BrnEyedGirl BSN, MSN, RN, APRN

Cardiac, ER

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All Content by BrnEyedGirl

  1. BrnEyedGirl

    Does anyone have a good site/advice for breastfeeding?

    I remember now why I never answer these kinds of posts... Yes you can have an infection that needs to be treated by a doctor. Make an appointment. In the mean time,..as a Mom,.not a nurse. I would...
  2. BrnEyedGirl

    Asthma attack and blood sugars, and asthma vs KA

    This is a whole semester worth of questions you are asking..:) You will learn this. Remember that the pt who is in ketoacidosis is breathing fast to blow off C02,..not because his airway is...
  3. BrnEyedGirl

    Does anyone have a good site/advice for breastfeeding?

    What kind of "minor issues" are you having. If you do a google search you'll find all kinds of info. I breastfed both of my girls for the first year. To me it was the most natural decision, but my...
  4. BrnEyedGirl

    HIV testing on all patients?

    I agree with Casi,.and who is going to pay for this test? If there isn't a reason to test for it why do it? I wouldn't care for a pt any different knowing they are HIV positive,...if it's wet and it...
  5. BrnEyedGirl

    Ridiculous? Or not?

    I think this is happening everywhere. I work in a similar sized ER, 4hr waits are fairly common et holding pt's for rooms upstairs really throws a kink into the whole system. We also have a "fast...
  6. I'm curious about the job availability and the pay in the Providence area. I'm in the Midwest now, and have spent a great deal of time visiting the Providence area and have fallen in love, actually I...
  7. BrnEyedGirl

    Head Lice

    I have seen Mayo used in my hospital for head lice. We get the great big jars from the kitchen and it seems to
  8. BrnEyedGirl

    Triage

    I work at a similar size ER. We have been having a high census lately and long wait times..>4hrs is common. We have a pretreatment area,.just a couple of recliners,..we have protocols for common...
  9. I don't work L&D,..but I am often asked "if this was your daughter what would you do?",..etc. As an RN, it is my job to advise pt's and educate them,....very often the best advise I can give my...
  10. BrnEyedGirl

    This is not the ICU

    This was the hardest part of transferring to the ER. It took me a long time to switch my mind to "this is the ER",....the focus is to keep our pts alive until we can get them to OR, ICU etc. Our ER...
  11. BrnEyedGirl

    CEN, CCRN, or TNCC?

    I hate to see eager new grads set themselves up to fail by trying to "take every test they can find". Get the experience, study and then go for it,..it might save you some heartache and money in the...
  12. BrnEyedGirl

    Gastric Lavage - What size tube?

    In my 10 yrs in the ER I've never lavaged an
  13. Come spend a shift with me in my ER. I have decided that there are some people who just want to be sick. Maybe they want the attention, maybe they want an excuse for other things not working out in...
  14. BrnEyedGirl

    CEN, CCRN, or TNCC?

    I agree,..CCRN won't be of much value in ER. TNCC is required in the ER where I work, after your first year. It is a fairly simple course and the hospital pays for it. CEN isn't required, but we do...
  15. BrnEyedGirl

    Incident report for infiltrated vein?

    I agree with some of the previous posters,.where I work the incident report is for in house tracking only and does not include names. In theory, these reports track possible problems with policy,...
  16. BrnEyedGirl

    high bun/creatinine

    Most definitely Kymmi
  17. BrnEyedGirl

    high bun/creatinine

    UUmmmmm,...really?
  18. BrnEyedGirl

    Not sure if Im posting on the right board

    We video tape procedures quite often where I work. The pts all know ahead of time and sign a consent, if they don't want to be on video, we ask someone else,..not a big deal,..........didn't you...
  19. BrnEyedGirl

    To those who have been pregnant and working

    I agree,..keep snacks with you,..I found I was less tired after 20 wks,...in the end I was physically worn out after 13 hrs but it wasn't that same feeling of needing to sleep all the time,..I worked...
  20. BrnEyedGirl

    is rape reportable?

    You need to check with your state laws. I am a Sexual Assault Nurse Examiner as well as an ER nurse. In my state I am only obligated to report abuse (including rape) if the pt is a minor, an elderly...
  21. BrnEyedGirl

    Mandatory reporting of injuries

    I'm in Missouri,..I can only report child abuse, elder abuse, abuse of the handicapped/disabled, gunshot wounds or dog bites. If an adult doesn't want to report it would be a HIPAA violation for me...
  22. BrnEyedGirl

    Drug-Seekers

    i think this is where you might misunderstand the op,.....and maybe why you felt that we, as er nurses, are labeling pt's prematurely, without knowing the whole story,..i assure you we aren't,...i...
  23. BrnEyedGirl

    Drug-Seekers

    NurseGloria I think perhaps you've worked in some really bad hospitals! I don't even know who has insurance and who doesn't and I really don't care. I'm a nurse,..I'm there to care for pts, and I...
  24. BrnEyedGirl

    Drug-Seekers

    NurseGloria, it sounds like you had a bad experience with the ER,.sorry to hear that,..but we can't treat all our "ducks" like "zebra's",..will we get a Zebra from time to time? You bet,.but we can't...
  25. I didn't mean that I assist in cath lab as an ER RN,..I used to work in cath lab as a cath lab RN,..the sedation we used for caths was the same as we would use for a cardioversion,.so was wonder why...