neneRN

neneRN BSN, RN

Emergency, Trauma

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All Content by neneRN

  1. crowded ER, solution?

    We do something like this too, actually all hospitals in the area do the same thing; ED saturation score is calculated based on # of hall pts, filled rooms, # of EMS out of service, # of pts waiting...
  2. What would you do?

    If you don't feel comfortable saying something to this person, can you talk to the supervisor/manager of the unit she does work for? I'm guessing that a call every shift..."are you aware that...
  3. Extreme Hypothermia??

    82 on an alive
  4. Infusaports

    Just the other day I was accessing a pt's port (who has it for chemo), I asked her if she was able to keep her head turned away or if she would like a mask...she looked at me like I was crazy and said...
  5. ED transition from a varied clinical background

    My ER hires so many new grads, I'd love to see anyone come in with some experience! Your critical care experience is great and ER nurses would appreciate someone who is comfortable with the...
  6. Any others trying to quit smoking?

    I just heard about Chantix for the first time this week; one nurse has quit with it and another (who has been a heavy smoker x 20 years) is using it now. The second nurse told me cigarettes tasted...
  7. is it safe?

    No, when you use this method to clear air, you are kinking the tubing below the port you're attached to so that when you aspirate, you are pulling the air (and some fluid) from the tubing ABOVE into...
  8. Do you think nursing is physically unhealthy?

    No, I don't think that nursing is particularly unhealthy....I've been doing it for almost six years, and for the first 4 worked an extra 12 hour shift every week. This is in an ER that sees...
  9. Privacy question

    You need to call the hospital and ask to speak to Human Resources; each facility has some kind of compliance officer to deal specifically with HIPAA concerns, and they take these issues VERY...
  10. Its actually normal practice at my facility to carry your pt's narc (in a labeled syringe) in your pocket if you plan to use the remaining dose later on (this is in ER). Management has said either...
  11. Need a Manager's Insights - Career Advice

    I agree with the above posters re: try and get some lower/middle management experience as charge/supervisor and work your way up from there. Both of our current nurse managers started as staff...
  12. Can't Believe It-I passed the CEN on 1st attempt

    That's so exciting! Congratulations!! Getting my CEN almost meant more to me than passing
  13. My mom had rotator cuff surgery at age 60, took one dose of Vicodin when she got home and then threw the bottle away and only needed Tylenol. Her boyfriend just had the same surgery and is in severe...
  14. What's In Your Pocket?

    I carry a couple of black pens and a yellow highlighter in my pocket, stethescope around the neck, and Spectralink phone (hospital portable phone-each nurse carries her own and has her own extension)...
  15. Charge Nurse Pay

    $1.50/hour diff and don't take any pts- this is in
  16. Incometent Doctor

    I agree with RNPam that you do need to document in the chart that you made the MD aware and the MD's response, but you need to be very careful to objectively chart this. Instead of writing "refuses...
  17. Critical Care Ambulance Nursing?

    We have a county EMS system that does not utilise RNs, so can't comment on that...but as far as flight nursing goes, in my area you have to have had 3-5 years ICU or ER experience and also obtain your...
  18. Incometent Doctor

    We have a specific form to "write up" docs, it's only to be used for MD behaviors/actions that are inappropriate. I would think every hospital has these, they're probably just not advertised/put out...
  19. I'll help..PM
  20. Sepsis protocol?

    Sepsis is a huge deal at our hospital and we do have a protocol that starts with a sepsis screening sheet to indentify SIRS, MODS, and pts who are candidates for Early Goal Directed Therapy. If the...
  21. room assignments/responsibilities

    We use this kind of system too, and we do have a couple nurses who slack off at times...get your charge/supervisor involved if you don't feel comfortable speaking directly to the nurse about it. It...
  22. "We're Just Nurses" ..... Grrrrrrr!!!

    When pts ask me about their Xrays or EKGs, if it looks normal, I usually say "nothing's jumping out at me as out of the ordinary, but the physician has to read it to give you a definite answer"...if...
  23. How much housework do you do?

    Cannot stand a dirty house, I can't relax if the house is a mess...but I wouldn't say that requires putting in a huge amount of time. On days I work, I come home and throw in a load of laundry if...
  24. Who would you hire?

    Our nurse manager changed several months back...out of several applicants, including BSNs and one ARNP (all current employees within dept), an ADN with 20 years experience got the job. She does now...
  25. I graduated in 2001 and for the first year or two we were still mixing our own K...scary, but didn't think twice about it when we did it. During this time, we were the only unit in the hospital who...