al7139

al7139 ASN, RN

Emergency

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All Content by al7139

  1. What's the funniest most unusual baby name?

    Sha' (say it shapostrophe) Ta, (say it Tacoma) I mean
  2. Violence in the ER

    every situation is different..th it. The demented old man or lady I am not looking to be the bad guy. if they swing at me I let it go. The drunk/on drugs patient who did this to themselves I will...
  3. I'm having vag discharge. When the pelvic is done, the provider pulls out 80.00 in cash. The patient lays it out on the bedside table to dry out...EWWWW! Another one : My daughter needs a CT scan...
  4. Best MD note

    Order for one cigarette q day. He had a very heavy accent and was misinterpreted by the
  5. Ive been an ER nurse for 2 1/2 years before that tele on a unit. I will NEVER go back to floor nursing. We have to have BLS, ACLS, PALS and TNCC and they prefer CEN cert as well. I had to go agency...
  6. Question for ER nurses

    Alpha type personality. I did 2 years on a tele unit before going to ED. Gave me an important foundation in cardio and medical. You have to have a thick skin both for the patients and the Doctors,...
  7. What's the funniest most unusual baby name?

    I have had La-sha (say Ladasha) Ta, (say Tacoma) and Sha' (say Shapostrophe) I mean, REALLY? what are u thinking? And my fave: a real BAD epileptic that we ALWAYS have to restrain ... De'mon (we...
  8. Funniest/strangest dementia patient stories

    On my first job on a tele unit, I had a 90ish LOL who asked me to scratch her lady parts for her...I had no Idea what to
  9. Tech vs. RN

    Hi I am a nurse in a very busy ED. My techs are any level from EMT-B to Paramedic. I have worked with some great paramedics (one actually works in our cath lab as a tech) and some really bad ones....
  10. A word of advice for a strange question?

    Anything can be used as a weapon. Just be very aware of your surroundings and ask for help if you need it. If I am uncomfortable with a patient, I take off my stethoscope and my badge and empty my...
  11. Pt brought in by EMS CC "I've been walking all day and my legs hurt, and I'm hungry" I kid you not. Pt went straight to
  12. Evidence Based Practice

    Hi if you are interested in neuro, why not do stroke? The hospital i work at is stroke certified,so there are very strict protocols that must be followed,all of which have been backed by evidence...
  13. How does inexperienced RN do ER?

    Hi op, I will tell you my experience and you take what you want. I was a shiny new grad in 2007 and was certain i wanted to do er/trauma right out of school. In spite of my eagerness, i listened to...
  14. EPIC Computer Program

    Hi, Does anyone's hospital use the EPIC system for charting? Our hospital is going to this system this month, and I am really interested in how other nurses feel about it. For me, it is very...
  15. Do you have to be tough to work in ED?

    We have all kinds in my ED, from outspoken to quiet. I dont think it really matters if the Doctors respect you, BUT you better be able to be loud if a patient needs to be seen immediately or if a...
  16. How can you neglect a patient and live with yourself?

    I work in an ED in the Hampton Roads, VA area, and I see it all the time. There are good SNF's and bad ones. Every time I get a patient from certain SNFs, I know I can expect a "hot mess", not just...
  17. New to Virginia Beach, VA RN

    Hi I live in Norfolk, and work in a Bon Secours hospital in Portsmouth in their ED. I know we have fellowship programs in the ED, you might look into that if you are interested in emergency medicine....
  18. 'Us and Them' mentality

    We have this same problem in our hospital. I think part of the problem is because of poor staffing, part of it is that we in the ED are all computer, and the units still use paper charting so all...
  19. Lazy techs!!!!!

    Hi, I just have to put in my opinion here. I am a nurse in a really busy ER, and work night shift most of the time. We generally only have 2 or 3 techs at night and often only one. On days they try...
  20. More ridiculous complaints

    always there is the c/o I waited too long to get seen (for a toothache), meanwhile 2 codes and a STEMI and a stroke...I want to snatch them up and force them to look at the intubated patient next door...
  21. Favorite and least favorite diagnoses?

    My Faves are a nice simple STEMI ( they are in the cath lab and no longer my problem within 45 minutes) and the female abd pains (suprise youre preggo) that just hang out with minimal interventions....
  22. Any advice for a new ED nurse?

    Hi all, I am a nurse whose experience is in cardiac stepdown, but now have a job in an ER. I am ACLS and have run my share of codes, so I know how to do that. What I want to know is what advice you...
  23. Terms we will not admit to using

    I work in a busy urban ED, with alot of patients with drug issues. Here are a couple of our favorites: Crackycardia Hypodilaudidemia NAPSTER (Needs a place to sleep) Pleasantly (or unpleasantly)...
  24. Any advice for a new ED nurse?

    Hi all, Thanks for all your valuable advice! I have now been an official ED nurse for 4 months. I just came off orientation, and am "trying out my wings" so to speak. Luckily I am never alone and...
  25. Do your Managers and Charge nurses work on the unit?

    Hey, In my ER the charge nure is usually free but does help if we get "in the weeds" The ED manager only does admin stuff. We all work together so if we get slammed everyone pitches in to help,...