al7139

al7139 ASN, RN

Emergency

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All Content by al7139

  1. OMG LOL!!!! I graduated in May '07, but I so remember "The Annoying Ones." There were a few people in my class who got on everyones nerves due to the frequency that they either asked questions or...
  2. Hurricane coming: evacuate or stay and work?

    Hi, I work on the East Coast (Norfolk, VA). We have had one hurricane (Isabelle) since I have lived here, although I was not a nurse then. Now, as a nurse, our hospital has a disaster plan, which...
  3. Med Reconciliation in the ER

    Hi, We now have computerized charting, but before we switched the pt was required to have a "hard copy" med rec done in the ED. We are lucky that we have an "admissions nurse" in the ED who tries to...
  4. Charting Bloopers

    Heres my favorite: Med transcriptionist charting a transfer summary listed a med as :"Cigarette 180mg daily" (it was supposed to be "Cardizem 180mg daily").
  5. No orders?

    Hi, I work on a Tele unit, and we frequently get direct admits that come straight from the MD office. Most of the time we get orders with the admission paperwork, but occasionally we don't. If the...
  6. Pe

    Hi there! I am a Nurse who has been practicing since May 2007, so in my opinion I am still "shiny and new" and have alot to learn. I work on a telemetry unit, where we get all kinds of patients,...
  7. Unmotivated patients VS pain?

    OK, Here is my 2 cents from both the nursing and the patient view. First the patient view (from my own experiemce): When I was 15 years old (waaay back when!!!), I was diagnosed with an ovarian...
  8. Question about Cardizem Drip...

    Thanks for your replies... I am still a new nurse so I love that I can run things by you all who have more experience than me. I have several favorite tele techs who I trust to be alert to anything...
  9. You know your pt is a jerk if........

    LOL!!! I have had similar "member experiences". People can get a little crazy in a hospital setting and do things they may not do otherwise. I had a pt call me to his room saying he was having trouble...
  10. Terms we will not admit to using

    When I worked in animal medicine (before nursing), we used these terms: DIC=Death is Coming Peek and Shriek (for a surgery where you open the pt up, shriek because the problem is irreparable, and...
  11. Here is my all time favorite: Old Female pt.. holocaust survivor, now 101yrs, but feisty and totally alert and oriented, called me to her room one night and asked if I could scratch her lady parts. I...
  12. Differences in pain medication

    Heres my humble opinion: Pain meds vary based on the pt, their history and their current problem, and tolerance to pain and meds. The most common pain meds in hospital use that would be the strongest...
  13. What did you do

    On my unit I have what I call "Pillow Fluffers." These are pts who have always cared for themselves independently, but will insist that they cannot do anything without a nurse present while they are...
  14. Need help! New RN to telemetry floor

    Hi there! I am not really sure what you are asking. It sounds like you are having trouble with assessments, as well as asking questions of your preceptor. I will say that I have alot to give you....
  15. what do nurses hate about doctors?

    As an nurse with a little over 1 year experience, I have to say that the MD/Nurse relationship is a two way street. I usually work the 3pm-11pm shift, but occasionally moonlight on the 11pm to 7am...
  16. Death?

    Hi there, My first experiences with death were family members (before I became a nurse). Actually the deciding factor for me to go to nursing school was the death of my father and how the hospice...
  17. Hi, Don't worry! It is the norm, and you will get used to it! I hate that right when I get report, lots of our hospitalists are doing rounds, and some have bad tempers...I have learned to deal with...
  18. Visitors are OUT OF CONTROL!!!

    I am in a hospital where on my unit we have open visiting hours. Most of the time this is not a problem. The rooms are private and small, we cannot accomodate lots of visitors per patient for...
  19. Fall Risk help

    Hi, IMHO, This pt sounds like lots I have had! They are basically independent at home, and hate to have to rely on another person when they really need help (sound familiar? I'm right there in...
  20. Cardio vs. Med Surg?

    First let me say that I am shocked that your school does not do clinicals on at the least a telemetry unit. Ours did, and that's where I work now (on the same unit I did clinicals at). You learn all...
  21. Hi, I am a cardiac nurse on a Telemetry unit. You saw a pt with ST depression with a K of 3.1. The EKG changes indicate what the K showed. Remember that normal K levels are 3.5-5.0. This pt was...
  22. Interesting that someone said their school takes more males over females. I would like to know where that school is and how many men graduate each year. I have found that there are not as many male...
  23. hanging cartizem

    At my hospital we call it Y siting the drip. If the pt is on IV fluids and has Cardizem (or Amio, dopamine, Integrilin, Heparin, etc.) we will first ensure compatibility with the fluids. We will...
  24. Black scrubs?

    Hi, I relate to the OP. I like to wear black. It's one of my favorite colors. At my hospital on my unit, we do have a dress code, that does not prohibit staff from wearing black, but I feel that it...
  25. EPIC Computer Program

    Hi all! Just an update on my original post. First, thanks to all of those that replied to my thread, and especially those who gave positive feedback to reassure me. We have been "live" for 4 months...