neneRN

neneRN BSN, RN

Emergency, Trauma

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All Content by neneRN

  1. Change in IV Phenergan Policy

    We changed our policy about a year ago to hang it as a piggyback in 50cc, but this month they removed Phenergan from all floor stock-now you can only get it from Pharm premixed in the piggyback..but...
  2. Respiratory therapists

    They also intubate, do trach care, and are part of the code team and, in the ER, the trauma team. If they're feeling really nice, they get our sputum samples and do arterial draws for labs when the...
  3. Metoprolol IVP rate

    We do 5 mg IV x 3 doses, each 2 minutes apart. Then follow it 15 minutes later with a po dose. That's actually how its recommended by the manufacturer to give for acute MIs:...
  4. Our hospital wide overhead announcements: Stat Code: 99 for cardio/resp arrests Stat Code: 14 for trauma alerts Stat code: 5 for unruly pt/visitor, needs security Stat code: 1 infant abduction...
  5. Gift idea for my preceptor

    The gift is nice, but I really love it when the student gives me a card with something written inside-its so nice to actually hear the impact you've made on someone. But chocolate is always
  6. Paramedics in the ER

    We have medics in our ER; they can triage, EKGs, IVs/labs, foleys, splints, transports, and D/Cs. CANNOT give any meds at all (other than NS or LR with no added meds) and do not take their own...
  7. 7:30am to 4PM, and back to work mid to 8s

    Your facility should have a policy...we have to have 8 hours off between shifts and cannot work more than 16 hours in a 24 hour period. So, technically they probably can ask you to do this, but a...
  8. Foley Catheter Insertion

    Easier to just leave the syringe
  9. FL LPN's What drugs can you push??

    I'm in Central FL; LPNs cannot push any meds at my
  10. Huge volumns of patients

    We just started offering $75 gift cards to staff if we are short and have to call to get more staff in. Works
  11. Ideas for finding clinical sites.

    A friend of mine just finished her peds rotation; had to find her own as well- she split her time between the public health dept and our pedi ER (separate from adult). But she was allowed to select...
  12. EKGs in triage?

    We do the abbreviated triage/chest pain screening on ALL chest pain pts (except those 25 and under with no CAD Hx or street drug use). However, the whole chest pain process has been so pounded into...
  13. Preparing for an interview....weaknesses???

    I fairly recently changed roles, and I answered this question with one of my weaknesses being lack of experience in this particular position. Assuming school nursing is new to you, I would answer that...
  14. EKGs in triage?

    We currently have a Chest Pain Screening Area back in the treatment area staffed with an RN and a tech to do an EKG, IV, bedside labs/troponins, screen for risk factors, and give ASA. Now that we're...
  15. recent LPN what do I need to do to get into ER?

    We hire new grads into our ER...our critical care side staffs 4 LPNs/shift, intermediate care staffs 3 LPNs/shift, and Fastrac 2 LPNs/shift. We do have about twice as many RNs per shift, but there...
  16. Prestigous Online Rn - Bsn Programs

    Many state and public universities offer online programs now and from what I've seen, are much cheaper than your Excelsior, UOP, etc. I'm in my second semester of an RN to MSN program at University...
  17. Go for the job that will make you happy...money doesn't make a difference if you're miserable every day. As another poster mentioned, there's probably a catch as to WHY the one facility offers a sign...
  18. Nurses First Aid Kits

    I think I have some bandaids and neosporin in the bathroom cupboard...guess I'm a
  19. NG tube placement

    Docs never do them here...not a teaching hospital. I like doing them
  20. Patient deaths?

    Wow greater than 130,000 pts a year! What state is this? I have been a nurse for about 6 months now in a med/surg floor (vascular surgery) and we had only one full code not make it I'm in Florida, its...
  21. Patient deaths?

    1. Probably 100+ (majority of these coming in by EMS as code in progress, have already been coding en route..we work them for a while too before pronouncing them) 2.ER (see >130,000pts/year) 3.6...
  22. Desperate for help from other RNs!!

    1. Is nursing education for you? (2) Agree 2. Is your educational background and experiences enough so that you can teach in a school of nursing? (3) Disagree 3. Are you open to alternative...
  23. Triage sucks!!! Any tips??

    We have dedicated triage nurses who ONLY work triage, they don't work in the back with pts and the rest of us never see the waiting room...works
  24. motivation ideas

    This is just a small thing, but we actually have a bulletin board in the main bathroom in the staff lounge...everyone has to go in there at some point! Also we have monthly team meetings, for ex my...
  25. "A good first impression???"

    My facility has implemented a new policy requiring all RNs hospital wide to wear solid black or solid white or a combination of the two...no prints. We have to buy our own, but given until Sept. 1...