EmerNurse BSN, RN

Tele, ICU, ER

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All Content by EmerNurse

  1. EmerNurse

    Altering documentation?

    Whenever I sign off orders, I draw the line and put my signature JUST close enough to the orders that it's impossible for anyone to add anything. My ER pet peeve? Doc write order without a time...
  2. EmerNurse

    Tips on successful confrontation - your suggestions?

    If I check anything with pharmacy, I document it in the patient chart. Pt. medicated as ordered, dose/route etc verified with Marigold in Pharmacy and MD before administration. (or whatever it is you...
  3. EmerNurse

    Is it professional??????????

    I absolutely believe it is rude! In one job I had, there were two predominate groups of non-english-first employees, speaking 2 different non-english languages. All of them knew how to speak...
  4. EmerNurse

    Why are RN's so fat!

    People will jump on the most superficial things! People need to learn that, regardless of appearance, if their nurse meets their needs in a competent, professional and friendly manner, despite insane...
  5. EmerNurse

    How big of a mistake was this?

    You were in a 12 hour shift? How did you give 4 vicodin (Q6 hours?) in 12 hours? Should have been no more than 2. Same with the tylenol. Unless the patient's order was for TWO tylenol Q6 hours and...
  6. EmerNurse

    Acls

    Our ER requires BLS, ACLS, and PALS. Trauma is optional since we have a level 1 trauma center up the road (affiliated hospital). National cert is also
  7. EmerNurse

    Family/ Visitors in the ER

    I love the one where the guy brings his wife in for a UTI (or a preg test) and they bring their 3 other kids, under 5yo with them, and then get mad when they a) can't bring the kids back so papa can...
  8. EmerNurse

    You know you work nights when.......

    12.5 Benadryl puts me STRAIGHT to sleep. If it's been a REALLY crappy night and I HAVE to sleep to do it again, 0.25 of xanax really helps
  9. EmerNurse

    first 2 days of clinicals eye opener :(

    I don't think the OP has to reexamine her career choice. I vividly remember the shock I got at my first clinical, the first 2 weeks of which were in a NH. The OP is hitting the very first of many...
  10. EmerNurse

    Med error could cost my job? Need help!

    Sure sounds like the facility is going overboard here. Where I've worked, the pharmacy "keeps an eye" on trends for users. If discrepencies keep popping up on the same person, they investigate. But...
  11. EmerNurse

    Flamed during report.

    ER has the same problem with transferring patients. I was med-surg before ER so I seriously sympathize with the floor nurses, but when I'm up to my neck in patients and an empty stretcher hasn't had...
  12. EmerNurse

    er nurse retreat day

    Which is precisely WHY we need the retreat LOL. Give me mine with a day spa, massage, and a mango marguerita or four! You can keep the team-building seminars, leadership discussions and morale...
  13. EmerNurse

    ER disclaimer

    Someone post something. I love this thread but I'm too tired. And would someone PLEASE tell patients that it's not our job to feed them 6 box meals at 1am because they "ain't had nothin to eat in 6...
  14. EmerNurse

    now considered a restraint?

    It's interesting, because where I work in the ER, we're told to prevent falls from folks with AMS (post-ictal, hypoxic,whatever) by making sure the stretcher rails are up and no one's told us that is...
  15. EmerNurse

    VIP Triage

    VIP treatment is ALWAYS going to be there. In our ER, we don't get a lot of public figures, but we DO get a lot of the "board members' cousin's kid" type stuff. They call ahead and we will try to...
  16. EmerNurse

    Pulled from orientation to be a tech???

    In my experience, the way someone comes off orientation these days is that the floor is short and hey, you take a team (only after a few weeks at the least) LOL. It's a sorry way for a new grad to...
  17. EmerNurse

    You know you work nights when.......

    You find it perfectly reasonable to schedule every other staff meeting at 0100 to accomodate the OTHER 50% of the
  18. EmerNurse

    Nurses Week: what makes you feel appreciated?

    I have to agree with those who pretty much shrug their shoulders at nurses' week. It's a nice thought but come on. By the time you're done with weeks (resp therapy week, CNA week, x-ray week, tech...
  19. EmerNurse

    Anxiety with facing first cor/code blue

    Everyone gets the jitters when first faced with codes. Many hospitals have a Mock Code type class which may be helpful. Also, have your ACLS, if you don't already - they cover what you'll need...
  20. EmerNurse

    Anyone else with higher than normal volumes?

    You want sucked? Try a full house, full WR and ONE doc on from midnight to 7am. Half the time the poor doc who leaves at midnight (one of hte doc shifts is 12p-12a) ends up staying over to help...
  21. 1. Don't put down your old job or manager. If asked, focus on the many things you learned on that job and how you're looking to "move forward" in your skills and career. Healthcare is a very small...
  22. EmerNurse

    Vent...long, you have been warned.

    I have learned through the sad experience that the nurses on the floor may NOT see the patient the moment the pt hits their bed. Even the CNA may not wander in. Can't tell you how many times me and...
  23. EmerNurse

    The fatting of America.

    I dunno what to think honestly. Had a guy a while back 500lbs+, the x-ray table was only sanctioned for 350lbs. Took us hours to figure out how to get good x-rays on the guy because he couldn't...
  24. lengthening
  25. EmerNurse

    Is "magnet status" a joke?

    Seems to me that Magnet is a very high-priced marketing tool and once one hospital in a community has it, the others in the area have to follow suit to compete. As a nurse, haven't seen anything...