neneRN

neneRN BSN, RN

Emergency, Trauma

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All Content by neneRN

  1. Nursing school friends = regular friends?

    There was a group of 5 of us that were really close in nursing school...none of us have kept in touch (other than a quick "hi") since then, and we all work at the same hospital! My two best friends...
  2. How do you clean your shoes?

    I don't clean mine....I take them off in the garage before I enter the house and buy a new pair about every 6
  3. ED learning opportunities? Need input!

    TNCC and ACLS are both excellent...we used to have new nurses wait a while before taking them, but have changed our practice to get them into these classes as soon as possible- and I think this is...
  4. New Grad + JCAHO in ED = Could get Ugly, Help!

    Had our JCAHO visit a couple of months ago...they focused on safety measures like labeling IV sites, IVPBs, and IVF, code cart checklists, IV pump safety features, documentation of suicide risk, and...
  5. How long of orientation in ER is enough?

    We give 4-6 weeks for new staff, even new nurses. They generally do fine with this...but they do not care for critical patients for several months...we give them time to get used to the flow of the...
  6. Help..RN-BSN Nurses

    I work full time and am enrolled in an online RN to BSN program through a local university...no face to face meetings, which is nice...I've been taking two classes a semester, so it will take me about...
  7. Nurses all have their own way of doing things and usually feel "their" way is best....some are more OCD than others...I'm kind of like this, but I can usually back off when I'm teaching/precepting...
  8. I think you mistook my post; I'm not disagreeing about the 2 hour window...I just didn't want someone reading this to think that it was as simple as that first dose of meds...that you truly have to...
  9. Chance of contracting HIV is less than 1% even from a needlestick from a pt with known Hx of HIV...can't remember exact numbers for Hep C, but risk is much higher. Someone posted earlier about...
  10. Now I feel bad... What would you have done??

    No, it wasn't terrible judgement...I can think of much worse. However, I probably would have put down the NGT and given the contrast through the tube if the patient was so nauseous. (obviously...
  11. Looks like its possible from Tweety's article...but if it were a truly high risk, I would think they would cover it in Blood Borne Pathogens, and I've never seen it
  12. Any differentials are based on your base hourly wage only. So, for the example you gave, you would earn (X plus (X * 10%) plus 5) times the hours
  13. Keiser University Students

    We've just started seeing RN students from Kaiser at my facility...this is the second semester we've had them. I'm in ER, so we have gotten a few who are doing their final practicum. In general,...
  14. Leaving AMA and insurance threat

    If the patient is truly ill, then yes, I would REALLY want the pt to stay. About a month ago, we had a male pt come into the ER by ambulance; EKG showed an obvious acute MI...he didn't believe the...
  15. What is your ER like?

    Seems like we admit
  16. IV tips

    Check out this thread for lots of responses...
  17. What is your ER like?

    IT'S EVERYWHERE! I work in the second busiest ED in the state, and holding admissions is a nightmare...usually much worse in the winter, but this year it's bad already. Every day I've worked this...
  18. med error panic

    I really don't think giving that dose of Ativan undiluted is a big deal. The recommended dilution for Ativan is 1:1 with normal saline, so the dose you gave really only called for 1/2 cc of saline to...
  19. CCU vs. ICU

    CCU is one of the ICUs; just ideally gets the really sick cardiac pts...in reality though, they often end up with general medical ICU pts too. Same as other ICUs as far as ratio- norm is one RN to 2...
  20. Documentation

    When I first graduated, I found it really helpful to read other nurses' notes to see how they worded things or made their documentation "flow" well. Seeing many different examples helps you find your...
  21. I think everyone has done a great job in giving the "real world" answer to the OP's question. We all know the textbook answer, but reality is that in any specialty unit, experienced nurses who know...
  22. Does ATT letter give permission to practice?

    Check with you state BON, I'm not sure if it varies state to state. I'm in FL, and all you need is your ATT to practice as a
  23. RNs can't be CNAs?

    You can probably work as a CNA, but may be held to higher standards because of the license, i.e., if you found abnormal VS as a CNA, your responsibility is to tell the nurse, but as an RN, you're...
  24. I disagree with most, I would not be worried at this point....when a pt sues the hospital, HR, hosp. attorney, and/or Risk Management speak to everyone whose name is on the chart, no matter how...
  25. Waiting for bed- start floor orders sooner or later?

    We do any STAT or NOW orders as soon as we get them and will carry out any orders that the pt NEEDS before they go up (pain meds, 1st dose of antibiotics, Nebs, etc...) Our HUC puts in all...