neneRN

neneRN BSN, RN

Emergency, Trauma

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All Content by neneRN

  1. ER Tips

    neneRN replied to lyraesullivan's topic in Emergency

    A nurse showed me what you are describing a few years ago, and I've used this trick over and over with many little old ladies! With the older male pts, I leave a little lube in the syringe to squirt...

  2. ED nurse to patient staffing ratios

    neneRN replied to magicman's topic in Florida Nursing

    Let's see, in our ER, we staff 8-9 RNs and 4 LPNs for 24 beds (which, more realistically is for 39 beds with our halls full) in the Main ED (Critical Care). In our Intermediate Care area, we staff 5...

  3. New to ER,..fiirst time TNCC

    neneRN replied to BrnEyedGirl's topic in Emergency

    Everything in TNCC is straight from the book they give you...learning your A-I assessment is the biggest thing. Do you have the book for the course yet? Everything is in

  4. A burning question...

    neneRN replied to mommatrauma's topic in Burn

    Its funny that I'm seeing this thread now; I'm in a Level II Trauma Center- but we don't do burns; we send them out. Just last week, I had a pt with second and third degree burns over entire...

  5. Er Charge Nurses

    neneRN replied to neneRN's topic in Emergency

    russ11-sounds like your ER charge functions more in the way I would like to see our hospital use them-I like the idea of a monitor tech for EMS calls- does the tech then call the charge to place EMS...

  6. Family/ Visitors in the ER

    neneRN replied to Dorito's topic in Emergency

    We allow two visitors for pts in rooms, and only one visitor for our hallway pts. Also, visitors of EMS pts stay in the lobby for 15 minutes before they're allowed back, this lets the nurse get...

  7. TNCC or ACLS?

    neneRN replied to Djuna's topic in Emergency

    Need to have ACLS within 6 months of hire, and TNCC within one year of hire in ER where I work. Take them both; even if the TNCC isn't required where you are, it's an excellent assessment course for...

  8. On The Other Side Of The Bed

    neneRN replied to RNKC25's topic in Infusion, Intravenous

    It is not uncommon to have to start another line because of multiple/incompatible

  9. Question about rhythms

    neneRN replied to mountainnurse's topic in CCU, Coronary, Cardiac

    I don't know how you could prioritize pts on rhythyms alone (except the V fib); many pts are in chronic A-fib with medical management of rate and blood thinners and the Afib is okay for them....a...

  10. Help With Legal/ethical Case Study

    neneRN replied to fd5151's topic in Nursing Student Assistance

    I think you'll get better responses if you also post some of YOUR thoughts as to what direction you're taking with your answers...that way, we can maybe point out some different points of...

  11. Oral Presentation

    neneRN replied to HillNPStudent's topic in Post Graduate Students

    Absolutely agree with above poster. I had to give a half hour lecture for the first time ever a few months ago, and I had to give it two days in a row. The first day was absolutely horrible..I knew...

  12. Interview questions

    neneRN replied to gwlillith's topic in Nurse Management

    I was just part of a staff panel that interviewed prospective managers...I guess the best thing is to come across as confident and sure of your answers, so have answers prepared for all the standard...

  13. #%@&$ Flu Shot!

    neneRN replied to JaneyW's topic in Ob/Gyn

    I know the injection is a dead virus, I know the flu shot doesn't make you sick, yada yada yada... but I also know that the only time I have been sick (more than a runny nose or little cough) in the...

  14. Lab coats

    neneRN replied to Epona's topic in General Nursing

    The only nurses that I see wearing the white lab jackets at my facility are the higher ups, i.e. house supervisors, nurse managers, clinical nurse specialists, and educators...and they all wear the...

  15. Just wondering- PARADE article

    neneRN replied to perfectbluebuildings's topic in Emergency

    Like traumarus mentioned, the thing that bugged me was the statement that you will been seen more quickly if you go by ambulance...what makes you seen more quickly is the acuity of your illness. If...

  16. Nitro for CHF

    neneRN replied to MeryMellen's topic in Pulmonary

    We commonly use NTG gtts as treatment for severe CHF in ER, and paramedics frequently start this before the pt gets to us (along with Lasix, of course)...don't know that I've seen NTG SL used for this...

  17. Counrtry doses

    neneRN replied to Bethy-lynn's topic in MICU, SICU

    I can see both sides of the issue here, and I guess I'm guilty of practicing medicine without a license too, but in different scenerios. I'm in the ER, and we do have a lot of autonomy..we're...

  18. Am I crazy!?

    neneRN replied to NeedyourhelpRN's topic in MICU, SICU

    Our hospital doesn't give a differential for specialty areas, but does give a differential for obtaining specialty certification; CCRN, CEN, etc....that way most RNs are eligible if they're willing to...

  19. Am I Wrong?

    neneRN replied to VivaLasViejas's topic in General Nursing

    This was my first thought as I read this

  20. ER must haves

    neneRN replied to kathy_bear's topic in Emergency

    Couple of black pens, a yellow highlighter, and my stethescope around my neck. (Trauma scissors and a calculator are great too, but after losing several of each over the years, I stopped replacing...

  21. Cen

    neneRN replied to EmerNurse's topic in Emergency

    (Certified Emergency Nurse exam.) I wasn't sure I had passed when I took it, and I didn't realise that you got your results right then. I remember walking out, and as the lady handed me a piece of...

  22. RSI rapid sequence intubation question

    neneRN replied to BFE/RN's topic in Emergency

    We generally use 20 of Etomidate and 100 of Succ for most inubations....for the suspected head injuries we also add 50 of Lido and 1 of Norcuron. As Tazzi said, we use set amts unless pt is very...

  23. ER CNAs

    neneRN replied to KungFuFtr's topic in Emergency

    Techs in our ER do VS, EKGs, foleys, blood draws, splints, pt transports. They don't work with critical pts or traumas unless we need another set of hands for

  24. Give now orders

    neneRN replied to emrrn915's topic in General Nursing

    Our hospital policy states "now" or "stat" orders be completed within 30

  25. Does ED have a bad rep for mean nurses?

    neneRN replied to noelle4's topic in Emergency

    Exactly. Let me preface this post by saying that I am not trying to incite or belittle the OP. The best advice I can give is to stop and carefully read all these responses to the original question....