JACALA_CL

zippy appletush :rotfl: :chuckle

1. iv's, lab draw etc. 2. trauma codes 3. ami's (er)

check out this website it is great! http://www.nursingadvocacy.org

:rotfl: :rotfl: :rotfl: :rotfl: :rotfl: :rotfl: been there, said that

here are our protocols upper abd pain lower abd pain preg w/ vag bleed/abd pain cp fever asthma soft tissue injury/infection out pt dvt ottawa ankle/knee rule for xrays renal colic overdose needlestick injury first responder they help increase the flow in the er (make the doc's life easier)

1. enema's 2. ecg's 3. rectal swabs

i wanted a career that would never "go outta business". but guess what . . . i was "born" to be a nurse. i love it (my mom still has a no work rule when i go visit her - she cannot stand bodily fluids/functions)

in nsg school i was assisting my girlfriend with a dressing change. the woman was morbidly obese and recently had abd surg (for what i cannot remember). "N" had to change the packing. when "N" took the old packing out and saw a pool of foul (x1000) green noxious liquid . . . . she threw up INTO the woman's open abdomen! then i had to run to b/r to vomit from her vomiting into the wound. ..... the patient? she just said "that's ok dearie, i know it isn't very pleasant"

lasix protonix ativan T#3 demerol vistaril toradol enoxaparin oxazepam

hi! i graduated in 1992. @ that time there were NO full time jobs in my city for nurses. i live in a border city to the usa. i went across the border for a job. what a culture shock! nurses were treated as important members of the health care team. there was no bowing or scraping to the almight doctors (like i observed during my training). i had a wonderful career in the usa (emerg). the education dollars the spent on you and the extremely flexible scheduling was wonderful ..... but ..... then...... 911 i was afraid to cross the border and unsure of what pres bush was going to do and what the retaliation might be. now...... welcome back to canada! i am in a union! i was nursing for 9 yrs but i am at the bottom of the totem pole. i make less money then when i was working in the states (but: less time to get to work, less money for gas, less wear and tear on car, no cross border fee). i have not had any "summer" vacation since i worked in the states (those w/ 20 yrs get 4-6 weeks off, but me with only 3 yrs get "0". my summer vacation this year was from sept28-oct11) if you have a list of questions you want answers to, private message me and i will help you if i can.

this may sound simple but what saved my butt more times than not was waking up every morning refreshed. no "all nighters". bedtime was 1030 latest 11pm. (and of course always eat breakfast) (sorry if some one else already posted, i couldn't go through all the posts)

(this is not trauma or cardiac related but it happened one night of my er shift) i recently questioned a doc about a Bhcg level ordered on a male. pt c/o groin pain radiating to testicles x2mos with increasing severity of pain. c/o 30lb wt loss in 2 mos. i didn't know this but a low level Bhcg in a case like this can mean testicular cancer! (sad but this 27yM DID have CA)

when i call report and i am told that the nurse is busy, i ask if anyone else will take report. if the answer is no i inform them that i am going to chart "rn,s on 6north unable to take report at this time" (unless they then tell me a code/precode is in progress) if i attemp to call report and the nurse says she "won't" take report i inform that rn that i am charting it as a refusal. when i inform they floors of my charting i tell them that it is not bashing them but covering myself when our department does QA on our charting to find out why there were delays in transferring the patient. i find that the nurses on the floor call back within 5-15 min if i tell them what i am about to chart. i also try to be flexable and play "let's make a deal". i tell the RN that i f i can at least Give report now i can wait 30-45min to transfer the patient. that usually works well.

One evening a family takes their frail, elderly mother to a nursing home and leaves her, hoping she will be well cared for. The next morning, the nurses bathe her, feed her a tasty breakfast, and set her in a chair at a window overlooking a lovely flower garden. She seems OK, but after a while she sloowwwly starts to tilt over sideways in her chair. Two attentive nurses immediately rush up to catch her and straighten her up. Again she seems OK, but after a while she slooowwly starts to tilt over to her other side. The nurses rush back and once more bring her back upright. This goes on all morning. Later, the family arrives to see how the old woman is adjusting to her new home. "So Ma, how is it here? Are they treating you all right?" they ask. "It's pretty nice," she replies. "Except they won't let you fart."

The Experimental Drug "Doc, you've gotta help me! My wife just isn't interested in sex anymore. Haven't you got a pill or something I can give her?" "Look, I can't prescribe..." "Doc, we've been friends for years. Have you ever seen me this upset? I am desperate! I can't think; I can't concentrate; my life is going utterly to hell! You've got to help me." The doctor opens his desk drawer and removes a small bottle of pills. "Ordinarily, I wouldn't do this. These are experimental; the tests so far indicate that they're VERY powerful. Don't give her more than ONE, understand? Just ONE." "I don't know, doc, she's awfully cold..." "One. No more. In her coffee. Okay?" "Um, okay." The guy expresses gratitude and leaves for home, where his wife has dinner waiting. When dinner is finished, she goes to the kitchen to bring dessert. The man hastily pulls the pills from his pocket and drops one into his wife's coffee. He reflects for a moment, hesitates, then drops in a second pill. And then he begins to worry. The doctor did say they were powerful. Then inspiration strikes, he drops one pill into his own coffee. His wife returns with the shortcake and they enjoy their dessert and coffee. Sure enough, a few minutes after they finish, his wife shudders a little, sighs deeply and heavily, and a strange look comes over her. In a near-whisper and a tone of voice he has never heard her use before, she says, "I...need...a man" His eyes glitter and his hands tremble as he replies, "Me...too..."