Uptoherern replied to NurseMedic28's topic in Emergency
In my job no matter what you do it isn't good enough. Our "mandatory" meetings are always at 7a. We are constantly lectured about lwbs percentages and what we are doing wrong. We hardly ever hear about what we are doing right!
Uptoherern replied to medic978's topic in Emergency
It's usually not the case that there aren't any beds. It's because they staff so tight (wad) that there aren't enough nurses to take admits. Nobody on call either. So the patients lay in the Er and it causes a trickle down effect. Increases left with...
Uptoherern replied to patrice meursault's topic in Emergency
I triaged an elderly man whose complaint showed up in the computer as "hand injury". When I asked how, he proceeded to tell me that he had had some severe chest pain and collapsed to the ground, thus injuring his hand............we have no cath lab.....
EEEKS! no one addressed EMTALA that I can see. Your ER is responsible for everyone in the ER and for everyone WITHIN 250 FEET OF THE ER. Call security.
Hello...............:) For some reason, I seem to be the ketamine queen in our er. The docs have started to use it on kids for extensive lacs or reductions when the kids are really (really, really) uncooperative or we are just not able to get them ...
Uptoherern replied to HikingNinja's topic in Emergency
i agree; it is confusing. We just started it & were basically given no "ground rules"; just get them to a bed, "maybe" put the cuff on them, push the button & walk away. So far the nurses are ******, the patient's seem confused & the doc...
Uptoherern replied to HikingNinja's topic in Emergency
we have been told in the past that only an RN can get initial sets of vitals. this is in AZ......are there other states that require this ? (Or maybe this is only required in the mind of our old director??)
Uptoherern replied to SteveNNP's topic in Emergency
guy up probably 30 feet, trimming a palm tree with chainsaw.........this is how they do it all the time. He fell, hitting his head on top of 6' block fence. doa. chainsaw missed.
Uptoherern replied to LoveMyBugs's topic in Emergency
our hospital has now started a "bedside triage" rule. If there is an open bed, pt gets thrown into it. Am willing to try.......since we were told basically we would be fired if we don't. mgmt seems to be breathing down our neck. If 10 pts and 3 a...
I've been in my current ER for about 6 years. In that time we have had 6 ER directors. Some awful, some trying . Is this normal????? Our ER main doc says it's the worst job; if you try to please mgmt, all the nurses hate you. If you try to pleas...
:angryfire My newER director has recently told us that we are triaging "wrong". As an example, she said that a patient recently signed in as "vaginal bleeding". The pt. waited in the waiting room for 1/2 hour, then left to go to another hospital an...
I had an emergency with my dog and took her to the vet office. When I got there, the girl at the counter got on an overhead speaker and called for the "triage nurse". !!! I asked if she was really a "nurse", and the girl at the counter said no, that...
Uptoherern replied to kelbel's topic in Management
[ It does not matter how you are treated by an employer, you should always do your best and follow the rules unless there are extreme circumstances. To not do so is unprofessional. you have got to be kidding me.
Arizona can get a ratio bill passed, IF nurses support it and help it pass. It is HB2041. you can do an allnurses search for more info. There is a rally at the Phoenix capital bldg THIS thursday (valentine's day) at noon. Do your research, and sup...
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question please! I was told today, by fellow nurses that since AZ is a "right to work" state that unions here have no "teeth". We can be fired for "no reason". I was also told that a certain hospital "chain" told it's nurses in no uncertain terms...
Uptoherern replied to Uptoherern's topic in Emergency
protonix was iv push bolus, then gtt. Thanks for all your responses. Last I heard pt had a successful TIPS and was out of ICU and on a tele floor.:w00t:
If you have a pt. with limited iv access....is it ever ok to give blood with, say, sandostatin? Seeing as how the pt has h/h of 3/10 with diprovan going in #2 line and protonix going in #3 line and no central line (and no other access?). Blood was ...
what is it with nurse's and this guilt ridden thought process? and why are we so treated like dirt by so many manager's. IS it because as a collective group we are mostly female? Just a thought.........
Uptoherern replied to Uptoherern's topic in Emergency
er doc for whatever reason just didn't want to put in a cvc. Pt wasn't in the er long. By the time blood was hanging, helicopter was on ground, and pt. was flown out. Thanks for your responses!
Uptoherern replied to Uptoherern's topic in Emergency
hemoglobin and hematocrit,,,,,,as in about 1/4th to 1/5 th of the amount of blood this gentleman SHOULD have had in his body. He came in violently vomiting BRB. (bright red blood, oh no.) hx. etoh.