mamalle

mamalle

ER, Outpatient PACU and School Nursing

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All Content by mamalle

  1. Phenergan Supp given to toddler; child dies

    I love zofran. we use in the outpatient center I work in. I have noticied some of my er docs ordering it more often than phenergan now
  2. Why FAST TRACK is wrong

    speaking of fast track- I wanted to hear some input regarding your policy. we have once again started up fast track. we have assigned rooms- supposedly a PA and now a Medic. As nurses we have to give...
  3. Taking floor orders in the ED?

    we take the orders all the time via telephone. its your patient and you do it. never known another way around it. sometimes if Im super busy I will have a nurse that can take them but otherwise- we...
  4. we have to do them also on our days off. if they are not done- they will suspend you. It gets my goat. we have so many. Not alot of notice on some either. Im always scrambling for child care since dh...
  5. Med Recs

    even though Im not a huge fan of our new computer charting ( medhost) that is a plus when you can merge the info from the last visit. some of our patients are on 3 pages of
  6. Med Recs

    we hav computer charting so it is preprinted. The triage nurse has to put them all in. our doctors are not compliant with it upon discharge though. Upon admission we go over it with the admitting...
  7. What have you done for yourself lately?

    run. go to the gym. pamper myself with a pedicure every 4-6 weeks. Love to read a good book every so often
  8. compazine

    it happened to me a few days after also. It was the most bizzare thing ever! I was given cogentin and the symptoms subsided almost immediately. we use alot of zofran and phenergan in the PACU and ER...
  9. Best footwear for Nurses

    not sure what the name is but I have been wearing for years now- some leather mules from target- $21.99. they now have them in black. almost the whole er I work in has a pair in brown or black. we...
  10. compazine

    I have never given it IV or otherwise. In all the years I have been working I havent ever seen it carried in our pixis. I personally had a dystonic reaction to it after ear surgery taking it PO. it...
  11. Average Tenure as ER Nurse?

    our day shift doesnt have turnover- they all are long term employees- night shift on the other hand cannot keep staff. I did ER for 3 years working 3p-3a before I said cant do it three days a week. I...
  12. advandced monitoring in the ER

    this is the exact reason we do
  13. how would you feel as a pt?

    would be nice at least to introduce yourself. when I was in after my hysterectomy- I barely saw my nurse. I was so nauseated and in pain. all I got was wow- Im so busy and your my only pt that isnt a...
  14. how to manage the waiting room?

    we pull them back into triage due to HIPPA. I feel bad though since when they hear their name- they think its to be called back- not just back to triage to be
  15. advandced monitoring in the ER

    trauma room is different- we have two monitored beds in there so that is a different story. they only thing we do is on occasion put a ventriculostomy in and try and get them to ICU
  16. how to manage the waiting room?

    still a problem here esp. when we had a another pt die out in the waiting room on night shift. 2nd one in a few years. both drug induced. looks like by the cameras he was on the floor and people were...
  17. Why not Nurse Practitioner?

    Libility is greater. I love working when I want to- wouldnt like having to take call, or have more responsibility and have to work more. Plus the fact- I believe at least here- the market is going to...
  18. advandced monitoring in the ER

    Nope and our manager will not put them in- she feels that it will open more worms then anything and delay transfers to ICU and promote more
  19. Agency vs. Per Diem

    I work per diem in a adult ER- I work when I want to. I put down the shifts I'd like to work and havent had a issue in 7 years getting them. I have come in extra if need be, worked different shifts to...
  20. Mental health pt in ER...

    we do not have set rooms for pysch patients. any given day we can have 10-20 patients coming in for medical clearance to go over to the mental health institute on our property. They come from all over...
  21. Disfunctional RN's

    I feel your pain but not sure what the answer is- I always thought I was a believer in what goes around comes around,etc. except when it comes to these types of employees. My hospital cares more about...
  22. follow up to "switching to per diem" post

    Glad to hear all worked out! I too work perdiem in a ER and its made all the difference in the world at home and in my attitude at work. some months I work twice others more- just depends on what is...
  23. Got a needlestick

    hope everything comes out okay. I have been there and its unnerving. first one was the 1st weekend I was on my on in the ER. the other was a guy that smashed a picture in one of the examing rooms and...
  24. paramedics in the ER

    I'd rather have a medic any given day instead of a
  25. NEEDLES in a WALMART BAG???

    yuck...