EMTSNA

EMTSNA

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All Content by EMTSNA

  1. How to keep the faith in triage?

    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...
  2. 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.
  3. IV drips question

    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...
  4. Propofol for conscious sedation?

    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...
  5. ICU RN to the ED

    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....
  6. EtOH Levels...

    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
  7. New Grad ER Vent

    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....
  8. I just wanna be a DNR

    Awesome, thanks for
  9. Newbie Question

    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...
  10. New Grad ER Vent

    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...
  11. Yale New Haven

    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...
  12. 'average' patient/staff ratio?

    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
  13. Youngling wanting to know about ED

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

    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...
  15. pt abuse vs pt satisfaction

    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...
  16. RN to Paramedic

    This past thread may be of some use to you
  17. Odors--Help!

    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
  18. Yale New Haven

    I got hired for the New Graduate Internship Program in the ED at Yale. I'll start in July once I pass the NCLEX at $27.04 per
  19. 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...
  20. What is your weakness?

    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...
  21. I should have said something...

    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...
  22. I should have said something...

    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...
  23. Should a new grad try ED or not?

    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...
  24. HIPAA between patients?

    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....
  25. HIPAA between patients?

    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...