neneRN

neneRN BSN, RN

Emergency, Trauma

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All Content by neneRN

  1. Can nurses report MD;s and to who

    neneRN replied to angelbear's topic in General Nursing

    I agree with all the other posters stating to write what he says as a verbal order. If possible, though, I would suggest having another nurse on the line to witness this: that way, if and when it...

  2. ER last night and the nurses!

    neneRN replied to smk1's topic in General Nursing

    I agree with smkoepke, last night's show did a great job showing that nurses don't just sit around waiting on doctor's orders to be carried out- I loved that they showed Abby doing assessments and...

  3. CEN exam

    neneRN replied to neneRN's topic in Emergency

    Lots of questions about prioritizing care, esp disaster/mass casualty incidents vs regular ER triage. The exam really did cover the biggies, i.e. the most common or most critical processes/illnesses-...

  4. drug calculations

    neneRN replied to BWORN's topic in General Nursing

    All mcg/kg/min gtts can be calculated using the same formula- I write this down for every new nurse I precept to stick to the back of their badge for easy reference. MG of drug x 1000= Divided by amt...

  5. CEN exam

    neneRN replied to neneRN's topic in Emergency

    So.........drumroll..........I PASSED! That's the best feeling, thank you guys for your words of

  6. ER nurses please help!

    neneRN replied to NYCRN16's topic in Emergency

    Number of patients: Pt numbers very according to acuity, our ER has three critical care rooms where it's one nurse to two pts (all codes, acute MIs, unstable pts go here), there are three other areas...

  7. CEN exam

    neneRN replied to neneRN's topic in Emergency

    No, don't get any perks, just want to challenge myself and see if I can do it. I agree veetach, that the CEN doesn't make you a better or more professional nurse-I work with so many awesome nurses...

  8. CEN exam

    neneRN replied to neneRN's topic in Emergency

    Thank you so much for replying! That's the kind of response I was hoping for. I've been in the ER just over 2 years. Only a handful of our nurses have their CEN, mostly those in management, so a...

  9. Vasopressin for Septic Shock

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

    We've hung a Vasopressin gtt on this type pt- I've seen really good results with it, but don't know of any research/studies supporting its use in this context. Generally runs at 2-6 Units/hr. The...

  10. Subjective or Objective?

    neneRN replied to bedpan's topic in General Students

    Subjective. It is the mom's opinion (even though she may be accurate) that the child has little appetite. A fact can be clearly measured or proven. For example, if she stated, "He ate one bite of...

  11. Triple lumen central lines/test question/and flushing

    neneRN replied to passing thru's topic in General Nursing

    We don't have a specific policy, but in school were taught: Distal=Diet (tpn),IVF Middle=Meds Proximal=Phlebotomy We do have policies on flushing and this will probably vary for each hospital on...

  12. banana bag

    neneRN replied to EricTAMUCC-BSN's topic in MICU, SICU

    Sorry, multi-vitamins. Severe alcoholics tend to drink more than they eat so a banana bag is an attempt to replenish nutritional

  13. banana bag

    neneRN replied to EricTAMUCC-BSN's topic in MICU, SICU

    A bag of IV fluids containing MVI (this is what makes the fluid yellow, hence the term "banana" bag)-we hang these on alcoholic pts coming into the ER and they usually also contain thiamine, folic...

  14. What are the Most Common Emergencies in Long-Term Care?

    neneRN replied to dwoodruff's topic in Geriatric, LTC

    I only see them coming into the ER, but I'd have to say the most frequent is ALOC. It usually turns out to be pneumonia or a UTI as the cause, but I'd consider it an emergency prehospital since...

  15. Intramuscular Injection Sites?

    neneRN replied to Nurse Bethie's topic in Patient Safety Issues

    I generally give all IM injections of more than 1 cc in the dorsogluteal, and I see my co-workers do the same. I don't think I've ever used ventrogluteal, nor have I seen another nurse use that site....

  16. Help!!! I have made a mistake and wrote a bad check!

    neneRN replied to gordi24's topic in General Students

    When I applied to nursing school, they did a background check and found a bounced check I had written a few years before. Apparently the store it was issued to had prosecuted, and it had made it to...

  17. Teen daughters 1st pelvic exam...

    neneRN replied to itsme's topic in Ob/Gyn

    Be sure to let your daughter know also how quickly the worst of the exam is over. Before I had my first pelvic, I thought I would have this horrible long exam with my legs wide open. When I realized...

  18. Sistole / Diastole

    neneRN replied to colleen10's topic in General Students

    Remember that asystole (flatline) is absence of systole

  19. Checking FHT's?

    neneRN replied to ERNurse752's topic in Ob/Gyn

    I always ask where FHTs were heard at their last OB visit, most times they can tell you and they're still in the same

  20. Patients who refuse to cooperate with medical/nursing treatment....

    neneRN replied to deespoohbear's topic in General Nursing

    Just today, had a pt come in with c/c chest pain. Pain went down from 6 to 3 after first NTG SL, came time for second dose and pt flat out refused any more NTG. Reason? NTG giving her a headache......

  21. Utilizing I.V.'s in the foot or lower leg?

    neneRN replied to passing thru's topic in General Nursing

    I put a line in the foot once in a while if that's all they've got. You'd be surprised at the number of pts who have huge veins in their feet (no problem using an 18) when they have not a single vein...

  22. nasogastric tubes

    neneRN replied to RNCATE's topic in Medical-Surgical

    Let's see....clear, watery saliva looking junk, yellowish, brownish, greenish looking crap, pinkish secretions with food particles, dark green brown bile type goo...and on and on in any combination of...

  23. Unit staff meetings...

    neneRN replied to deespoohbear's topic in General Nursing

    Our unit is split into four teams according to the shift we work (weekday nights/days, weekend nights/days). Each team has a meeting once a month, starting a half hour before our normal shift and...

  24. Antimicrobial stethoscope covers

    neneRN replied to st4304's topic in Scrubs, Uniforms, Gear

    I just saw one of these on a medic's scope the other day- it looked like a little condom! No clue where you would get one though. In addition to alcohol wiping after each use, on some of the "less...

  25. RN Clinical Teacher- no teaching experience?

    neneRN replied to Genista's topic in General Nursing

    The ADN program that I graduated from routinely used nurses without formal teaching education as clinical instructors. They did not give lectures in the classroom, were only utilised in the clinical...