ernurse728

Stupidest complaint I have ever seen was "hole in lady parts"...when we got a mirror so she could show us what she was talking about....it was her urethra!

i thought it was only our goofy linen room that was saying that we are using to many sheets. they actually had the nerve to say that we were " inappropriately using our linen supply" ....how can you inappropriately use sheets? :uhoh21:

We actually have people come in off the street...and not necessarily homeless people...wait for the locked doors to open to get back into the ER and steal food from the dietary room!

I have been getting a reaction to my PPD for about 3 years now. It is very similar to what you describe. It is a large red mark at the site where the test was given. There is never any induration and the test is always read as negative. One person told me that it could be an allergic reaction.

In our ER we are required to have ACLS and NRP but not PALS. We are about to make it madatory for everyone to have PALS. The NRP is helpful to us as we do not have and L&D floor so we do all the emergency deliveries AKA: " I didn't know that I was pregnant" , " I don't know what hospital I am suppose to go to"

We always have to wait until we get the results of the RSV swab. Our peds unit houses 3 kids in a room...so we wait to get that back before sending them up so they can plan accordingly.

Okay...I am not and L&D nurse...I am and ER nurse...but this thread caught my eye. As a woman who has delivered 2 babies in the past three years I do not understand why people want every person that they have ever met in the room with them while they deliver! My husband said from minute one that if you weren't there when we conceived the baby you aren't coming in when they are born...I don't care how "natural" it is...it is still me buck naked from the waist down! And as a spectator why on earth would you want to see that! Just my opinion.

LOL...I too laughed a little when I read the post. I am an ED nurse who works 12 hr shifts. I can safely say that I am on my feet for probably 11 of 12 hrs that I work. It is crazy busy all the time and you literally hit the ground running as soon as you walk through the door. If I actually did get to sit for a minute I would be worried that something awful was going to happen! The classic calm before the storm!

Please don't take this the wrong way...but the problem with drug seekers in the ER is that they are taking up beds that are needed by real sick patients! And all we are doing is feeding into their behavior by giving drugs that they don't need. I am in an ER that sees 90,000 pt's a year. It is crazy, chaotic busy all the time. We have 3 hallway that we house up to 4 pt's in almost everyday. And I for one am tired of seeing the same people come in every other day for the same bogus complaint of a migraine. I for one feel that the doc's need to stand up to these patients and stop giving them narcotics so that they will stop coming in for the BS complaints. Now that being said I am a very big advocate of getting my patients pain under control the minute that they get into the room. I will hunt doc's down to get an order for pain meds for people that have flank pain and are probably a stone, people that really do have migraines etc. I am not a person that judges you just because you were here with a migraine 6 months ago. But I am sorry I do judge you if I know your name, hx, allergies and complaint the minute that you walk up to the desk and sign in. If I see you more than I see my family...that is a problem!

I am about to take ENPC and was wondering how difficult it is? Any info is helpful!

In Md after 1 yr. of Tele and 4 years in the ED my base pay is $24.20. When I run charge I get an extra $1 more per hour.

Shock times three...then drug-shock-drug-shock! Always use electricity first!

That is also one of the problems that we are having. We are now being forced to work 12 hr shifts on holidays...thanks to a new manager...and we also only get 8 hrs of holiday time back. Plus our holiday pay on christmas for example is 4pm Xmas eve - 4pm christmas day. So for me...who works 8am-8pm I am getting jipped my last 4 hrs of the shift! Not to mention the fact that I have 2 precious babies whom I would not see on Christmas day...the entire day! I just don't see how this is fair!

This question is for the people who work 12 hr. shifts. What is your hospital/unit policy for holidays? Does your unit still make everyone work their 12 hr. shifts or is there some flexibility so that you are able to work shorter shifts so that everyone gets to spend time with their family?

My husband is a police officer

My absolute biggest pet peeve is the parent that rushes their child into the ER because they have just discovered that the child has a fever...when questioned when the last dose of Tylenol/Motrin was given..the response...."well I didn't give hime anything I rushed him right here so you could see how high it was"!!! Hello....can we say febrile seizure people! Pediatricians really need to educate these people a little bit more. :angryfire

Gotta love those fake seizures while at the commisioners office! You know the ones that are willing to do almost anything so that they don't have to go to jail!

I will be working 8a-8p in the ER all day tomorrow...I am praying for a semi-tolerable day! I will settle for only having to run one code if I am lucky! Hope everyone has a great Thanksgiving!

You make a great point monkey....most floor/tele nurses aren't aware of what it is like in the ED. I think that you will find that a majority of nurses that work in the ED have worked on the floors in the past and know what both areas are like. I know that the floors get busy and there are times when they have a patient not doing well and that is where their attention needs to be. I have actually had floor nurses say things like "why do you always want to send them at change of shift". As if you had control over when they got admitted, when the orders were finally written and when the bed was assigned! I to am soooooo tired of the excuses. " I didn't get the fax", "our fax was out of paper". "the room isn't ready", " I am at dinner and there isn't anyone covering me".....excuse me...you work on a tele floor and nobody is covering your rooms while you are at dinner??!!?? I think not! And then when they finally do look at the fax report they ask you 50 questions that are clearly answered on the paper you so carefully filled out! It is very frsutrating when the ED is busting at the seams...ambos are rolling in 7 at time and everyone needs something yesterday! And them to top it off they nit-pick at everything...they want to patients wrapped in nice pretty bows....I am so sorry but I am obligated to do stat/now orders...not all 4 pages of orders that the doc wrote. I am a firm believer that every nurse should come to the ED just for one day to see what is like...to see how chaotic it is and why we cannot sit on these patients until the floors are good and ready!

The lowest I have ever seen a bs....and the patient was still conscious and alert was 12 and the highest was 1800.

What does it mean if you found all six?

We have a 25 bed main ER plus 2 trauma rooms, a seperate psych area that can take max of 3 pt's, 12 fast track beds, and we usually have up to 4 pt's in the hallway at any given time. We see about 260 pt's per day and we a nurse to triage out front and a charge nurse. We also have a nurse to triage ambulances but they pt's as well. Our ration is 1nurse/4pt's. Hope this helps. The charge nurse and triage nurse do not take teams of their own. There is no way that would ever work.

In our facility we have to report all assaults no matter what...if the police arrive and the person doesn't want to talk that is fine but we must report it.

We also draw blood from locks all the time....but I do say that if I try to pull from a lock and I don't get anything immediately than I stop and do a straight stick on the patient. If you don't get blood from a lock after you have attempted to aspirate and flushed the line you can pull until your fingers turn blue and you aren't going to get any blood...in that case all you are going to do is ruin your line.

zoeboboey & newfloridaRN - why are you surprised about having lab work drawn from a newly inserted IV cathether? We draw blood and insert IV's into patients at once all the time. The lab draws are perfectly fine and you save the patient from more sticks? Am I missing something?