BrnEyedGirl BSN, MSN, RN, APRN

Cardiac, ER

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All Content by BrnEyedGirl

  1. BrnEyedGirl

    Patients Cheeking medications

    I don't believe anyone here is talking about the patient that uses the ED 3-4 times a year because they can't afford the $300 to go to a pcp or Urgent Care,..we are talking about patients that have...
  2. BrnEyedGirl

    Full Moon Friday the 13th

    Like that's gonna happen
  3. BrnEyedGirl

    What's it like at your ER

    1) what is the standard nurse: patient ratio in your ER? 4:1 max, usually 3:1 2) what is the standard tech : patient ratio in your ER? It depends, we seem chronically short staffed with techs,...
  4. BrnEyedGirl

    Injecting into a blood vessel.

    It would depend on the med,...but even if a med is ok IV but was ordered IM you need to give it IM. Aspirating should prevent this. I give Morphine 10mg IV almost daily in the ER,...so again the...
  5. BrnEyedGirl

    Getting investigated for "diversion"

    Forgive me if this sounds silly,...but I am an ER nurse and have cared for more than one nurse in similar circumstances as you,....one nurse actually worked in the same hospital,...Never once was any...
  6. I agree,.....fire the nurse, take her license, throw her in jail,....but take more money from already struggling hospitals? I don't think so. This nurse knew what she was doing was wrong, she should...
  7. BrnEyedGirl

    Are nurses forced to assist abortions?

    I agree with Subee and the others, there are way more morally objectionable duties I participate in on a regular basis to focus on abortion. The law legally protects a nurse from participating in...
  8. BrnEyedGirl

    Unsafe ED

    I completely agree. I have been known to just go down and get my own patient. The ER nurses love me. ...seriously they do. Yes seriously we
  9. BrnEyedGirl

    ER help!

    Aubrey, while we obviously can not offer medical advice, and you should NEVER accept advice from an online forum,...I would like to add something. There seems to be a misconception that the ER offers...
  10. BrnEyedGirl

    Unsafe ED

    This argument is as old as nursing,....I spent 8 years "upstairs" before spending the last 9 years "downstairs" in the Ed. I've played this game from both teams and it stinks sometimes. We are all...
  11. BrnEyedGirl

    Rant

    While I agree that the colace statement was inappropriate, I have no access to my patients insurance status, education or work history. Our admission staff I'm sure gets most of this, but only after...
  12. BrnEyedGirl

    Unsafe ED

    Perhaps you should have offered to go get the
  13. BrnEyedGirl

    Help.. Need advice, planning to take CEN on June

    I went to one of Jeff Solheim's review courses, took his practice test and bought the books. His courses are full of comedy and easy to sit through and I made the exact score on my exam as I did on...
  14. BrnEyedGirl

    Is anyone using Cerner in their ER?

    The hospital where I work has used Cerner for inpatient charting for years, we are now getting ready to use it in the ER. From what I've seen so far it really isn't designed for ER use and looks very...
  15. BrnEyedGirl

    Is anyone using Cerner in their ER?

    We are two weeks in and it really is horrible software for a large Level I Trauma center. I can see where it might be okay in a small ER,.....we have had staff quit over it and are now using paper...
  16. BrnEyedGirl

    The Infamous Cab-ulance

    I really think that if a person comes by way of ambulance and is not in need of the "back door entry", they should be made to wait just like the people who walk into the waiting room. Wouldn't it be...
  17. BrnEyedGirl

    Is there a legal way to do this...

    The problem here was that the patient was using a different name. I was completely within policy to divulge the name the patient used, which of course was not helpful to law
  18. BrnEyedGirl

    Walk me through your ER

    68 bed Level I Trauma Center,...today GSW to the head, 12F ejected from MVC, 2 acute MI's (intubated one of them), 3 Class I strokes,...all arrived withing 45 minutes of each other,.............my...
  19. BrnEyedGirl

    Medical terminology according to patients

    Perhaps it is regional,....I'm in the midwest, CABG is open heart as opposed to closed,...the chest is open,...there is also an open chole vs lap chole, open appy
  20. BrnEyedGirl

    Venipuncture - gauze vs cotton ball

    I agree with the others, I think it's absurd, BUT our policy is to use a sterile 2X2 after venipuncture or dc'ing an IV. You have to follow
  21. Unless there is more to this story,...I wouldn't have held it,....I wouldn't have even asked my supervisor. If my supervisor insisted I would have charted "held per Nurse Nancy floor
  22. BrnEyedGirl

    CEN as a New Grad

    The CEN,.or any other professional certification, is supposed to demonstrate your expertise in your field of specialty. A new grad with a certification is in no way an expert in any specialty,...yeah...
  23. BrnEyedGirl

    Question for a new student

    Stay out of it,..study hard and never be THAT
  24. BrnEyedGirl

    What time do you leave work?

    I work ER, 7a-7p,..I am required to clock in at 0630, we have a "huddle" before every shift to discuss anything new etc. Night shift is the same,...I am rarely late getting out. Our huddle is...
  25. BrnEyedGirl

    Practicing "nursing" w/o a license...?

    I'm not familiar with the laws of your state, however I worked as an MA before nursing school. I worked for a family practice physician and was trained on the job. I gave injections, took xrays,...