neneRN

neneRN BSN, RN

Emergency, Trauma

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All Content by neneRN

  1. Lowest H/H I ever saw...

    neneRN replied to my2sons's topic in CCU, Coronary, Cardiac

    Lowest Hgb ever saw was 2- little lady came in by EMS, found unresponsive. I remember the ER doc saying that she must have been losing blood for quite some time to still be alive- body kind of...

  2. ER and defibrillators, what the deal?

    neneRN replied to jakemj8402's topic in General Nursing

    ER also gets quite a few codes in progress from EMS- they just usually don't make it out of the ER into the unit. We do anywhere from 5-15 codes a month just from EMS, and then there are those who...

  3. ER and defibrillators, what the deal?

    neneRN replied to jakemj8402's topic in General Nursing

    I'd say I've had to shock maybe 15- 20 patients in the past 3 years in the ER. We finally got the hands free defib where you just attach the pads and push the button- but you won't see that used on...

  4. Extra pay for certification or degrees?

    neneRN replied to Baby Catcher's topic in General Nursing

    No extra pay for BSN, but just started getting .50 more an hour for certifications. In ER, the certifications that qualify are CEN, CCRN, or TNCC. (and you only get the .50, whether you have one of...

  5. I am not a cardiac nurse but isn't ASA supposed to be DCd

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

    We give ASA pre cath as well (unless pt is on coumadin). In addition to this, we ALSO give 300 mg Plavix and 5000 Units Heparin

  6. cath lab RNs... is it protocol to DC Aspirin prior

    neneRN replied to MargRN's topic in Cardiac

    Our pre-cath orders state 325mg ASA "stat"- also any emergent acute MI gets ASA before they're whisked off to cath lab. We generally give 4 of the 81 mg

  7. Which port is used in a triple lumen central line?

    neneRN replied to Dawson's topic in General Nursing

    In nursing school, we were taught to remember by: Proximal=Phlebotomy Medial=Medicines Distal=Diet

  8. Need ER nurse feedback

    neneRN replied to gomernurse's topic in Emergency

    You know what I would LOVE to have on the transfer sheet? A list of current meds (not the MAR, which can have a bunch of meds that have been d/c'ed but you can't tell when or the meds have been...

  9. Medics in the ER

    neneRN replied to Surfnurse's topic in Emergency

    Our medics cannot pass meds, and can only hang NS. Medics are paired with an RN on our critical care side of the ER, but can take their own assignment in intermediate care. They can triage EMS pts,...

  10. Possible OD?

    neneRN replied to tiredfeetED's topic in Emergency

    Agree with giving Narcan. Just curious though, our medics run through their own protocols as far as interventions en route- we never give orders to medics- we get a brief report over the air and they...

  11. Critical care procedures

    neneRN replied to mercRN's topic in Emergency

    We do central lines once in a while, maybe weekly or every few weeks. (and they're almost exclusively femoral- I don't think I've ever seen an ER doc do a subclavian) If nurses really can't gain...

  12. Which doc in charge of ER holding patients?

    neneRN replied to ernurse2244's topic in Emergency

    We keep on using the ER paperwork as long as they're still in the ER. If it's an ICU admit, then the ER doc will sign the pt over to another ER doc while we're waiting for a bed. Otherwise, we have...

  13. Does anyone have Admission Nurses?

    neneRN replied to askater11's topic in General Nursing

    We have a ten bed admission unit- once a pt is admitted from ER or a direct admit, this is where they go. The nurses in this unit do the admission assessment, call MD for orders and hold the pt...

  14. Question For Cardiac Nurses

    neneRN replied to Jay-Jay's topic in General Nursing

    First off, I'm hoping your husband's HR was not 150s when he left the MD office! Was the ventricular response in the 150s or the flutter rate? I'm assuming if he was okay to leave then the flutter...

  15. Lingo

    neneRN replied to JACALA_CL's topic in Emergency

    STS-sicker than...... CTD-circling the drain

  16. :pBODILY FLUIDS

    neneRN replied to JACALA_CL's topic in Emergency

    Um, can I check 5 of these?

  17. Adenocard?

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

    I wouldn't think that Adenocard would cause the troponin to rise, but rather the strain on the heart by the SVT- kind of like when you can see ST changes on the 12 lead with people in SVT, Afib with...

  18. Triage in the ED

    neneRN replied to Horton's topic in Emergency

    RNs are the only ones allowed to triage in my facility; as far as developing a plan of care, in the ER this translates into determining who needs immediate care and who can wait as well as deciding...

  19. CEN exam

    neneRN posted a topic in Emergency

    I've scheduled an appt to take the CEN exam. So, anyone's who's taken it- is it impossible? Did you pass the first time around? How long had you been working in the ER? How much and what kind of...

  20. patients smoking

    neneRN replied to spitfire's topic in General Nursing

    Our pts aren't allowed to go out and smoke (this is in the ER), but when they insist- we can tell them that we will not hold their bed for them while they go outside to smoke, we will give the room to...

  21. They left my love one in the E.R. for....

    neneRN replied to askater11's topic in General Nursing

    I can relate to all the frustrations the other ER nurses are voicing here....and I'm sure you all have noticed that in general the ones complaining the most are the least acute; ones that could have...

  22. IV Dilantin

    neneRN replied to LINUS's topic in General Nursing

    I don't think I've ever administered less than 500 Mg, but I would go ahead and dilute just about any dosage, at least into a 50 or 100cc NS

  23. IV Dilantin

    neneRN replied to LINUS's topic in General Nursing

    I'm surprised to hear that most don't dilute Dilantin further. We frequently give IV Dilantin in the ER, usually pts coming in after a seizure with subtherapeutic levels so the majority of the time...

  24. etomidate

    neneRN replied to TinyNurse's topic in Emergency

    We almost always use etomidate prior to intubation, usually 20 mg. Once in a while we'll use it for conscious sedation, though most docs tend to use brevitol for

  25. Telemetry Protocol

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

    What about a modified policy stating something along the lines, Notify if MD if HR > or If you guys use preprinted orders at all, some of these areas could have blanks for docs to fill out...