TaraER-RN

TaraER-RN

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All Content by TaraER-RN

  1. Conscious Sedation in the ER

    TaraER-RN replied to Silktea3's topic in Emergency

    We have two types, moderate sedation (which is usually versed and fentanyl), and deep sedation (which we can use etomidate, ketamine, propofol-pushes only, no gtt, and brevital). We have VERY strict...

  2. Morphine shortage?

    TaraER-RN replied to Lunah's topic in Emergency

    We use Dilaudid so much now, I don't think our hospital will ever run out of Morphine!

  3. Hylenex-Have you used it

    TaraER-RN replied to RN0520's topic in Emergency

    OK...I am super confused, I was looking at the website for this drug but can't figre out what it is....It looks like you let fluids basically infilitrate SQ instead of going intravenous, and this drug...

  4. Policy on ED violence

    TaraER-RN replied to littleRNthatcould's topic in Emergency

    We have the same situation as the original poster...our security isn't "allowed" to touch a patient...they are basically there as a visual cue, with no weapons of any sort on them. Most of them are...

  5. ER Experience

    TaraER-RN replied to curlilockz's topic in Emergency

    I have been an ER nurse now for almost 7 years...all of it being in the ER (I started as a new grad there). I have trained multiple new grads into our department, and truthfully in my experience it...

  6. The most expensive, silly or cheap gifts you received from your hospital

    TaraER-RN replied to Shantas's topic in General Nursing

    The last couple Xmas' we got a nice fleece sweatshirt with the hospital logo on it, and then the next year we got fleece sleeveless vests with the logo (and the girls do tend to where them to work a...

  7. How Long is your New Grad Orientation at your facility?

    TaraER-RN replied to Brian's topic in General Nursing

    In our ER for new grads or for those coming from non ER backgrounds we do 40 shifts with a preceptor on the floor, plus 6 weeks (one day a week each) of a regional training class and an our facility...

  8. Change in IV Phenergan Policy

    TaraER-RN replied to RNKPCE's topic in Patient Medications

    wow...I'm really shocked to see all this...I have given phenergan probably a thousand times as an ER nurse (its our most commonly used anti-nausea drug)...I always give it diluted in the highest port,...

  9. Jcaho Medication Reconciliation

    TaraER-RN replied to SEOBowhntr's topic in Patient Medications

    Hi everyone...we have been having to do med recon's in our ER for about the last 4-5 months. It has been getting easier...all we (as nurses) are responsible for is printing their med recon sheet...

  10. Flow of your Triage/MSE area

    TaraER-RN posted a topic in Emergency

    Hello....I am looking for ideas from people who work in busy ER's (greater than 130 coming in daily) on how you manage your triage flow. We just started using ESI (emergency severity index) and its...

  11. Flow of your Triage/MSE area

    TaraER-RN replied to TaraER-RN's topic in Emergency

    Thanks Ken...I read that article too...its actually based around what happened to that one patient in a waiting room in Illinois who came in for CP and waited to long in the waiting room and ended up...

  12. Rules for the ER (long)

    TaraER-RN replied to EDValerieRN's topic in Emergency

    I wanted to add this one...I kinda saw it in other notes, but: No, I will not push this "narc of choice" in the closest port, as fast as I can, since that "is the only way that works for you." It is...

  13. Unsafe assignments in the ED

    TaraER-RN replied to LeahJet's topic in Emergency

    In our ER we try to stay at the 1:4 ratio (and then 1:1 with codes, etc)...but occassionally we have to go to 5 each...but we are not assigned rooms, we do too much bed shuffling to maintain room...

  14. No More Demerol IV Push???

    TaraER-RN replied to VickyRN's topic in Emergency

    This is all very interesting to me...have been an ER nurse for 4 years now, and we give Demerol all the time! I would say in the last year or so it hasn't been used as much, but some docs will only...

  15. How do you get assigned patients?

    TaraER-RN posted a topic in Emergency

    In our ER the nurses are trying to give management ideas on how patients can be assigned to them and the doctors to better attain the CA law of 1:4 ratios. Can you tell me how the patients are...

  16. jcaho coming

    TaraER-RN replied to Spider Cat's topic in General Nursing

    I hate it when JHACO comes to town...as do all nurses...all it does is gets the management all over you! We just went through our survey and yes management tells you a bunch of stuff you need to know,...

  17. Lost Trust in Allheart.com

    TaraER-RN replied to NurseFirst's topic in General Nursing

    doesn't change the fact that they should have warned those who were placing orders during this "stop ship" time! I would have still placed my order...but it makes me mad that they didn't warn

  18. Lost Trust in Allheart.com

    TaraER-RN replied to NurseFirst's topic in General Nursing

    same thing happened to me...got same letter, and let them know that I was very disappointed in them, that it wasn't good customer service and that they should have posted it on their website! I had...

  19. 8:1 ratios in the ER???

    TaraER-RN replied to jaimealmostRN's topic in Emergency

    Our state mandated ratios are 4:1, but yeah right..our ER still isn't at it....the hospital supposedly gets fined and we're waiting for all of our new grads to come off of orientation...at least thats...

  20. How do you get assigned patients?

    TaraER-RN replied to TaraER-RN's topic in Emergency

    yeah you'd think it would be great...but we're nowhere near getting this...on an average night I have 8 patients assigned to just me! Its sooo unsafe! but it is the law now for ER 1:4, I wonder when...

  21. Foreign Objects in Body Cavities

    TaraER-RN replied to SWFlorida's topic in Emergency

    My very first patient ever in the ER was a 20 something year old guy, who the week prior was in the ER because he couldn't urinate...they put a foley in, and what do ya know it worked. They ended up...

  22. I wish I had a nickel for........

    TaraER-RN replied to petiteflower's topic in Emergency

    z's playa you must not work in an ER yet (I think you wrote when you become a nurse)...in the ER you can not be responsible for a pt who goes out side to have a cigarette...if they were to be hit by a...

  23. Tips and tricks for new grads in the ED

    TaraER-RN replied to jaimealmostRN's topic in Emergency

    I started out in the ER three years ago as a new grad...don't let anyone tell you that just because you are a new grad that you don't belong there. Its true that having some experience under your...

  24. What not to say / do while you are in the ER...

    TaraER-RN replied to ER-RN2's topic in Emergency

    the ones who hit the door and are already ordering the medicine that will make them feel better, wouldn't ya love to be able to give them toradol and just tell them its 4 mg of Dialudid!!!! Darn I...

  25. And how was YOUR day?

    TaraER-RN replied to mother/babyRN's topic in General Nursing

    wow sorry about the bad day...tell your husband this...I had a pt today who was feeling just about the same way your husband did...finally told her son, who brought her to the hospital and less than 5...