neneRN

neneRN BSN, RN

Emergency, Trauma

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All Content by neneRN

  1. There was a thread not too long ago about this topic, it was titled "what's up with RNs not showering" or something along those lines. I know you need certain questions answered, but try to read this...
  2. Sorry! Had to vent that
  3. Cen

    Its very doable- I obtained my CEN as a fairly new nurse (I hade been in the ER for two years straight out of school). It was a challenging exam, but I don't feel that it warrants a lot of studying...
  4. Bedside Report?????

    There was a really big push for us to do this in our ER, but no matter how management tried to convince/bribe/force us to do it, the nurses didn't want it so the idea eventually trickled
  5. JCAHO and supplies at the bedside

    We have supply carts in every pt room in the ER. There is one drawer on each cart that holds all of our needles, syringes, and saline flushes. Other items such as tape or electrodes don't need to be...
  6. Reported off to night shift: BED 1:Afib finally slowed down after 3 cardizem boluses/Dig IV/ Lopressor x 3 IV/po Lopressor & Cardizem gtt. Also on Heparin. BED 2: MAT rate down to 150 from 200s...
  7. paramedics in the ER

    Our medics can triage, start lines, EKGs, foleys, splint, VS, transport monitored pts to ICU or cardiac floors, call report to floors. No
  8. Arterial blood gases

    What is it exactly you need to find out? What the abbreviations mean, normal values, interventions, or what? Don't know what you mean as far as needing specific for
  9. I freeze up when the big traumas/CPRs come in

    You're supposed to be scared when the sickest pts come in- you're new and it is scarey at first. Being comfortable with these pts comes with time and experience. You sound like you know what you...
  10. ABGs

    The pt has compensated if they have a normal
  11. Can't think of any reason at all why a pt would have both an NGT and OGT. Yes, you can aspirate gastric content from either one. As for the IV question, you can remove the tourniquet at either...
  12. question about tetanus

    You have 72 hours from the time of the wound/cut/whatever to safely get the Td
  13. Real life in the ER vs. what we're taught in nursing school

    Everything you mentioned happens everyday in my ER. Another one, drawing both sets of blood cultures at the same time with your IV start instead of 2 different sites/ 15 minutes
  14. 1. Yes, you've gone through the vein and its blown. Occasionally, when this happens, you can still save the line by pulling back a little before you try to thread. If this works, the hematoma will...
  15. what's in your pocket?

    1 or 2 black pens, yellow highlighter (we have to highlight orders once they're done), couple dollars for water or pop, and my stethescope around my neck. Someone mentioned earlier in the thread...
  16. RN's that dont like showering? Whats with that?

    When I was a nurse intern (utilised as a PCA/CNA), I did all of the bathing, linens, VS, and Accuchecks for 8 pts. I remember being frustrated back then when I would see the nurses sitting down while...
  17. IV Phenergan and Toradol "Push"

    Our hospital policy changed probably about a year ago due to so many cases of irritation/complications with giving it push- now it must be given IVPB in a 50cc bag of NS. I remember as a new nurse...
  18. admissions nurse

    Our hospital has designated admission nurses- there are 2 nurses 24/7 who are stationed in the ER. They don't do direct admits, only those admitted through the ER. Although it may take other nurses...
  19. Things Patients Have Taught Me NOT To Do

    all true stories from pts I've had: Do not come into the ER c/o abd pain, swear to the triage nurse that there is no way you could be pregnant, and then proceed to deliver your baby in the bathroom of...
  20. new graduate: ER OR MED-SURG?

    Depends on your personality and learning style. I went straight from school to ER and did very well. We commonly hire new grads, most do okay and find their way after several months, some do great...
  21. How does your tele and ER work together?

    No, I know that floor nurses are not lazy, and I agree that communication between floor nurses/ER nurses could use improvement in probably any institution. I think the biggest problem is that both...
  22. How can you say you're not paid well?

    The money's not bad, it's the amount of responsibility that it's supposed to compensate you for that isn't quite
  23. How does your tele and ER work together?

    Ditto what softballmama said. gotta say, I don't think any place is busier than the ER (as busy as, in some cases, but not busier) As a floor nurse, you don't have to care for pts in the hallways...
  24. My 3yr old has rash and temp

    Or roseola...german measles- goes away on its own. Best bet would be to see the doc, you never
  25. Blood vs NS Question

    Use NS or LR if pt is clinically stable with minimal blood loss. We generally only give blood immediately in the situations I described above. Not every pt that has blood loss will need replacement....