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...
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...
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...
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....
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....
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...
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...
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...
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...
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...
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...
EMTSNA replied to TraumaTrainingWheels's topic in Emergency
I find breathing through my mouth to be the most effective when dealing directly with the offending product. However peppermint spirits in a nebulizer and hung on the wall works
Just a thought, so far nursing school has not provided me with any kind of pre-hospital training except for home care nursing. Responding to a MVC is very different from working a trauma in house...
I can do it, but I get really creeped out about the feeling of crepitus with broken ribs during compressions. The effect for me is kind of like fingernails on a chalkboard. When someone is very...
The reaction to throw the baby out with the bathwater in the case of a generally good nurse who screwed up is as shortsighted and judgemental as refering to "fat cows" and "crazies". This is a knee...
A lot of folks seem to advocate going straight to your superviser in order to avoid confrontation. While this is always an option, the first step should always be to address the issue with the nurse...
EMTSNA replied to MegRyanGirl's topic in Emergency
Hey All I'm not an RN yet, finished this semester's finals today, 1 semester to go. Woo Hoo!! In my opinion new grads can work out in the ER with the proper support. I have been a Tech at a Big...
Hello everyone. I ran into a situation at work the other night and I wanted to get some input. I work at a major ER and had the unfortunate pleasure of sitting with 4 patients in for psych eval....
So I get that HIPAA doesn't cover other patients. Does anyone have any policies at thier institutions for interpatient privacy? Such as upon addmission the patients could sign a statement that...