traumarns

"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 naked eye, or much more minute. For instance, toda...

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 end of the process, my interviewer was giggling too...

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 tech.

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

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 give pretty high doses of zofran) when all else ...

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 in at the same time. we MUST document when they ...

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 icu she SHOULD have had a central line. in the ed...

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 proving they were in the er.

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. the crew then gives the full report (hopefully) to ...

.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 leave the floor, and presto, they are ready to go h...

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 with.

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 putting them back on.) 2. if you see a nurse runn...

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 made a dent. he is LUCKY to be alive, although he now...

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 do with pharmacy entering all the meds in to the ...

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 time i saw pt A on monday night at one hospital, a...

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 THAT worked for 20+ years, until we absolutely ne...

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 had an aura, or the monitor would go off if it sens...

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, especially when i see the big trucks with the blue and...

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 a clue what "shest" was sposed to be.

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 another it is a pink. if you ask the lab they will...

i was an lpn for 10 yrs. first year or so in ltc. the next several years on a neuro surg floor. the last three trauma er. i started as a new grad rn in icu. i think new grads CAN work icu right out of school IF the orientation preceptorship is good....

i live and work in denver. graduated from ACC's fast tract lpn-rn program last year. have worked a few of the hospitals, can give you advice which hospitals to steer from when doing your clinicals, if you have a choice of clinicals at ccd. we always ...

Have had rsd pts with spinal stim placement require dilauded 4mg q8-10mins via pca, then ask for their bolus's of 10mg q 4hrs. the one pt that i totally remember was up walking around, talking, no extra o2 requirements.(however i did have him wear ...

off the topic of this article, but did any of you who registered for the ny times notice they put doctors in their own category for health and hospital, but NOWHERE were you able to state you were an rn, lpn, tech.... they lumped ALL OTHER hospital e...

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 6hrs and $120 for 12 hrs. we get that money regardl...