BrnEyedGirl BSN, MSN, RN, APRN

Cardiac, ER

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All Content by BrnEyedGirl

  1. BrnEyedGirl

    which specialty does this describe?

    Dialysis, ob/gyn, probably any office
  2. BrnEyedGirl

    Educate me on Blood Cultures

    I guess it depends on the pt and why the doc ordered the cultures. I work ER and I'm not seeing as many orders for BC X2 as I did in years past. I worked in lab many years ago (almost 25 yrs) and...
  3. BrnEyedGirl

    What determines if a patient is autopsied?

    I work ER, we have to call the Coroner's office for all deaths, to release the body. Those who are unwittnesed trauma, or any unexpected death are usually autopsied, and of course anything that is...
  4. BrnEyedGirl

    How do you document telemetry in a paperless system?

    Our system is fairly new to us,...Medhost for charting software, GE monitors. We can even do the EKG with the monitor and have it electronically sent to the cardiologist on
  5. I work in an ER,..I remember the days of the erase board!! We use Medhost
  6. BrnEyedGirl

    New Joint Commission Protocol on Insulin

    We've used a protocol for many years. It's all on a computer program,..enter the glucose level, the target and DKA vs Non DKA and the program tells you where to start your gtt then beeps when it's...
  7. BrnEyedGirl

    Student Mistreatment

    I agree with the others, see you doctor about your multiple health issues. Then try to not take things so personally. You will run across many jerks in your life, acknowledge them politely if it's...
  8. BrnEyedGirl

    Body Bags

    We use the white bags too. I agree with you, this seems cold and almost disrespectful to me. I will add that this gets a bit easier with time, however after 20+ years, I still don't like it. This...
  9. BrnEyedGirl

    personal gripe about new doctor

    I agree, do what you think is right. I am disappointed anytime I hear one professional discredit another, especially in such an immature and very non professional manner. Doctors can disagree,...
  10. BrnEyedGirl

    Privacy rules don't save patients from exposure

    Saiderap, I'm not sure where you work, but it appears that there is a misconception about the "law". Family members have absolutely no "right" to protected health information about a pt unless they...
  11. BrnEyedGirl

    Where can I get my certifications????

    How "new" of a grad are you? As a previous poster mentioned, this may not be an employer who isn't supportive, but more of a "it isn't time for you to take these yet". I would have assumed that BLS...
  12. BrnEyedGirl

    Nursing judgement and computer documenation

    Same here,..we enter the orders, per protocol, under the docs name, he signs them
  13. BrnEyedGirl

    How do you document telemetry in a paperless system?

    Our monitors are connected to our charting software,..I just click the VS et the strip I want and it's pulled to the chart. We do still chart under cardiovascular the rate et
  14. BrnEyedGirl

    abuse or just a mistake

    More info please,.....I've never used anesthesia to place a
  15. BrnEyedGirl

    Drawing Labs from IV Line

    I think the biggest problem with this is that blood is drawn from IV lines on occasion and people don't understand why it can't be done again. I work ER and will often try to draw from a new...
  16. BrnEyedGirl

    Pt. being forced to sig form or dropped

    I see these forms frequently from pain management clinics, but never from a PCP. I agree the post is very hard to
  17. BrnEyedGirl

    respiratory arrest

    This is actually why the new guidlines are not suggesting breaths at all anymore,.chest compressions only. Depending on the pt, you may have up to 30 min of reserve O2. Check out the AHA website for...
  18. BrnEyedGirl

    NEED HELP regarding patient assignments in the ER

    I have never worked in an ED as small as you've described, but I have worked in an ED with "team nursing". We would have 8 rooms assigned to 2 nurses and a tech and all work as a group. This of...
  19. I'm not sure how I feel about this as a nurse, and I don't work in peds,..however as a Mom I like to think that I know my child better than anyone. I can't imagine being in this position, but I'm...
  20. BrnEyedGirl

    A real concern or not?

    We are assigned a Blackberry when we clock in,..I think about 15 of us carry them. We use them to communicate throughout the ER. Sooo,..I guess it's not really an issue anymore,..I was told the old...
  21. Wow,.there is nothing like watching the sunset on hwy 1 from the seat of a bike! Have safe travels my friend! Keep in touch and send
  22. BrnEyedGirl

    Personal attack in progress note from physician

    I think this is a human phenomenon,...some people are just like that,..doctors, nurses, plumbers, attorneys, Realtors, hair
  23. BrnEyedGirl

    Discharge instructions

    Discharge instructions for post abd surgery would be way different than ENT surgery. The discharge instructions depend on the needs of the pt, including wound care, any special diet instructions,...
  24. BrnEyedGirl

    ER handoff report to floor

    The problem is that we ALL have more pts than we can care for, in the manner we were taught to care for them, in the manner that they deserve to be taken care of. If a pt sits in the hallway, on the...
  25. BrnEyedGirl

    Do you have to work everywhere in the hospital first?

    As some of the other posters have stated,..while you are in school you will rotate all over the hospital,..just as the residents (students) do. Once you graduate and get your license you can apply to...