BrnEyedGirl BSN, MSN, RN, APRN

Cardiac, ER

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All Content by BrnEyedGirl

  1. BrnEyedGirl

    administering blood products

    I work in the ER and we have the same argument! I could easily dump 4 U FFP in 30 min and if I'm using the Level 1 I can do the same with PRC's. I have just started telling them yes I will be...
  2. BrnEyedGirl

    Lying about a med to a psych patient

    I will admit that as an ER nurse my experience with true psychiatric pt's is limited compared to a psych nurse. I made my statements based on my experiences. We have two patients that immediately...
  3. Did the doctor write an order for
  4. BrnEyedGirl

    Triage Regulations

    Another issue that occurs when the nurse isn't the first to see the pt is that the L arm pain is an MI or the R hand is tingling is a stroke,....registration can't be responsible to identify this!...
  5. BrnEyedGirl

    Lying about a med to a psych patient

    I would almost always agree that you shouldn't lie to a patient,..this however might be the exception. In my ER, in my state, if this psych pt was out of control, a threat to himself or others, we...
  6. BrnEyedGirl

    The student nurse

    that was the most pc response to a student nurse i've seen in a long time! :) (now pardon me while i
  7. BrnEyedGirl

    What is up with these Sickle Cell Patients?!

    there are numerous posts about rude, crude patients. it seems that someone always comes to there defense. there is always an excuse for being rude. i don't understand this. is it a generational...
  8. BrnEyedGirl

    Disaster at work?

    I work in a community just east of Joplin Missouri. When the tornado hit Joplin, several from my hospital were there within a couple of hours. It was devastating, but almost magical. We had no...
  9. BrnEyedGirl

    thoughts on only Paralytic while intubated....

    I refuse to give a paralytic without sedation,...period. In the ER where I work, we often hang Diprovan on our intubated patients, so it isn't often a problem. If I have a doc order a paralytic...
  10. BrnEyedGirl

    Wow They Are Really Serious - smokers not hired

    There are only 2 major hospitals in my area, one is a Catholic hospital. It doesn't cover oral contraceptives and doesn't allow it's physicians to perform tubal ligation's,or vasectomies. If you have...
  11. BrnEyedGirl

    "But for me, 98.4 means I have a fever...."

    In my 20+ years in this wonderful career, I've never seen a doctor take a BP! I often cringe when patients say "I'm a really hard stick, the doctor will have to put in my IV",..I'm thinking yeah, I'm...
  12. BrnEyedGirl

    Giving narcotics to patients with no ride

    I have to actually see the person who is driving before I give narcs. It is our hospital policy. We have had pts who lie or suddenly their ride is gone, security watches these pts and they notify...
  13. BrnEyedGirl

    Call Off Policies?

    I guess I've never understood requiring a note from a doctor. First off, many illnesses that require an absence for work, don't require a visit to a doctor, and most of the time, by the time I could...
  14. BrnEyedGirl

    30 bucks an hour starting salary???

    Starting salary for a new grad RN at my hospital is $17.40/hr. Our cap is only $31.80. Of course, you can also buy a nice 2500sq ft home with all the trimmings for about $200,000, and when I bought...
  15. BrnEyedGirl

    Did I catch this guy in a lie?

    Me too,...who
  16. I have worked at places that do this. I'm not sure why you think that bedside report will cause the patients to be unstable? The hospital I work for now has discussed this as an effort to move...
  17. BrnEyedGirl

    Waiting a year to take TNCC?

    One year is the policy in my ER. ENA suggests 6 mo clinical experience in the ER. Trauma Nursing Core Course
  18. BrnEyedGirl

    What's the longest er wait time you have Even seen

    I work in a 50 bed ER, one of only two in our area. We often have 4-6 hr waits in the waiting room, occasionally much longer. Our wait for admits to actually get upstairs to a bed is often 12 hrs +,...
  19. I don't understand this violation of privacy, while at work. We have cameras everywhere except pt rooms! We have caught several thieves this way over the years, pts, visitors et
  20. Where do you live that you can call in narcs? We can't
  21. BrnEyedGirl

    IM multiple med compatibility & technique

    Always, always, always look up your meds! Toradol doesn't play well with
  22. BrnEyedGirl

    This is for all you Trauma/ER-ED Nurses

    I've been on the scene for two serious MVI's. To be honest with you it was very frustrating for me. These folks needed blood and to get to the OR and all I could do was sit with them by the side of...
  23. BrnEyedGirl

    NPO in the ER

    All of our pts are NPO until worked up et ok'd for PO by the doc. Not just for "tests" but possible dx that may require surgery, angio, swallow screen, sedation
  24. BrnEyedGirl

    Help me understand

    Here's the scenario: 59 M c/o rapid onset of L sided weakness, slurred speech, double vision, onset at 0800 EMS arrival at 0830, pt with L facial droop, slurred speech, L arm et leg numbness et...
  25. BrnEyedGirl

    Pediatric death kits

    We have a memory kit. It has a ribbon to tie off a lock of hair, ink and a place for hand/foot prints, it's all in a pretty box, and the medical examiner doesn't have a problem at all. If we cut...