al7139

al7139 ASN, RN

Emergency

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All Content by al7139

  1. Sentra Healthcare info

    al7139 replied to Nprifti's topic in Virginia Nursing

    Actually, contrary to popular belief, Bon Secours is the biggest hospital system in the area. I have worked for both, and I like Bon Secours better both for pay grade and benefits. And as an...

  2. Fairly new RN- any good internships out there? GOOD orientations??

    al7139 replied to Epona's topic in Virginia Nursing

    Where in Virginia are

  3. Whats with Mondays?

    al7139 replied to MEDICJOHN's topic in Emergency

    Hi, Here is my theory: Too much crack and ETOH, not enough money, and they just want a bed to sleep in and a hot meal. Time to recover from the weekend. Takes time away from the really sick...

  4. Can you be an er nurse with an assoc. Degree?

    al7139 replied to ksm84's topic in Emergency

    Absolutely! I have an ADN (2007 Grad) and got hired in an ER in August. I will say I was not a new grad and my prior experience was telemetry and stepdown, so I had a good foundation to jump off...

  5. ER computer programs

    al7139 replied to gardengal1's topic in Emergency

    Hi, Where I work we are currently using A4, which is not a terrible system, but it does have it's flaws. We will be swithching to EPIC in the next year. I have used EPIC at another hospital I worked...

  6. DKA and Potassium

    al7139 replied to apocatastasis's topic in Emergency

    Hi, In my ER we have a protocol for DKA that says we bolus 2L NS and start insulin drip. We check blood sugars q2 hours and titrate insulin gtt accordingly. After the 2L NS bolus, we start 1/2 NS...

  7. New ER nurse, but old Cardiac nurse

    al7139 posted a topic in Emergency

    Hi all! I am a RN with 4 years of tele/cardiac stepdown before I got this job at an ED. I love it but i would like some hints from the experienced ER nurses out there. Any

  8. To all the newbie ER nurses out there...

    al7139 replied to shieldanvil81's topic in Emergency

    Hi all, I am a new ER nurse who has experience in tele/ CSD now that I am an ER nurse, I am doing an orientation, which is humbling to me. I am used to working on my own, but have gotten used to...

  9. ER handoff report to floor

    al7139 replied to PatricksRNMommy's topic in Emergency

    Thank you VICEDRN! I give report the same way, by fax but still the units expect a verbal. I do not have the time to give verbals unless its ICU in which case I will. Why can't the floor nurses read...

  10. I'm New To ER...Share some tips please?

    al7139 posted a topic in Emergency

    Hi all, I have been a nurse for a little over 4 years. My speciality is tele/cardiac stepdown. I have been with an agency for the last few months, and 2 months ago, got an assignment to task in the...

  11. Favorite bumper stickers

    al7139 replied to beachmom's topic in Nursing Humor

    Not a bumper sticker, but on a license plate "Priapism" I almost wrecked my car I was laughing so hard! What I want to know is is he a urologist mabye or just

  12. I'm New To ER...Share some tips please?

    al7139 replied to al7139's topic in Emergency

    Thanks for the tips! I just finished my last shift in the ER as an agency nurse, and I start next week as permanent staff. Last night was a real doozy though! I had 4 bays and I was busy ALL shift!...

  13. Theme song to your Nursing career?

    al7139 replied to sMoLsNurse's topic in Nursing Humor

    I don't even listen to this guy, but just because I am a nurse in an ED, it's "Welcome to the Dope Show" by Marylin

  14. So True!

    al7139 replied to onetiredmomma's topic in Nursing Humor

    I agree! I wish we could have medical billing codes for the PITA

  15. MD: Why did you get a BG on this diabetic patient???

    al7139 replied to Murse901's topic in Emergency

    That 10% will get you in trouble IMHO. I work in an ED and generally I am the first one in the room to see the patient. If I am made aware that a patient is diabetic they get a fingerstick whether...

  16. I am a new agency nurse

    al7139 posted a topic in Agency Nurses

    Hi All, I am a new agency nurse. I previously worked for four years as a cardiac nurse on a stepdown/tele unit. I took this job so I can be flexible with my school schedule for my BSN/MSN. I...

  17. Scribes in the ED

    al7139 replied to whichone'spink's topic in Emergency

    I am new to ED, and the one I work at has scribes. I don't really know what their responsibilities are, and what kind of medical background is required, but I have noticed that some seem to do more...

  18. I am a new agency nurse

    al7139 replied to al7139's topic in Agency Nurses

    Hey you guys, Just a quickie update...After all the grief I have gotten (eirher blatantly rude or subtle), I got sent one night to a local ED. What a difference! I loved it! I went there to task...

  19. Question about Cardizem Drip...

    al7139 posted a topic in Cardiac

    Hi, I work on a tele/med unit, and have had several pts on Cardizem gtt's since my first day. Yesterday, I received report on a pt who originally was admitted for "sepsis" and was stable when I left...

  20. I am a new agency nurse

    al7139 replied to al7139's topic in Agency Nurses

    How do you cope with the

  21. how do you assess for wound dehiscence?

    al7139 replied to NewlyGradBSN's topic in Patient Safety Issues

    Hi all, Here is my opinion: If I have a fresh post-op patient, then the site needs to be assessed. Yes most surgeons prefer to do the dressing changes themselves, but unless it is a dressing that is...

  22. Experienced nurses: What do student nurses do that drives you nuts?

    al7139 replied to aem31's topic in General Nursing

    For the most part, I love having students on my unit. Most of the students I work with are in their last semester, and have gained some experience. I am a preceptor, and I love to teach. That being...

  23. IV Push Times?

    al7139 replied to soxfan80's topic in First Year After Licensure

    Here are a few not mentioned: Labetolol Hydralazine Cardizem Digoxin Haldol And don't forget the emergency drugs: Adenosine Amiodarone Bicarb Atropine Epinephrine

  24. Jobs for New Grads in Hampton Roads Area

    al7139 replied to sunkiss285's topic in Virginia Nursing

    Hi, I work for Sentara at the Leigh Hospital. I know that right now with the economy, the units like to get experienced RN's but will hire new grads also. You can check the Sentara website, and just...

  25. IV pump help---all help appreciated

    al7139 replied to ACNP 2B S1S2RRR's topic in Nursing Student Assistance

    Hi, We use the same pumps at my hospital. If the pump says "occlusion" it will specify the patient side (below the pump to the patient) or above the pump between the bag and the pump. Most often, the...