neneRN

neneRN BSN, RN

Emergency, Trauma

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All Content by neneRN

  1. Blood administration policy

    Our policy is also to use nothing smaller than a 20 to infuse PRBCs, and I never have. However, I have seen it done through a 22 without adverse reaction. And I'm sure with pediatric pts it is...
  2. What does a Trauma Nurse Prcatitioner do?

    I'm sure this will vary in different areas/facilities, but where I'm at, there are two nurse practitioners in our Trauma Services. They do not participate in the ER care of the trauma pt, but round...
  3. ER Pet Peeves

    The endless phonecalls that come into the ER all day long, apparently we are the know everything guide. But they are good for humor for the sheer ignorance! Highlights from today? "My husband was...
  4. Asls

    Just took the ASLS course yesterday and thought it was really good. Has anyone else taken it and is your hospital and/or EMS using the MEND exam
  5. ER RNs vs. Paramedics

    The answers here are going to vary by state and facility, but here's how it is where I am: Paramedics can do much more out in the field, however, in the ER, paramedics cannot do everything that they...
  6. a nurses work schedule???

    Alot of hospitals have weekender positions too. Where I'm at, positions are posted for specific shifts; I do weekdays, which means three 12 hour shifts 7a.m. to 7p.m. only M-F. You can also be hired...
  7. Do you give up your seat for a doctor?

    Depends on the situation and the doc; if I'm sitting down because I'm caught up and its during one of those lulls that occasionally roll around, then I'll give up my seat to the doc. Or if its a...
  8. Is it selfish not to get a Flu Shot?

    You know, they tell you its not a live virus and you can't get sick from the shot, and that may be very well true, but as others have posted, I NEVER get sick, and the one and only time I did get the...
  9. Why is everyone on Protonix

    As above posters have said, typically given as a precaution. A lot of pts are NPO for surgery or procedures; with nothing going in the gut, you want to decrease the acid churning around in there....
  10. Controversial HealthcareTopics...

    Family being present during codes (there was a thread not too long ago on
  11. TV's ER new NM, Eve

    Ugh, I thought the new nurse manager was obnoxious in a "look how smart I am" kind of way. I mean, it's good to show the knowledge nurses are capable of having, but I would have wanted to smack her....
  12. Asls

    No, I'm talking about Advanced Stroke Life Support. I believe it's a very new course- I took it on Wednesday, which was the second time it was offered at my hospital. It's an eight hour course...
  13. Unnecessary testing

    Another thought, I have a book written by an ER doc (Kevin Pezzi), I think he has almost a whole chapter on this topic. Anyway, he brings up the point that the ER doc can be sued for not ordering...
  14. Unnecessary testing

    Okay, not to get off topic here, but just gotta respond to a few comments that are rubbing me the wrong way! As to these "stable as rocks" pts, if you don't feel they warrant ICU placement,...
  15. Can Assoc. RN cut diabetic toenails?

    I've only done ER, so never had to do it, but I do remember being taught in nursing school that the nurse should NOT trim a diabetic's toenails for all the afore mentioned
  16. Er Nurses Help! Report To Floor Admits.

    We call report to the floors; if the accepting nurse is busy and can't take report, then we give report to their charge nurse. We used to have to wait until the nurse was able to call us back or came...
  17. Charge Nurses

    I'm one of the charge nurses in the ER. We have designated charge nurses for each shift. (At our hospital you either work weekdays, weeknights, weekend days, or weekend nights; so for each of these...
  18. new nurse-i feel useless when a code is called.

    Have you taken ACLS? If not, then sign
  19. U of Pheonx Online?

    WOW! Was not expecting to hear that....think I'll stick with my original plan of using a local university's online program. Thank you for the info,
  20. U of Pheonx Online?

    What's the ballpark cost of obtaining the BSN and also the MSN through UoP? I've been to their website, but you have to sign up to get info; which I did, but haven't rec'd anything. Do they charge...
  21. Weird, Odd Nurses Behavior.....

    Its funny, we were talking about this at work the other day, about how most of the nurses in my unit have OCD tendencies. Right after getting report, you can look around the ER and see most of the...
  22. In the ER, we do almost all of our lab draws from their lines, even if they have IVF runinning. I just shut off the fluid for about 5 minutes and draw off a waste before my labs. (*There are...
  23. You would use the tourniquet in this instance for the same reason you would need a tourniquet for a regular peripheral blood draw; to slow the venous return, allowing the vein to fill up or become...
  24. As a student, I was allowed to push meds except IV narcs. LPNs cannot push meds where I'm at; rationale probably being that most IV pushes are either cardiac or code meds which can cause serious...