BrnEyedGirl BSN, MSN, RN, APRN

Cardiac, ER

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All Content by BrnEyedGirl

  1. BrnEyedGirl

    Drug-Seekers

    Another sad part of this is that yes,.some docs will go ahead and do a full work up,..addicts can and do get sick also. We have pt's that have had 20 plus CT's over the last year or two in our ER...
  2. How do you handle the sedation during a cath?? I work ER so we do the cardioversion sedation just like we would for a relocation of a hip any ortho procedure,.and of course we can intubate if needed....
  3. BrnEyedGirl

    My Favorite Pen Has Been Banned! Help!!!!

    Wow,...I'm glad to see I'm not the only one that gets a bit obsessed about pens,...when we went to computer charting it was like loosing a long time
  4. BrnEyedGirl

    when did they stop wearing those cute nurses caps?

    I still have mine,....I worked hard for it and am proud to have it,...but I wouldn't want to have to wear it everyday. Not real
  5. BrnEyedGirl

    IV forms of Zofran and Decadron given PO???

    I've never given the IV Zofran PO, but give the IV Decadron PO all the
  6. BrnEyedGirl

    Figuring out dose for Rocephin

    I'm confused then,...if the vial says it contains 500mg,.it shouldn't matter how much I dilute it with. The entire volume is 500mg,.half of the volume is 250mg,...if I add 3cc and the total vol is...
  7. BrnEyedGirl

    Figuring out dose for Rocephin

    Wow,..I don't work in peds,..but either you guys are making this way too difficult or I've been doing it wrong for 15 years! If the vial says 500mg,.it doesn't matter if I mix it with 2cc or 10cc if...
  8. BrnEyedGirl

    Ed new grads..............this is for you!!!!!!!!!

    Way to go,.....see,..you'll get
  9. BrnEyedGirl

    evidence collection in violent assaults

    We work closely with the local crime lab and the prosecutors office,..they advise us what they need, how evidence should be collected
  10. BrnEyedGirl

    hippa and criminal trials

    The judge can just order you to disclose protected medical information. I am a sexual assault nurse examiner which means I'm called as an expert witness for the cases. When I take the stand the...
  11. BrnEyedGirl

    stupid mistake(my fault) may get me fired.

    I'm confused,..a chest tube to drain only every three days?? Why do you have to break the seal to
  12. BrnEyedGirl

    How do you deal with a rude co-worker?

    I've been known to chart.... 0215 Dr XYZ paged, returned my call 0230, informed of last three BP's 190/108, 200/124, 189/110 et increased c/o of HA,.per Dr XYZ "why are you calling me for this now?...
  13. BrnEyedGirl

    Need help with filling out pt flow sheet?

    I'm thinking NPO,..and how does the doc not know the dx?,...are you just trying to figure the formula for PO fluid
  14. BrnEyedGirl

    Advice for ED Nurse on orientation

    I transfered to ER from a cardiac unit about 3 yrs ago. Our orientation is 16 wks for new to the ER nurses! I think taking 2 pts on your own is great,...try helping out when you can,.ie when an...
  15. BrnEyedGirl

    CLEP testing

    I tested out of Micro,..it isn't on your list,...but you have to know your stuff to test out! I had to enroll in the class,.pay for it and the books, and attend until I passed her final,...saved me...
  16. We use CIWA
  17. I think people will treat us the way we allow them to,..especially co workers. I have put up with some really cranky, nasty people, as patients. Non of my co workers would treat me like that more...
  18. BrnEyedGirl

    Help... Nursing Nurses 2

    I applaud your decision to breastfeed! I went back to work at 3mo and continued to breastfeed for a year. I was lucky enough at first that we lived close and I worked nights so my husband would just...
  19. BrnEyedGirl

    Ordering labs and images in triage

    We have two nurses and a tech at triage,...then a nurse and tech at "pretreatment",...triage nurse picks the the pretreatment orders and pretreatment nurse carries them
  20. BrnEyedGirl

    I feel like crawling under a rock....

    I'm not sure why you think this is your fault? I've been working in a hospital for 22 years and no one in my family has ever had MRSA. I honestly would be more afraid of working in a day care than a...
  21. BrnEyedGirl

    Lovenox question.

    I see no reason not to give 2 injections, other than the obvious of the pt getting 2 sticks,...sometimes it just can't be helped. I've done it multiple
  22. BrnEyedGirl

    Why are or & recovery specialties paid more?

    I've never worked anywhere that paid any specialty more,.you are paid on experience. Triage is #1 in lawsuits along with
  23. BrnEyedGirl

    Do you push Fentanyl on the floor?

    We used to be able to push it on the floor,...they stopped that about 4yrs ago after several close calls. We just weren't able to watch our pts close enough to keep them safe. It's kinda of funny...
  24. BrnEyedGirl

    Ordering labs and images in triage

    We have protocols,...ie Chest pain, vomitting diarrhea, extremity injuries, adult vs pediatric fever.....we can order according to our protocols. When a pt doesn't fit into a protocol we can...
  25. We've been required to double check all "high risk" drugs for as long as I've been at this hospital,.(14yrs),..this includes insulin, heparin,