neneRN

neneRN BSN, RN

Emergency, Trauma

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All Content by neneRN

  1. Taking floor orders in the ED?

    Our ER docs do not write any orders for the floor at all. Most admitting docs want to give floor orders once they're done talking to the ER doc, and the phone and chart get passed to the charge RN....
  2. Best way to get a position in the ER?

    Get a job in your ER as a tech...almost all of ours are nursing students and they usually end up staying when they graduate. You get to learn the paperwork and flow of the dept. so that when you...
  3. We have two full-time ER follow up nurses (work strictly in an office-no physical pt contact) who do have to call every LWBS and AMA. I don't know if they have a specific time frame or not, but if...
  4. shift ends at 7, but you leave at 9? Why?

    Maybe once or twice in 6 years have I left around 8:00, and maybe a handful of times around 7:30. Entire staff is usually in the breakroom by 7:20 waiting for the clock to hit 7:24, which is the...
  5. Nutmeg high?

    I vaguely remember something about using nutmeg to get high from a lecture a police officer gave our ER last year on drug use...I think something about mixing it in orange juice...I just did a search...
  6. turning non-emergent pts away

    Can you really do this? I thought every patient presenting had to have a medical screening....there are plans in my area to open several free clinics, but we were told we would only refer them there...
  7. Funny fake names for meds

    Have a doc that once in a while orders a "B52" (like the plane,B52 bomber)...he's referring to an Ativan/Haldol combo for the unruly psych
  8. This shouldn't be an ICU vs. ER debate; both are critical care areas. Both ER and ICU nurses are considered critical care nurses by the AOCN and both are eligible to sit for the CCRN. We all take...
  9. Depo-Provera

    Was on it for a few years, initially had spotting, then no periods at all...went off it (last shot in Aug 2006), and still have not had a period yet (not that I'm
  10. We wipe away the first drop of blood before
  11. ICU Experience

    ICU patients are held for up to 24 hours in the ER at times (at the hospital where I'm at)..it would be very helpful to have ICU experience for those pts as we are doing invasive hemodynamic...
  12. I've occasionally taken phone orders from another nurse; but always ask for her full name and title to document the order as T.O, Dr. Sick/Jane Doe, RN/My name, RN. Once I had an issue with an MA...
  13. Need advice on a sentinel event please!

    ...and no one asked if she was a diabetic...The charge nurse, house supervisor, and doctor were all involved and no one gave me a clue to check BG. Well, pt went to ICU after becoming nonresponsive...
  14. advandced monitoring in the ER

    I don't think its a bad thing....we keep our ICU pts for up to 24 hours sometimes...makes it nice when you have a constant readout for BP or fluid status plus an easy way to get your blood for all the...
  15. Pt beds in the hallway

    The problem with going on diversion (aside from the fact that administration will do everything in their power to avoid it) is that you can only divert stable EMS patients. Anyone who is truly sick...
  16. Pt beds in the hallway

    If I was truly sick enough to be admitted, I probably wouldn't care where I was parked. If I felt well enough to sign out AMA because I didn't like being in a hallway, then I shouldn't be there in...
  17. Pt beds in the hallway

    I believe you're okay as long as you can move freely through the halls..our halls are large enough to accomodate the stretchers and push other stretchers/equipment past
  18. Pt beds in the hallway

    We do this at my hospital....EVERY day we have hall pts in the ER, and not just 1 or 2; I'm talking about 20-25 hall pts that completely overwhelm the ER. These pts create an unsafe workload daily...
  19. advandced monitoring in the ER

    Like Valerie, we monitor CVPs on our septic patients. Do art lines as
  20. Yes, the article was technically correct, but misleading, as the gross majority of RNs do have a degree. A few years back, the American Association of Colleges for Nurses published that only around...
  21. parade.com added an editor note to their web site apologizing...too bad that won't get printed in the actual paper
  22. sniffing alcohol swab for nausea?

    https://allnurses.com/forums/f39/alcohol-pad-nausea-58389.html One of the posters put in in good article about why it
  23. sniffing alcohol swab for nausea?

    There was a thread about this a few years back, so its not a new thing... maybe I can find
  24. Everyone who is upset about this needs to go to parade.com and post a comment to the article...we have enough members on this forum to really make a statement...I posted
  25. All floors start their own IVs where I'm at; we do have an IV team, but they are called when US guided peripheral or PICC line is needed for the impossible sticks. And in the ER, our docs will...