neneRN

neneRN BSN, RN

Emergency, Trauma

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All Content by neneRN

  1. titrating cardizem

    neneRN replied to ark-two's topic in Cardiac

    We send our pts on titrated Cardizem to the tele floors; I have NEVER seen a pt sent to ICU for only that

  2. Patient leaving AMA

    neneRN replied to veegeern's topic in General Nursing

    See lots of AMAs from the ER, and I would say 95% of the time its because of the wait. I have the same little speech for all of them, i.e., "we would like you to stay and be evaluated but I cannot...

  3. Preceptorships In Nursing Programs

    neneRN replied to NURSE ELLIE's topic in Nursing Educators, Faculty

    During preceptorship and even clinicals, nursing students from our local college can perform any skills that a PCA or tech can do without direct supervision, including foleys, lab draws, EKGs. If it...

  4. I need HELP!! with IV starts

    neneRN replied to Jasano's topic in Infusion, Intravenous

    I know other nurses hate to see an IV in the AC, but I have to echo what NephroBSN advised; when you are STILL LEARNING, just go straight to the AC; its big and it doesn't move. When I started in the...

  5. ACLS protocol vs Real life

    neneRN replied to sharann's topic in General Nursing

    As far as liability, I don't think you're gonna find any doc who will just use one drug if its not working; they're gonna try different things; i.e., you might have a doc who tends to go for Lido...

  6. "You know you are an ER Nurse when..."

    neneRN replied to Divern808's topic in Emergency

    ...you can step over your frequent flyer pt who's laying on the floor yelling "I'm having a seizure" despite the horrified looks of other pts and visitors. ...you can complete a triage form including...

  7. ACLS protocol vs Real life

    neneRN replied to sharann's topic in General Nursing

    Depends on the doc, some of our older ones still go with Lido, whereas the newer ones go straight to the

  8. Accessing ports.....can you do it?

    neneRN replied to TazziRN's topic in General Nursing

    I work in ER and if a pt has a port, we access it. Would only do a peripheral stick for BC or PT/PTT, or if pt was going to have a CT with dye injected. Or, if they come in with a PIV that EMS has...

  9. What are some causes of bradycardia?

    neneRN replied to lovingtheunloved's topic in Nursing Student Assistance

    Medications is a big one esp beta blockers. Also Dig

  10. leaving with iv lock in

    neneRN replied to ellencrn's topic in General Nursing

    We attempt to contact the pt at home and inform them that they need to return to the ER to have it removed. If we are unable to contact them, or if they refuse to come back, then we send law...

  11. for preceptors.

    neneRN replied to mel1977's topic in General Nursing

    I like the scared students too, I don't know how to explain it; but its very gratifying to help someone feel more comfortable doing a new skill, to help them see that they often know more than they...

  12. Nursing Documentation

    neneRN replied to Csuev_1970's topic in Nursing Student Assistance

    Whenever you have the time, glance over experienced nurses' notes; everyone has a different style and it helps to see how others make their notes "flow". As far as CYA charting, as a cardinal rule, if...

  13. Do EMT's have more skills than LPN's?

    neneRN replied to S.N. Visit's topic in LPN, LVN Corner

    Education is different, but as far as skills go, in my area, EMTs can do EKGs, apply monitor, Accuchecks, apply O2, take VS, initiate spinal immobilization, and with an additional class, start IVs....

  14. What do graduate nurses lack?

    neneRN replied to amandahqtpie's topic in General Nursing

    Agree with above posters; time management. But also, I have noticed that new grads in general are very task oriented; meaning they get so focused on trying to accomplish everything that needs to be...

  15. new grad, just hired in ER, question.

    neneRN replied to inodou's topic in Emergency

    I started out in ER right out of school and I'm still there. ER nursing is a different world; if you want to be an ER nurse, start

  16. How does your tele and ER work together?

    neneRN replied to Hrtnurse14's topic in Cardiac

    See, this is exactly what some of the other posters are trying to get across, if you don't work ER, you don't know what its like/why we do some of the things we do. When I'm charge in the ER, and I...

  17. Documentatio question

    neneRN replied to Celia M's topic in Legal

    Or worst case scenerio, say you chart meds, or god forbid, an assessment for 1000 at 0700, and your pt codes and dies at 0800? what if he leaves AMA? What if the pt is away at a test or procedure at...

  18. case study help

    neneRN replied to mani3433's topic in Nursing Student Assistance

    For the CVA; Tissue perfusion, altered (related to interruption of blood flow, i.e., occlusion or hemorrhage)/Impaired physical mobility/Risk for unilateral neglect/Knowledge deficit(Learning Need)...

  19. ETT Cuff Pressure

    neneRN replied to Possum's topic in Emergency

    Respiratory therapist inflates the cuff, but I've only ever seen them inflate with

  20. how does your er triage?

    neneRN replied to Uptoherern's topic in Emergency

    Last year we saw 116,000. This is our busiest time of year, so right now 300-400/day; less in the

  21. Nurse Practioner without any clinical experience?

    neneRN replied to Blee O'Myacin's topic in General Nursing

    Anybody who thinks they can be an effective NP without clinical experience outside of school is going to be in for a huge awakening. I'm sure its done, but in my opinion, just unrealistic and very...

  22. how does your er triage?

    neneRN replied to Uptoherern's topic in Emergency

    In our ER, pt is seen first by a tech, who takes their VS and has them fill out reason for visit, name, address, DOB. If VS are abnormal, the tech gives the chart to one of the triage nurses;...

  23. Situation Haunting Me

    neneRN replied to Happy-ER-RN's topic in Emergency

    You attempted to resolve this situation before it became life threatening and it sounds like you did very well in such a stressful situation. The outcome was not your fault. I have noticed that...

  24. Does My Forehead Say "I AM A Door Mat--Walk All Over ME!"?

    neneRN replied to Meerkat's topic in General Nursing

    People can't step all over you unless you let them! Easier said than done though, I know. What it takes is confidence in yourself, you have to believe that your decisions are what is best for the...

  25. If you have to go to the ER...

    neneRN replied to mom23RN's topic in Emergency

    Agree completely with Zachary2011! My guard instantly goes up when I have a nurse as a pt in the ER, especially when the first words out of their mouth are "I'm a nurse" or they have their badge...