neneRN

neneRN BSN, RN

Emergency, Trauma

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All Content by neneRN

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

    neneRN replied to noelle4's topic in Emergency

    I don't think anyone "ROCKS" the ER without prior ER experience in a short amount of time...maybe that attitude is actually the core of the

  2. Any Pearls of Wisdom regarding the following cardiac meds?

    neneRN replied to UM Review RN's topic in General Nursing

    Amiodarone- never shake to mix and always give with a filter; watch for hypotension. Best to have running IVF running to prevent irritation to the vein. Adenosine- remember to tell the pt that...

  3. would you laugh at me ?

    neneRN replied to sunshineonleith's topic in Emergency

    We see dental problems/pain fairly frequently, but don't do any interventions for it other than pain relief and/or antibiotics along with a dentist referral. I'm surprised to hear that any ER would...

  4. Foley Phobia??

    neneRN replied to MQ Edna's topic in General Nursing

    In our ER, the nurse is the one who decides if a pt needs a foley, and just goes ahead and puts it in; rarely do you see an ER doc write an order for one- they just assume we'll do it if its...

  5. A question about a Practice calculation question...

    neneRN replied to Nili927's topic in General Students

    First, figure out your pt's hourly dosage for the drip. (90kg x 10 Units =.....) Next figure out what your concentration in the bag is (25,000units/ 250cc=....how many units per CC) Once you get to...

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

    neneRN replied to noelle4's topic in Emergency

    No, we're not mean! (usually!) But if you're new to the ER, there probably are some things that can be construed as mean. I've noticed that we all vent a lot to each other about pts, docs,...

  7. Codes and note taking

    neneRN replied to Holly27's topic in CCU, Coronary, Cardiac

    Usually when I scribe for codes, I use a blank sheet of paper and then transfer to the code sheet when done. NEED TO RECORD: time code initiated and by who pt rhythym(s), times of rhythym changes...

  8. is re charting legal

    neneRN replied to capability's topic in Patient Safety Issues

    We just had a presentation at work by Risk Management on documentation, and this topic was covered. It is illegal unless you also include both sets of notes, the original and the revised; but in your...

  9. grrrrrrrrrr.........

    neneRN replied to luvkitties's topic in General Nursing

    Other than the no glove thing, the nurse didn't do anything wrong. If you had muttered under your breath, "I'll do it"...the next thing out of my mouth would've been to ask you to step out of the...

  10. Should a new grad try ED or not?

    neneRN replied to MegRyanGirl's topic in Emergency

    I used to be all for hiring new grads into the ER, but now that I've been there awhile...I'm not so sure. I started there right out of school and still love it 5 years later. I've seen new grads...

  11. new to you & ER

    neneRN replied to ski_ER's topic in Emergency

    Welcome to the ER...there's no other place like it. I've been in ER for 5 years and can't imagine ever doing anything else! Get ACLS and TNCC as soon as possible, learn to read your 12 leads, and...

  12. Co-worker hitting up the Dr.s for meds during shift?

    neneRN replied to babiesX2's topic in General Nursing

    Not uncommon in the ER, but we work with the same docs day in and day out and have a good rapport with them.....but there are some who will not do it and that's fine too. Usually its for antibiotics....

  13. Every IV in the AC?

    neneRN replied to General E. Speaking, RN's topic in Medical-Surgical

    Just have to echo what the other ER nurses are saying...we look at any ER pt as having the potential to crash until the diagnostics come back and we can see what's going on with the pt. I want a big...

  14. Unsafe assignments in the ED

    neneRN replied to LeahJet's topic in Emergency

    Our ER is separated into Fastrac, Pediatric, Intermediate Care, and Critical Care. I've always been in the Critical Care section, where pt load is determined by acuity. Three of our 2-pt rooms are...

  15. med reconciliation in the ED

    neneRN replied to ern91's topic in Emergency

    I don't have a problem filling them out, we've always had to list all pt meds on our triage sheets anyway. But this has just served as a guide for the ER docs to have an idea of what the pt is on,...

  16. peripheral dopamine...eek!

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

    Do it all the time in the ER; of course I wouldn't run it into a little 22 in the hand, but have given it through an 18 or 20 in the AC many, many times and have never had a

  17. Nursing job that doesn't have to deal with docs?

    neneRN replied to Luvbuble's topic in General Nursing

    Have you ever done ICU or ER? These areas, you work with the same group of docs day in/day out. I've only done ER, and the docs have a very laid back relationship with the nurses...probably because...

  18. and people WANT to do this????????????

    neneRN replied to Ranchgirl30's topic in Emergency

    27 pts in a shift, yeah...but all at once? The most pts an RN in our ER has at one time is 12, and that's with an LPN and a tech, with lower acuity pts. And this is from an ER that sees...

  19. Rapid Afib

    neneRN replied to zacarias's topic in Cardiac

    I work in ER and am surprised that a pt would get sent to you with HR that high without the gtt getting started in the ER...I guess all hospitals are different. Just curious as to why he only got a...

  20. conscious sedation

    neneRN replied to onlyER4me's topic in Emergency

    Nope, don't use Diprivan for CS; almost exclusively use Brevital (which the MD has to push), occasionally use

  21. SO- Patients in Gowns

    neneRN replied to Aneroo's topic in Emergency

    We get them into gowns and put belongings in bags; this, after a few too many walking out without any one stopping them because they looked like visitors, few too many indulging in their drug of...

  22. CT's

    neneRN replied to RNLex's topic in Emergency

    I'm in FL; our CT techs do it all- the only time I go back to CT is with the pts who are very

  23. IV's- nursing or medical decision?

    neneRN replied to canoehead's topic in Emergency

    I've never had an ER doc NOT want me to start a line. In our busy season, the wait to be seen is crazy...its not uncommon to have all the labs resulted and on the chart before the doc even sees the...

  24. Ekg's

    neneRN replied to zaleah's topic in Emergency

    Our ER has never done the EKGs in triage; if the triage nurse feels they need an immediate EKG/or if they have any kind of cardiac complaint, they get walked straight back to the treatment area...

  25. road side assistance??????

    neneRN replied to msmellnhead's topic in General Nursing

    This reminds me of our hospital's bright idea to give "drive through" flu shots in the parking garage; they have been doing this for the past few years and I keep wondering when its gonna come back...