NativeSundance LPN

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 type of tubing do you use? What size of angiocath...

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 take it mid summer or so...after they have road t...

Open Letter From A Paramedic Dear citizens of (and visitors to) County, By and large, you're a good bunch. I enjoy providing you with the help you need when you call 911. You make my workdays (and nights) interesting. However, from time to ti...

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 different than ACLS, PALS, NRP, NALS, BLS or any of...

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 for having such an extensive file storage vault! ...

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 strike, they strike HARD and FAST.

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 resources.

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 bilat chest tubes... etc, etc. If I have time, fine. ...

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 dka and hhnk.

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 juggling impossible assignments under ridiculous cir...

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 common is an elevated BS. HHNK folks need fluids, fl...

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". Sigh...

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 have seperate adult and peds treatment areas so thos...

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 DVD's were very entertaining and interesting, but...

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 impression after a thorough poking, prodding and testicul...

Drat...it didn't show the pictures. They are hilarious and worth your time to go look at!

We NEVER send anyone home early! The ER is usually busy all night, but on the rare occasion we have any open rooms, we just savor the moment. I'm thinking it would be dangerous to send home staff from the ER. How can you possibly know what will happe...

Hell will freeze over before I de-board a fully immobilized patient without a doctors order to do so. I work in a trauma center and it would be completely inappropriate for any nurse to randomly decide to deboard someone. Depending on mechanism of in...

Wow! Your ER puts FLOATS in the trauma rooms? I can honestly say we have NEVER EVER put a float in with a trauma. Float nurses have a hard enough time functioning in our little corner of chaos (the ER) without assigning them to what could be a massiv...

LOL!!!!! I didn't write this, it's been floating around the internet for a very long time. I am an ER nurse and not a paramedic. The paramedics and all the other nurses I work with thought this was hilarious, as did I. I really didn't take it to hear...

IF my hospital did anything, I must have missed it. Or maybe it was just recognition for day shift nurses?? I know those of us at night who bust serious butt got nothing whatsoever. Not even a thank-you. ENA sent me a nice note though.

Magnet status is not what you think it is. I am told it can be bought for about $250,000.00 by an average size hospital. I would have never believed it, but found out from the horses mouth that it is true. I also wondered how Magnet hospitals had suc...

PLEASE check out your intended unit carefully before signing on the dotted line. The scenario you mentioned above is the ideal...but it is NOT, and I repeat *NOT* reality! TALK to the unit nurses a little bit and you will see. The units are a VERY ov...

There are multiple problems with both institutions. Short staffing not the least of them. I have worked for CCF and left there on excellent terms, but will never go back. Since we are a medical household (doctor, 2 RN's and 1 LPN) and all of our frie...

Personally, I would DUMP both CCF and UH. They both have alot of unhappy staff. How about Metro? Benefits are better (awesome in fact) for sure and a better working environment. There are also many suburban hospitals that get plenty of action without...