neneRN

neneRN BSN, RN

Emergency, Trauma

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All Content by neneRN

  1. Refuse TB test

    neneRN replied to Happy-ER-RN's topic in General Nursing

    Work ER, we're tested every 6 months...I submit to it, have seen way too many cases where we've already been treating pt for several hours, and then CXR comes back suspicious and pt is put on iso or...

  2. Hey ER, what takes so long???

    neneRN replied to RunningWithScissors's topic in Emergency

    And the list goes on and on, and that's why every ER in the country has the same problems! The one that kills me is when I've finally gotten a bed upstairs for the patient after 8 hours in the ER and...

  3. Why must all docs bathe in cologne?

    neneRN replied to kessadawn's topic in General Nursing

    Never had a doc wear too much cologne, but lots of nurses! I agree that any health care provider shouldn't be wearing strong scents, but I do have to ditto Julie Bean; after a day of smelling C-Diff,...

  4. question about ng insertion

    neneRN replied to dayshiftnurse's topic in Medical-Surgical

    Lots of lube, Cetacaine spray to numb, sometimes placing the tube in a bag of ice for a few minutes makes it a little stiffer and less likely to coil, if pt is unable to sip water then go slow and...

  5. Fake illness

    neneRN replied to Keepstanding's topic in School

    Mom doesn't sound like she would react well to an implication that the child is faking if she has had numerous doctor visits...I would just objectively describe the child's complaints and your...

  6. Not all doctors can read ekg strips?

    neneRN replied to GardenDove's topic in General Nursing

    Any chance it was MAT rather than A-fib? MAT is fairly common in elderly pts with COPD and is commonly mistaken for A-fib because its an irregular rhythym and P waves will have varying morphologies...

  7. TNCC Class

    neneRN replied to futbol84's topic in Emergency

    Memorize how to do the A-I assessment! The written test is very straightforward and comes right from the book, but you will have to perform a full secondary assessment live in front of an instructor...

  8. Zoll autopulse

    neneRN replied to babynurselsa's topic in Emergency

    Our county EMS actually still have the Thumpers on the trucks! But its been several years since I saw someone brought in on one...I'll be interested to see if these show up in the

  9. IV Haldol?

    neneRN replied to chenoaspirit's topic in Patient Medications

    We give it IV frequently in the ED; however, the vial does say for IM use only. Actually, probably the only time we give it IM is when a pt is very combative/agitated and we can't keep them still...

  10. Telephone Orders- Perplexed in MA!

    neneRN replied to kathybMA's topic in General Nursing

    I wouldn't write them for another nurse unless there was some emergent reason she couldn't do it, and then in that case I would either not sign the orders (let her sign her name when able) OR (if it...

  11. Er Charge Nurses

    neneRN posted a topic in Emergency

    I want to hear the different ways charge nursing is handled in ERs. Where I'm at, the charge nurse sits at her own desk to watch all monitors, handle EMS calls, take admission orders, answer phones,...

  12. Being called into work on your days off

    neneRN replied to happymedium's topic in General Nursing

    Pretty much every experienced nurse I know either has caller ID or does not answer the phone. I called 19 nurses today trying to get coverage, and only one answered the phone, a new grad! Just don't...

  13. POP technique for declogging PICC lines

    neneRN replied to notactuallyblonde's topic in Patient Safety Issues

    Never heard of this, we use 1-2 mg of alteplase with a three-way stopcock, using a push/pull method to declog

  14. Docs and their dirty sharps...

    neneRN posted a topic in Emergency

    Just curious to see if your docs routinely clean up their sharps after inserting central lines and chest tubes? I never really gave it much thought until one of our newer docs kind of looked at me...

  15. Getting called to work an extra day because of short staffing...

    neneRN replied to Wheaties's topic in General Nursing

    Base your decision on whether to go in on what's right for you; if you want/need the extra money, then go in. Otherwise, don't answer the phone. I'm the person making those calls when we are short...

  16. Employer pay for MSN/CNM

    neneRN replied to wannabecatcher's topic in Certified Nurse-Midwives, CNM

    Our hospital will reimburse up to $3000/yr for school, but requires that you sign a contract stating you will continue to work at the hospital for 2-3 yrs or you have to pay it

  17. Vioxx discussion

    neneRN replied to TurismoDreamin's topic in General Nursing

    You might get more responses if you post your opinion/answer to the assignment first; then we can give pointers or suggestions, otherwise it may seem like just doing your homework for you, and I'm...

  18. Chest pain protocol in the ER

    neneRN replied to StillBelieveRN's topic in Emergency

    If pt has unstable VS, or just looks bad; pale, cool diaphoretic, etc. then they do bypass the screening area and go straight to a regular ER room. (the CPSA is in the back with all the other rooms,...

  19. PreOp labs

    neneRN replied to Lisa01's topic in Operating Room

    Think of the complications associated with most surgeries; bleeding, infection, etc. So you might see surgery cancelled in patients who are already compromised in those areas as shown by their...

  20. Vastus lateralis IM site

    neneRN replied to Skwidward's topic in General Students

    Your anatomy is correct; these are two different sites. You can give an IM injection in either site; the vastus lateralis is the anterior LATERAL aspect of the midthigh, the rectus femoris is the...

  21. If you have a closed unit (ie, do not have to float out...)

    neneRN replied to shoelace's topic in General Nursing

    I work in a closed unit (ER)- we have set scheduling; if a nurse needs to adjust her schedule, she has to find someone to switch with. For the most part this works out well; there are a lot of us,...

  22. Chest pain protocol in the ER

    neneRN replied to StillBelieveRN's topic in Emergency

    All CP pts go through a chest pain screening area, staffed by an RN and a tech, where a cardiac risk factor/PE screening flow sheet, EKG within 10 minutes, monitor, O2, IV and labs drawn, bedside...

  23. incident reports punitive?

    neneRN replied to wrkoutgirl's topic in General Nursing

    Its NEVER better to "be dishonest and not report it." Not even an option. One of the reasons for having incident reports is to monitor trends; it does raise a red flag if the same nurse is repeating...

  24. How many Nurse jobs have you had?

    neneRN replied to johnson0424's topic in General Nursing

    Been an RN for 5 1/2 years, same dept (ER) since I

  25. head-to-toe

    neneRN replied to Medsport's topic in General Students

    In your lab, did you cover neuro exam (pupils, hand grip/leg strength), respiratory (breath sounds, quality of resps), cardiac (heart sounds, cap refill), abd (inspection, auscultation, palpation),...