neneRN

neneRN BSN, RN

Emergency, Trauma

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All Content by neneRN

  1. Vasopressin for Septic Shock

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

    About a year ago, we started a nurse-initiated sepsis screening process (modified by one of our ICU docs from some sepsis study) in the ER so we can detect sepsis earlier and get them out of the ER...

  2. IM Injections

    neneRN replied to Dan's Sunshine's topic in Nursing Student Assistance

    Ditto the previous poster, you don't have to stick the needle in the whole way...I've hit bone once or twice; the feel of it makes you cringe, doesn't

  3. ICU holds in the ER

    neneRN replied to Altra's topic in Emergency

    Some of our ICU docs routinely come down to see/write orders for our ICU holds, others don't until we page them because we need something. Its pretty rare that the intensivists don't respond to a...

  4. Favorite, Fun, Weird, and Scandalous Symptoms and Diagnosis...

    neneRN replied to doctordefender's topic in Nursing Humor

    When pts come into the ER, they have to fill out a line stating the reason for the visit. A few weeks ago one read; "I brought my son"; the pt (who was an adult) had his mother fill out the paper....

  5. What exactly do you do as an ER nurse?

    neneRN replied to vegnurse21's topic in Emergency

    A better question would be, what don't ER nurses do? LOL...but it's true, ER nurses care for every illness/injury possible, from birth to

  6. Florida BON

    neneRN replied to tabby75's topic in NCLEX Exam, Programs

    Right around 5 weeks to get your authorization to

  7. Anespetic Cannulation Techniques

    neneRN replied to awilhelm's topic in General Nursing

    We use the chloraprep (without alcohol), and scrub for thirty sec for IV

  8. er nurses: what kinds of teaching do you do

    neneRN replied to baby_gurl0604's topic in Emergency

    Teaching with discharge instructions; how to relieve Sx/prevent complications/when to seek further care/med teaching on any diagnosis;...

  9. POLL: Do you still use trendelenburg?

    neneRN replied to bluesky's topic in MICU, SICU

    I use trendeleberg, but typically only for the few minutes that it takes to get the vasopressors/IVF bolus/PRBCs up; once I've got those going, then I put the pt back to normal position. Only time I...

  10. Floors VS ER

    neneRN replied to FLoridarnl's topic in Emergency

    Please don't disregard the sentence I wrote after saying I wish the floor nurses could come down to ER so they would get it; I also said they probably feel the same way, that we don't get what its...

  11. Title of "BSN" on badge?

    neneRN replied to evans_c1's topic in General Nursing

    At my facility its really up to the nurse as far as what she wants on her badge. Every RN I know has either ADN or BSN on it, and most also include the initials for any certification they have. Mine...

  12. Floors VS ER

    neneRN replied to FLoridarnl's topic in Emergency

    This is a problem every hospital has, and no, it will never change. The ER and the floors have completely different mindsets and priorities. Unless you've worked both, neither can appreciate where...

  13. what to do next?

    neneRN replied to emilytwo's topic in Nursing Student Assistance

    I think if you take time off from school, you might see that year stretching into several. I graduated 5 years ago, with the thought of going back after a year....just now applied to go back this...

  14. medication error?

    neneRN replied to strawberry2006's topic in Patient Safety Issues

    The routine in which you give meds in the beginning are the ones that you'll do for the rest of your career. i.e., its easier to start a habit than it is to break one....check your...

  15. Do you see a problem with this?

    neneRN replied to DallasRN's topic in General Nursing

    Just trying to clarify, were you sent down to ER to take care of the pts already admitted/ waiting for beds or did you have to take care of ER pts? I can imagine floating outside your home unit...

  16. Groin Prep for Cardiac Cath

    neneRN replied to sguthland's topic in Emergency

    Okay, first off, let me say that I know I don't know everything that goes on in the cath lab; I just do ER. I'm not trying to come off as the "ER supernurse. When I said that "I'm not wasting the...

  17. Groin Prep for Cardiac Cath

    neneRN replied to sguthland's topic in Emergency

    Nope, don't routinely do it; the other things we need to get done are the priority. More than often the acutes are EMS pts who also need triaged in addition to all the meds/interventions. Every...

  18. Ketamine

    neneRN replied to jili's topic in Emergency

    In FL, where I'm at, RNs cannot push Ketamine, Brevitol, or Diprivan because they are considered general anesthesia. Not saying it isn't done, but technically, nope, not

  19. How much Chemistry do you need to know to be a nurse?

    neneRN replied to andrea5's topic in Nursing Career

    I didn't take any Chemistry (ADN) and I've been nursing for 5 years without any problem! As another poster said, you do need to know acid/bases/electrolytes, but you are taught these things in...

  20. titrating cardizem

    neneRN replied to ark-two's topic in Cardiac

    Our hospital uses a preprinted Cardizem protocol which includes parameters for titrating/holding/calling MD. Pretty much anyone on Cardizem just has the protocol

  21. Unhooking IV pumps in Xray.....

    neneRN replied to dawson16's topic in Infusion, Intravenous

    Our techs use the already est IV site; they disconnect the infusing med/IVF and restart when finished. They are supposed to ask the nurse before doing this in case it is a med that can't be stopped,...

  22. Vitamin K IV

    neneRN replied to Central WI RN's topic in MICU, SICU

    Should only be given IV when absolutely necessary, i.e., an actively bleeding pt with coags/INR through the roof. I've given it IV maybe 10 times in the past five years, never had a problem. I do...

  23. Real-World Nursing Assessment

    neneRN replied to BirdFeederLady's topic in General Nursing

    Your instructor must be way out of touch with the real world; NO, I would not have inspected his genitals unless they were the reason he was in the hospital, which obviously wasn't the case here. Can...

  24. Desperately Need Help With Care Plans

    neneRN replied to LVN2006's topic in Nursing Student Assistance

    Well, you've got your nursing diagnosis; Impaired Skin Integrity, so next you need your "Related to," which will be specific to your pt, but some common ones are physical immobilization, mechanical...

  25. comadin Question

    neneRN replied to codyp's topic in LPN, LVN Corner

    (coumadin) You would need to look at their INR to see at what therapeutic level their coumadin is at. Your pt is anemic with a hemoglobin of 8, so if their INR was too high, there would be increased...