neneRN

neneRN BSN, RN

Emergency, Trauma

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All Content by neneRN

  1. Blood vs NS Question

    neneRN replied to traumamedic's topic in Emergency

    Would give blood if pt clinically appears to be having acute blood loss, i.e.-sustained hypotension, tachycardia, obvious injuries indicative of blood loss (pelvis, femur fractures, distended belly,...

  2. 5 things a new RN must have...

    neneRN replied to SpecFuz's topic in General Nursing

    Depends which area you're gonna work in...in the ER, all I carry in my pocket is a couple of black clicky pens and a highlighter, and never go without my stethescope around my neck. At my desk, I...

  3. Wet vs. dry

    neneRN replied to PJMommy's topic in MICU, SICU

    WET-SOB, rales, edema, HTN, JVD, difficulty lying flat, kind of restless, decreased O2 sats, gonna have orders for IV Lasix, NTG, maybe Natrecor, hopefully will have a foley filling up with very...

  4. Allergic to Benadryl?

    neneRN replied to Brittneesher's topic in General Nursing

    Never seen a Benadryl allergy, but assume you'd go ahead with the rest of the cocktail of meds used for allergic reactions- Tagamet, Solumedrol, IVF bolus, and Epi if bad

  5. Your help is much appreciated on this poll.

    neneRN replied to Jetman's topic in Emergency

    Nope, just get .50 extra an hour for having TNCC or

  6. Figuring out IV drip rates

    neneRN replied to RedSox33RN's topic in General Students

    ALWAYS a shortage of pumps in the ER- we hang IVF, antibiotics, IVPB ALL by gravity and save the pumps for titrated gtts. I hang by gravity way more often than I use a pump, so calculating gtt rate...

  7. acute MI comes into the ER.......

    neneRN replied to dazzle256's topic in Cardiac

    Six hours is asinine! I thought I had it bad last Friday when I had an acute come into the ER and it took one hour for the cardio to see, I was fuming! We normally get them into cath lab within 20...

  8. Figuring out IV drip rates

    neneRN replied to RedSox33RN's topic in General Students

    3.6 is the same as saying 3 and 6/10ths of an hour. Divide an hour into tenths (60 minutes divided by 10) and you get six. So, if one tenth of an hour is six, then six tenths of an hour (6 x 6) is...

  9. Most Common Med/Surg Drugs, Including New Drugs

    neneRN replied to Town & Country's topic in General Nursing

    Lasix, Pepcid, Rocephin, NTG, ASA, Levaquin, Heparin, Tylenol, Morphine, Insulin, Normal Saline, Potassium,

  10. Syncope after injection?

    neneRN replied to LorraineCNA's topic in General Nursing

    sounds like she vagaled down...not an uncommon response in some people, even though she may not have done it before with previous injections. And yes, like the ER doc says, most likely her body's...

  11. What's you highest...?

    neneRN replied to talaxandra's topic in General Nursing

    Let's see.... (these are all different pts!) Dig level 6.7 - CHFer not on dig prior to admission...somebody goofed giving Dig Glucose 2100 - new Dx diabetes, early twenties Lactate 16.1 - sepsis, died...

  12. Things that make you go ewwwwwww!

    neneRN replied to nurscee's topic in General Nursing

    The other day a nurse I'm precepting was helping hold the legs of a pt while I cathed her. When I was through and we were cleaning up the contents of the foley kit, this nurse gathered up the...

  13. preceptor decision

    neneRN replied to Loubell RN 2B's topic in First Year After Licensure

    Of course, I'm biased because all I've ever worked is ER...but if you don't have a place you're really drawn to yet, I think the ER is the best place to precept. Where else will you get such a...

  14. Ultrasound for Peripheral IV's

    neneRN replied to RNCENCCRNNREMTP's topic in Infusion, Intravenous

    So far they've only trained the nurses who work in Vasc lab to use the sonosite, but rumor is that those of us in the ER will be trained next. We've only utilised this method a few times, but I will...

  15. Dehydration vs. Retention...that accursed prostate gland

    neneRN replied to FZ1Tom's topic in General Nursing

    Actually, it's not sounding as if you've been dehydrated; you're consuming more than enough fluid, your BUN is not elevated, and H&H is low as opposed to higher values that you normally see with...

  16. 25 Nurses fired for not working Frances

    neneRN replied to Rudegal2020's topic in Florida Nursing

    Okay, I swear not all FL hospitals are like this! I worked during Charlie- most of the night shift came in hours early to relieve dayshift. Those of us who were just getting off duty when the storm...

  17. How do you feel Paramedics can improve?

    neneRN replied to Medic_78's topic in Emergency

    Our medics are awesome, I have a lot of respect for them. I'm sure that you guys don't hear "good job" as often as you should, especially when you're bringing in someone really sick- because as...

  18. Etomidate

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

    Also called Amidate, it's a VERY strong sedative that lasts for about 5 minutes. We use it for almost all intubations in the ER, usual dose is 20 mg IVP(the whole ampule). Occasionally we'll use a...

  19. What's your craziest story of the ER

    neneRN replied to debo_lpnER's topic in Emergency

    Couple of years ago had a 60ish male brought in by EMS. Apparently the pt had been working at his computer at home when he started to feel dizzy. He attempted to take his own pulse, but was unable...

  20. Cardiac Catheter in the ER?

    neneRN replied to RN92's topic in Emergency

    They find them rooms somewhere, because I have NEVER seen a pt come back from cath lab to our ER. I guess we're lucky....I'll be anxious to hear if other ERs are having the same problem as

  21. Running IV hydration manually - rates

    neneRN replied to bulletproofbarb's topic in General Nursing

    Or just do it the easy way- the magic number equation. Take whatever gtt tubing your're using and divide it into 60. So if you're using 20 gtt tubing, your magic number is 3 (60/20=3). Using 15 gtt...

  22. Chest tube came out!

    neneRN replied to julieK's topic in General Nursing

    I was taught in nursing school to use the vaseline gauze, but to only tape three sides of the dressing; reason being that you don't want to let air in, but you still want to let air escape in the...

  23. Real ER vs TV ER

    neneRN posted a topic in Emergency

    Reading another post re defib use in the ER vs on TV made me think about all the other things that are factored in to add drama to TV ER shows. I think it would be interesting to see what are real ER...

  24. How many visitors in the ED?

    neneRN replied to twright's topic in Emergency

    Two visitors per pt for all pts. The only times we make exceptions are when a patient is doing very poorly or when the doc wants to speak with the whole family; then we will let more back for a short...

  25. Real ER vs TV ER

    neneRN replied to neneRN's topic in Emergency

    How about when the family is at bedside while they're coding the pt or during a bad trauma? I know there's a debate as to pros and cons of having family in the room- but how many of your ERs...