neneRN

neneRN BSN, RN

Emergency, Trauma

Member
  • Content

    642
  • Visitors

    9,122
  • Followers

    0
  • Likes

    12

All Content by neneRN

  1. newby with a quick questions

    Went into nursing to become a L&D nurse, had my rotation- hated it; would never consider doing it. Didn't find my true love until last semester of nursing school when we rotated through...
  2. Mental health pt in ER...

    We have a 4 bed psych room where 1-2 security guards sit in the room with the patients. No TV or supplies. Nursing station right across the hall. RN and tech care for the 4
  3. Hourly Rounding

    Our unit (ED) is implementing hourly rounding this week; all staff has been educated in the past few weeks, but there's a lot of resistance. The research presented to us sounded great, but there's...
  4. Question on laptop

    Dell. Comparatively speaking, not really expensive- I love
  5. Vistaril IV??

    Nope, not supposed to give it IV...but have seen docs order it this way. Had an incident a few years back where the doc wrote for it IV and it wasn't caught until after three different nurses had...
  6. gloves to spike a bag

    Why is this? Regular exam gloves really aren't any cleaner than clean hands. I only wear gloves when spiking blood products or if I already have them on (i.e., just started the IV or whatever) If...
  7. Hey ER, what takes so long???

    I wouldn't hold your breath about I-Stats helping with quicker dispos, we've had them for years (Chem 8, H & H, and troponin), but its very rare that the doc stops there- they always want more...
  8. We did this at the end of every clinical semester in nursing school; it was customary for the last clinical day to be a half day, and then the entire group would take the instructor out to lunch and...
  9. Er Staffing

    Work in a very busy (>130,000 pts/yr) Level II ER- we staff 15 RNs/7LPNs/5 techs/2 triage RNs every shift (separate pedi ER, don't even know how they staff) Our triage nurses ONLY work in triage...
  10. dilantin

    Maybe because in the ER we are frequently giving doses of 1000mg as a loading dose; that's a big dose that we typically give over an hour. (Not that it justifies infiltrates, the site should be being...
  11. respiratory distress vs respiraotry failure

    Respiratory distress can be further broken down to mild, moderate, or severe respiratory distress. With mild resp distress, you may see minimal SOB, cough, slight wheezes, upper airway congestion....
  12. No, I don't think this is acceptable at all; when you're on orientation, you should not be counted in staffing numbers....if you would not have been there, they would have made attempts to call...
  13. Blood Sugar Guidelines

    In my facility, I only see the ICU patients being managed with the tighter parameters; our goal is between 80 and 100, and that is for virtually all ICU pts whether they are diabetic or not. A lot of...
  14. Hourly Rounding

    Do you use CNAs/PCAs to help with rounding?...we're going to try RN rounding every 2 hours with the techs or LPNs rounding in
  15. Take action, or not?

    The way I see it, if the doc does something to you personally that you're uncomfortable with, then you need to tell him it makes you uncomfortable. If the action continues once you have told him that...
  16. Speaking of adenosine

    But pushing it slow would negate even giving it at all because of the short half life (what is it, like 6
  17. Lost in the sharps box

    Um, is a tubex worth getting stuck with a dirty needle? Not even with
  18. Am I having an acute BF (Brain Fart)????

    Nope, give .the adenosine, worry about Mag
  19. I don't work at a magnet hospital, but just had to do an assignment on them for school; this site has a lot of info-
  20. Important Drug Tips!!

    Never mix Dilantin in anything other than NS, and don't piggyback/push any meds thru same line while infusing. Use a filter. Dilute your phenergan, there's a whole post on this right now. Check pulse...
  21. IV drugs RN's can give?

    I'm in FL; there are three that we can't give- Diprivan (IV push), Ketamine, and
  22. Can't mix drugs??

    We mix a lot of our drugs, pharmacy actually gets a little testy if we need them to do it once in a while....and I'm in ER so we mix quite a few high risk meds; make our own amiodarone, levophed,...
  23. What would you have said to this??

    Just ask innocently, "Should I write that as an
  24. Hey ER, what takes so long???

    I'd like to know too, and I'm in ER! Our admissions coordinator always passes out a handful of beds a half hour before shift change...she's not a nurse, so she doesn't care/doesn't have any reason to...
  25. Nurses Clearing spine

    MDs ONLY! That's something I'd never do, ever! For those who present by private vehicle, we put on a C-collar, no back