TeresaEDRN06

I have a question for you guys. In our ED, when a pt comes in to be seen, they'll fill out a slip and have a seat in our waiting room. The registration person will put them into our system and their name will come up as a new pt. At that time, the...

I simply say that I am trained to know who is sicker- that's my job. That's it. I don't get into a big discussion because of what was stated above- the more you try to rationalize, the more people will argue. Teresa

NickB...you go to an ED, refuse the MD's plan of care...refuse an LP, tell them which meds you DON'T and DO want, and leave. Go to another ED and do the same thing. What did you expect? I don't get why you are so upset. I wouldn't walk into a l...

I just said this same thing in a similar post...many people do not have the capacity to look beyond themselves. It is an EMERGENCY ROOM!!! There are emergencies. And those emergencies do NOT include food, pillows, or coke instead of the apple juice...

Hi guys, My ed is trying to restructure drawing labs in triage...specifically, we are trying to expedite lab times...How does your ed make sure labs are drawn in a timely fashion? Thanks in advance! Teresa

Thanks for the replies. Yes, we have ANI's...Advanced Nursing Interventions. These ANI's allow the triage nurse to initiate labs, urine, a few CT scans, and a few meds on a variety of symptoms. (chest pain, renal colic, head injury, pneumonia, upp...

My ED uses T-system. It's super easy and user friendly. Love it!

I have cried with patients families, too, in certain heartbreaking situations. However, let me tell you, in regards to what Stargazer is saying, those whiney people make me sick. They have no clue. None. Those are the heartless people who truly c...

edited because I responded to the wrong thread! lol I am usually very honest..." ER's go by the acuity of the patient, not how long you've been waiting. The people who are trying to die get seen first." I sometimes will add, "I am not saying you do...

Wow!!! That is smokin fast!! I triage super fast, but you blew me right out of the water! Teresa

What's an SVE?

You absolutely did the right thing.

Thanks, everyone. I appreciate your replies! Crux1024, your links are very helpful and answered my questions clearly...thank you. Teresa

I have several questions. The hospital I work in, an 80 bed ED, is having some triage difficulties. We use the ESI system. The problem is, we get VERY backed up in triage. Sometimes we have people waiting 2 to 4 hours just to be triaged. It's ve...

Thanks so much guys! Your responses are so helpful. One more question. At what point do you take the initial vital signs? When they first walk in? When they sit with the triage nurse? (even if that's an hour or more later?) Thank you!!! Teresa:h...

Thanks! These posts are so helpful! I really like the triage plus idea.

My boyfriend and I were having a discussion and we were wondering what the largest ED is in the US. Thanks! Teresa:nurse:

lol. That's funny.

It's in FL. We actually just opened up Sunday night. We went from a 44 bed ed (not including peds) to this huge one. The ratio is 4 to 1 for the nurses, except out trauma/critical care rooms where it's 2 to 1. Each pod contains 20 beds, 5 nurses, ...

Wow! That's a busy ED. We were wondering about the largest. We work in a 104 bed ed (including 20 peds beds) Thanks for the fast reply. Thanks!

That is awesome! I took my test in June 2006 so I remember that horrible panic very well. Good for you!

I was drawing labs on a 30-something year old. As I attached the tubes to fill them, he was watching. He looked up and said to me, "How are you going to put that back?" I said, "Put what back?" "My blood." Huh?

I just wanted to add that in our ED, we make sure the pt is on a monitor, since it can lower blood pressure. We infuse it using a pump, as well.

I would stay home and study, no question. While I was studying for boards, I looked at it as my full time job. Good luck!

I am so sorry for that baby, too. Someone said that God spared him. I believe that, too. What a tough experience for you, too. I had my first OB experience in the ER about a month ago. 18 weeks. So tragic.