traumarns

traumarns

Member

  • Content

    54

  • Visitors

    2,828

  • Followers

    0

  • Likes

    0

All Content by traumarns

  1. Nurses taking patient's off backboards without doctor clearnce?

    traumarns replied to the big nurse's topic in Emergency

    "Setting yourself up for a huge liability issue! I hear the word "SUE" really come into play here!!!!!!! Like others have mentioned, the results of a fall, or other injury can be easily seen witht he...

  2. What is Talent Plus or Top Talent?

    traumarns replied to MaddieRN's topic in General Nursing

    i loved the question "are you a clean person" i answered, "yes, that is why i hire somebody to come to my home once a week and clean up after me" some of the questions i just giggled through, by the...

  3. Transport of Tele Patients from the ED

    traumarns replied to Otessa's topic in General Nursing

    our techs who are paramedics or emts with acls, or equivalent go with tele pts anywhere on the monitor. a nurse and tech go to the icu. any intubated sedated pt gets a nurse and a

  4. Chief complaints that made you laugh?

    traumarns replied to nickos's topic in General Nursing

    i love my pre-ictal pts, dont like my incarceritis pts and the all time fav tdfd (too drunk for

  5. panic-attack reaction to compazine

    traumarns replied to scootermcnutt's topic in Patient Medications

    seen the "heebie jeebies" with comp, phenergan, reglan and low dose inapsine. if somebody has a rx with one of those and has never had the others, i always get order for benadryl, or just zofran. (can...

  6. Nurses taking patient's off backboards without doctor clearnce?

    traumarns replied to the big nurse's topic in Emergency

    our trauma protocol-level 1, must be taken off the backboard within 15 mins of arrival. there are situations when the pt cant come off board wihin that time, ie- 6 alerts and 1 activation all rolling...

  7. IV insertion area guidelines

    traumarns replied to patwil73's topic in General Nursing

    somebody on levophed should have had a central line. was this in the er, when you dont have time to start the drip while waiting for the doc to put one in. or was this pt in the icu already? if in the...

  8. Do you cut off Name Band?

    traumarns replied to nkochrn's topic in General Nursing

    we dont cut the arm bands off. a vast percentage of our pts live outside and need a ride to a shelter. many of the rtd drivers will allow these people to ride for free IF they have an armband on...

  9. How often do EMS crews show up to your dept unannounced?

    traumarns replied to Larry77's topic in Emergency

    we only get ems calls from private companies, trauma alerts/activations. and cardiac/resp arrest. other than that, they just show up. the charge takes a very quick report, and decides triage or bed....

  10. Why don't docs send these pt's HOME!?

    traumarns replied to zofran's topic in General Nursing

    .And with the floor leavers -- call the doc and request an order for a dose of narcan after any "unexplained absence" from the floor. You give them narcan, and tell them they'll get it anytime they...

  11. ? giving small amount of Morphine

    traumarns replied to mamaRN-09's topic in General Nursing

    just a suggestion. why dont you ask pharmacy to stock your pyxis with 4mg morphine. we stock with 2,4, and 10's it makes it so much easier, and dont have to find somebody to waist

  12. Do you have advice for med students on your floor...

    traumarns replied to Ginger's Person's topic in General Nursing

    1. If the pt is on the gurney naked except for a gown and SHOES- leave the shoes on!!!! there is a reason WHY the shoes are still on. (if you take them off, do NOT leave the room without...

  13. Side effects for abusing fentanyl patches

    traumarns replied to Day83's topic in General Nursing

    took care of young dude who ate a 100 mcg fent patch. did the math it is about 7000 mcg of fent in one sitting. he was found down in his own vomit many hrs later. extremely high dose narcan barely...

  14. Scan medications in the ER using Meditech and T-system

    traumarns replied to scaredofshots's topic in Emergency

    love t-system hate meditech dont scan meds in the er. worked at a place that used e-mar on the floors and icu none of us wanted it in the er. especially because the hospitals policy had something to...

  15. An interesting policy

    traumarns replied to Guest219794's topic in Emergency

    I LOVE LOVE LOVE this policy. What would make it absolutely perfect if they would add If you are awake alert oriented x 3 and cannot provide confirmable identification NO NARCS cant tell you how many...

  16. Round of applause for nurses who dont tolerate negative behavior

    traumarns replied to jbp0529's topic in General Nursing

    we had a similar situation with a doc. he was a specialist, who was very influential, and made it clear he was to be the ONLY specialist in this particular field who took er call. well the politics of...

  17. How to differentiate between epilepsy and pseudo-seizures

    traumarns replied to LovebugLPN's topic in General Nursing

    many years ago i worked a neuro science/surgical unit. we had 4 rooms all with cameras that were for our seizure pts. they were on 24/hr eeg monitoring. they also had a button they would hit if they...

  18. Are you aware of how you conduct yourself in public?

    traumarns replied to rkitty198's topic in General Nursing

    i have something to say about this. i am an er nurse at a level 1 trauma center in my city. i am a nurse at work and work only. i dont wear my scrubs when off. i dont stop for accidents when off,...

  19. add your funny TRIAGE complaints from pts

    traumarns replied to er nursing's topic in Emergency

    ok, had one this am at 0650 "sour trout and shest" huh?????? went in the room with iv and labs ready to go thinking she was a puker. NOPE not even close. her complaint-sore throat and cough. have not...

  20. chart with meaning of different colored lab vials...

    traumarns replied to luvmy2angels's topic in General Nursing

    you really need to check with the facility that is running the labs. i work at one place blood etohs are off a red top, another that it is off the purple. one place i work tall purples are t&s's...

  21. unfair floating!!

    traumarns replied to Pamelita's topic in General Nursing

    we have a strange float policy, it correlates with bonus shifts. we get so much extra money if we sign up for extra shifts,/hours it averages out to 10 dollars extra per hour. $40 for 4hrs $60 for...

  22. Hemodynamic leveling

    traumarns replied to mattcastens's topic in Cardiac

    wow, i am going to have to try the laser pointer as well. we use the old bulky carpenter levels. i did my internship in a different icu, they had the transducers that were attached to the pts arms....

  23. Question about injections

    traumarns replied to happystar's topic in General Nursing

    lmao, i just got my flu shot and boy oh boy, i am really debating which hurts worse, tetorifice or flu.

  24. semi private vs. private rooms in icu

    traumarns replied to samrn32's topic in MICU, SICU

    most of our rooms are private. however, we have 4 rooms (two on each side of the nurses station) that are divided by a curtain. when all hell is flying, sometimes we have 4 pts in those rooms,...

  25. Master Oxygen Sat question

    traumarns replied to mario_ragucci's topic in General Nursing

    we have a special probe for the forehead. those seem to be the best for our pickers, and wiggle worms. we have the disposable ones for the fingers. and depending on hgb, or if they are a vasculopath,...