NativeSundance

NativeSundance LPN

ED

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About NativeSundance

NativeSundance has 25 years experience as a LPN and specializes in ED.


Adrenaline Junkie

Latest Activity

  1. TNCC or not

    TNCC is strictly for ER nurses and is not open to paramedics, doctors, PA's or any other non nursing personnel. It is a course designed by ENA and your certificate is issued through them. It is much...
  2. Open letter from a Paramedic

    I am SO glad to find this still lurking on the pages of AllNurses!! I have been looking for it in my old files for weeks to no avail when I remembered posting it here so long ago! Way To Go AllNurses...
  3. RSV... The supersized version?!!!

    Our ER has seen far fewer cases than normal of RSV this year....BUT...the ones we have seen were very bad cases with intubation common. Not sure what is going on with the bugs, but this year when they...
  4. Cpen

    Would LOVE to hear from someone who has taken this exam. I know it's early on, but hundreds have taken it already. Anxious to hear opinions of it and what was used as study
  5. Cpen

    Have any of you signed up for this new exam yet? If so, what study resources did you use? Has anyone actually taken the exam? Can't remember when in January they were offering the first one. I plan to...
  6. Hourly Rounding in the ED

    We have hourly "comfort rounds" and also walking rounds at shift change. They are Nazi's about it too. No excuse...like I had another pt circling the drain...was busy tubing in another room, doing...
  7. Worst doctors orders ever received

    i'm so glad someone caught the message there! yep, the problem was indeed the "kvo" part of the order. not a good plan for hhnk patients! stupid doctor couldn't manage to tell the difference between...
  8. fish philosophy

    We also were required to watch the fish video during orientation and encouraged to find ways to have fun at work. The reality is, however, that we are to crank out the healthcare at breakneck speed...
  9. Worst doctors orders ever received

    This was clearly HHNK, not DKA. Many of our doctors don't know the difference. They'll call HHNK something crazy like DKA although the s/s are markedly different. One of the only thing they have in...
  10. Worst doctors orders ever received

    One of my personal favorites is an order for KVO fluids on a patient with a BS of 984 and clearly HHNK. Dx: "new onset DM".
  11. Your state's "preferred" ED credentials?

    Our ED requires: BCLS, ACLS, PALS, TNCC. Prefers the addition of NRP, ENPC,and CEN. BCLS, ACLS and PALS should be mandatory in ANY emergency department that serves the general population. Some ER's...
  12. Administration of blood products

    We had quite a debate about the administration of blood products the other night at work which became unusually heated. So I put the question out to all of you... How fast do you run your prbc's? What...
  13. Anyone currently studying for the CEN exam??

    I took and passed CEN last September. The test is challenging and has a high fail rate, but is IS worth the effort! I bought Laura Vonfrolio's DVD's and also MedEd. I can honestly say that Dr. Laura's...
  14. The 10 most insane medical practices in history

    Drat...it didn't show the pictures. They are hilarious and worth your time to go look
  15. this is posted here for your amusement. these are actual medical treatments of yesteryear! the 10 most insane medical practices in history by nathan birch have you ever been left with the...