL with a question

    He alrready is. Thanks. Mental illness + addiction often go hand in hand but also often disastrous together. I really fear for his
  6. Green
  7. Some Days I Can't Stop Crying

    I was en ER nurse for 25 years. You stuff things in the back of your mind somewhere so that they don't bug ya all the time. I was in the car with my BF close to where I worked years ago and a memory...
  8. why do nurses hate medics?

    Just my 2 cents worth here.... yes, shoot the messenger. Get out of my way messenger, this is my patient now. I just got report from you when you called in. Unless something drastic has happened since...
  9. How do I handle poor standards of care at a new job?

    Standard of care is what any prudent RN in that given situation would do. What if the patient WAS having an MI? You knew she was having chest pain but didn't do an EKG? They could eat you alive in...
  10. I live in Alabama. This was a couple of years ago. A patient on disability using her smart phone to look for some where new to live. At the time, me, a gainfully employed person did NOT have a smart...
  11. Help

    I'm a very experienced nurse, more than 25 years. I was fired from my last nursing job for something really stupid. Facebook. At the time I was taking Ambien for sleep and posted about a code and...
  12. Help

    No action was taken by the board, no one was hurt. The place I worked has a very strict policy about social media and they decided to make an example out of me. Had I been the unit manager I would...
  13. Patient responsive but in cardiac arrest

    Obviously the thump
  14. Patient responsive but in cardiac arrest

    I had a patient in 3rd degree block suddenly go into this weird, wide, S L O W Vtach. I thumped her, she yelled at me. Why did you hit me? Complained to her family, family complained to unit manager....
  15. Kaplan Question Trainer 7 score..

    You'll do
  16. Kaplan Question Trainer 7 score..

    Dear Tired, Stop studying, stop worrying. Even if its for just one day, play, have fun, do whatever YOU like to do! If you don't know it by now..... I've been an RN for almost 26 years. Back then we...
  17. Moderate/severe depression

    Sounds like you are reacting normally to very stressful situations. I doubt that I would be doing any better than you are and I'm not bipolar. You're doing everything you can do to feel better. When...
  18. Being directed to get a patients son a ride home

    I can see your boss's dilemma, its a legal one. Doesn't want the unit to be responsible for him but at the same time (as others have mentioned) I wouldn't send a 13 year old home alone. I&D of the...
  19. What do you do when Work calls on your day off?

    Depends on if I need $$ and how much$$ are they willing to depart with. If I'm not in need I don't answer the
  20. It was a nurse

    Nurses don't diagnose officially, but there have been many times when I got the correct diagnosis and the doc did not. Sometimes a diagnosis that the doc has never even heard of. But like you, I hate...
  21. New ER nurse...is there any hope for me?!?!

    ER is different than any other place in the hospital. You have to know a little bit about everything. You also have to give up the feeling of control that you have in the OR. Accept that you aren't...
  22. IV Therapy

    Most ER's have standing orders for just about anything except medications. ie... 40 year old female with abdominal pain, nausea would get at least a saline lock, UA, UCG, CBC, chemistry, amylase and...
  23. Lining and labs/ hemolyzed specimens

    Oh yeah and sometimes I just pop the top off the tube and let the blood just flow into the tube with no suction at all. I do this if I'm in a vein but can't get the catheter to advance but it has...
  24. Lining and labs/ hemolyzed specimens

    In my opinion it depends on who is working in the lab as far as how many times we get the call that the blood is hemolyzed. So lets say they do call and say it is. We go back in stick the patient...
  25. I got fired today...

    Sounds to me like you should have had a better orientation. When you hear the words "nurses eat their young" consider this an example. The solumedrol... that extra dose probably helped your patient!...