EMTSNA

EMTSNA specializes in ER.

Latest Activity

1. How to keep the faith in triage?

   EMTSNA posted a topic in Emergency

   Hey all I find that I have been in triage a lot recently in the big inner city ER where I work. How do you all manage to keep the faith in people? I have always been known for my patience and caring, but recently I have been feeling less compass...

2. Terminated because of my Attention Deficit Disorder

   EMTSNA replied to LPN&momof3's topic in General Nursing

   Have you ever thought about working in an ER? I know several nurses with ADD that thrive in the ER environment. Good luck with your situation. Peace

3. IV drips question

   EMTSNA replied to NoeIssa's topic in General Nursing

   If you are not using a pump, then you must calculate gtt/minute in order to infuse a given amount of volume over a given time. For example 3.375 grams of zosyn in 100ml of fluid can be run over a half hour using microdrip tubing with a drop rate of ...

4. ICU RN to the ED

   EMTSNA replied to cardiacRN2006's topic in Emergency

   I have been in the ED for 1.5 years and have seen a few ICU nurses come down to join in the fun. Most do great once they get the hang of it because they are not intimidated by very sick patients. One pitfall to avoid is getting tunnel vision on one...

5. Propofol for conscious sedation?

   EMTSNA posted a topic in Emergency

   Hello Everyone, I was hoping I could get your thoughts on this issue I have been under the impression that the use of propofol was limited to anesthesia providers when used with non-intubated patients, and as such I have refused to administer it a...

6. EtOH Levels...

   EMTSNA replied to Aneroo's topic in Emergency

   710. got narcan and a ct-scan before the serum level came back on the other hand we intubated an 18 y/o who couldn't protect his airway at 165

7. I just wanna be a DNR

   EMTSNA replied to NurseCherlove's topic in General Nursing

   Awesome, thanks for sharing!

8. Newbie Question

   EMTSNA replied to Toph McGee's topic in Emergency

   Now this is just not true "You've already had more training than they will get". Paramedics and nurses operate in very different environments and thier training reflects this. A paramedic's focus is very interventional and based on what can kill a ...

9. New Grad ER Vent

   EMTSNA replied to EMTSNA's topic in Emergency

   Point taken, I did indeed have 15 patients at one time, and this happens occasionally at this facility although 8-10 is more of an average. What gets me is that this is a big name regional trauma center that regularly wins awards for it's excelle...

10. New Grad ER Vent

    EMTSNA posted a topic in Emergency

    I love working in the ER, I will be off orientation in 2 weeks after a 5 month orientation. I feel pretty confident in my abilities and I can roll pretty well with a busy team of 8 or 9 patients. Recently we have been too crazy and busy. Managemen...

11. Yale New Haven

    EMTSNA replied to tonybloni's topic in Connecticut

    I love it, I will be off orientation in 4 weeks. There is always something really interesting coming through the door. At the same time, It gets so crazy sometimes. There is good orientation, but at this point I need to be able to run the team on m...

12. 'average' patient/staff ratio?

    EMTSNA replied to Dinith88's topic in Emergency

    Sounds lovely, In the NE where I work, I'll average about 8 patients on day shift in the ER. Having a tech is a luxury and can't be counted upon.

13. Youngling wanting to know about ED

    EMTSNA replied to nurz2be's topic in Emergency

    I strongly recommend working as a tech in order to get comfortable with the flow of the ED. If you work at the hospital where you will end up as a nurse, the relationships you will build with the staff can really help once you transition as a nurse....

14. New Grad in the ER looking for a shoulder to cry on

    EMTSNA replied to citizensaver's topic in Emergency

    Hey, I too started in July. So far I've found that by multi-tasking and planning ahead I stay ahead better throughout the day. My preceptor promotes starting the IV and getting labs while obtaining the Hx. Making sure that when i go into a r...

15. pt abuse vs pt satisfaction

    EMTSNA replied to time4meRN's topic in General Nursing

    My very first patient of the day today yelled obscenties at me when i attempted to administer her pain meds. The 4mg of morphine just wasn't good enough (3rd round in an hour and 1/2), and what the $%#@ did I think I was doing, didn't I know she was ...