neneRN

neneRN BSN, RN

Emergency, Trauma

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All Content by neneRN

  1. Urgggggggg!!!!!!!!!!!

    Um, no offense, but an experienced nurse wouldn't accept this position with what you've described...it sounds like you're being taken advantage of because you're so new...how big is this
  2. Oh yeah, and had one ER doc, who's a jerk anyway, tell me to pull back a chest tube he had just inserted and resuture it...um, are you
  3. Our docs occasionally ask the nurses to put in EJs...they don't have to use angiocaths very often (because the docs just typically go right to a central line if they have to put one in), so a lot...
  4. Adenosine iv push-stops the heart for a millisecond-MD must push ...I have had docs say "you don't need me, its okay" How about "NO". Really? The RN always pushes it where I'm at...the docs at...
  5. conception

    The woman absolutely does NOT need to have an orgasm to
  6. Is this Common?

    Fairly common...typically do an ultrasound of the leg in the
  7. Good nursing Supervisors

    I've been supervisor of a very busy ER for just over a year and a half. I think that the absolute best thing that I do for my staff is get out there on the floor when we're slammed...I start lines,...
  8. Need your advice....especially ER nurses

    Sounds like you already know that the ER is not the appropriate way to
  9. 18-gauge vs. 20-gauge

    Always go with the 18
  10. NEVER NEVER NEVER give a paralytic without sedation FIRST!!!! EVER! That's a cardinal rule. In my 8 years in the ED, I've never given any paralytic without sedation first. As a nurse, this is...
  11. Sticky removal from skin! aka Today I was the patient

    Try olive oil or baby
  12. What nursing skills do you use the most?

    Assessments, IVs, EKGs. Critical thinking; being able to work up a pt before the doc sees them and being able to tell sick from not
  13. Hired Paramedics in your ED???

    Our medics can do foleys, EKGs, transport, hang fluids (normal saline only), IVs, splints, transport, CPR, and defib. They can triage and we do hire medics into RN spots for triage positions (our...
  14. Black scrubs?

    All of the RNs at the hospital I work at can ONLY wear black or white, NO prints. Its too hard to stay clean in all white, so the majority of the RNs are in head to toe black (we can wear black...
  15. How do you waste medications?

    I squirt wasted injectables right into the regular trash or just throw the remaining med in the sharps if its still in the vial...rarely have to waste a pill, but would throw it in the sharps...
  16. Accessing chest catheter

    We don't touch dialysis access in the ER unless the patient is
  17. Are there "well staffed" ERs?

    I think our ER is very well staffed, this has really changed over the past year and a half as we have a new manager who is really committed to staffing. We don't use agency in our ER. There are not...
  18. How many visits does a "busy ER" have?

    I work in the second busiest ER in the state of Florida; we had 136,000 visits last year, and that number gets higher each year. March is always our busiest month and we broke the record of most...
  19. Anyone ever seen a post-cath go AMA right off the table?

    Work in the ER, so haven't seen one leave post cath, but had a male pt come in via EMS with an acute MI...I'm talking tombstones...he didn't believe he was having an MI, told staff and MD we didn't...
  20. Anyone have ER techs that work?

    Our techs are very different from our Unit secretaries (HUCs). Our HUCs have no pt contact and strictly enter orders in computer, answer phones, run misc errands. Our techs rock; they do blood...
  21. Tired of being asked to work extra...

    Just say no if you don't want to work...turn down the ringer if you're sleeping...use your caller ID...don't answer the phone...ask to be taken off the list of people to call... When covering call...
  22. trauma vs Emergency Nurse

    In our ER, all nurse working in the Critical Care section (our main ER is split into Critical Care and Intermediate Care) must have their TNCC (Trauma Nurse Core Course)within the first year of hire....
  23. 8:1 ratio in the ED?

    I would ask if they are specifically giving the 8 to 1 regarding RNs. I ask because our ER is separated into several different areas of acuity. The highest acuity assignments staff 1 RN for 2 pts...
  24. Charge Nurses: Share your best tips and advice

    The dealing with unhappy persons used to be something I dreaded, but I think its one of my stronger points now...they want you to listen and understand why they're upset. Let them vent and get it all...
  25. Positive TB Test

    Are they suggesting that you need the meds? Typically only high risk persons are prescribed the meds unless you have a greater than 15mm induration....I work with a few nurses with positive PPDs and...