NicoleRN07

NicoleRN07 RN

Med/Surge, ER

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All Content by NicoleRN07

  1. Push Cephalosporins through a PICC line?

    I
  2. slave labor

    I'm not saying that you should never get a break....believe you me, I enjoy my 30 minutes as much as the next person, all I'm saying is that in the world of nursing, things happen that can not be...
  3. Insulin during cardiac arrest?

    I have never given insulin during a code, but I have given it many times for increased K. I can not see that this would have an immediate effect during life saving
  4. Insulin during cardiac arrest?

    I have never given insulin during a code, but I have given it many times for increased K. I can not see that this would have an immediate effect during life saving
  5. Acls

    Definately. We are also required to have PALS, TNCC, and of course
  6. Giving Baths At Night. Agree Or Disagree?

    If it's before bedtime, then it's perfectly fine, but if you're talking about 2 or 3 am, then NO I do not agree. It's even worse that you wake the confused patient.....they are already disoriented,...
  7. Funny Sign In Slips

    Last night, I was going through my Left Without Treatments, and their complaints so I could complete the proper paperwork. I came to one triage sheet that caught my eye. It was a 14 year old girl....
  8. Okay, Dumb question=Diluting meds

    When I dilute Phenergan, I draw up 9ml of NS, and the 1ml of Phenergan (25mg/1ml) to equal 10ml. If my order is for 12.5mg, then I waste 5ml. If my order is for 6.25mg, then I waste 7.5ml. If you...
  9. Forced Blood Draw? (DUI situation)

    Hi. I am a NC resident, and recently the law has changed. It used to be that if you refused blood draw for legal blood alcohol, you lost your license automatically, but, it has changed and now,...
  10. Need advise on staffing problem and employee moral

    Wow....sounds just like some of the same problems we are currently facing. I wish I had an answer for you, but unfortunately, I don't. It would be so nice if we could just wave that magic wand and...
  11. anxiety level off the charts sometimes

    HI. I feel like that a lot. I work in a very busy ER, and sometimes have anxiety issues, but I work better under pressure. When my anxiety level hits a high, I usually stop, close my eyes, and take...
  12. Did we fluid overload her?

    It could very easily have been the volume overload from the blood, being that the patient had poor renal function. Generally speaking, when you have a patient with CHF who is receiving blood products,...
  13. slave labor

    I am 27 years old, and I have been in nursing for 7 years, and I have yet to burn out! I love my job, and I do not spend every moment complaining about every little petty thing......especially not...
  14. slave labor

    Working conditions are what you make of them. If you truly enjoy your job, then you will continue to do it despite the unpleasant conditions. I work short staffed most shifts, but I go to work with...
  15. slave labor

    People don't wait in ERs for hours because the triage nurse don't believe them, they wait for HOURS because the ER is busy!!! How would you have felt knowing that the reason you sat in the waiting...
  16. slave labor

    Of course we all work in very busy ER's and we should all understand that it is not possible for us to get a break every single shift! More staff is not necessarily going to mean that we are able to...
  17. Will I need a female RN with me every time????

    You don't necessarily have to have a female assist you every time you do a cath or personal care, but look at it this way......you would be protecting yourself, and it would probably make your female...
  18. Family/ Visitors in the ER

    There is a time for visitors, and there is a time when visitors should not be allowed. We used to have a 2 visitor per patient rule, but somehow this rule has become obsolete in our ED. Management...
  19. Mental health pt in ER...

    We just built a new ER, and 2 psych rooms were added. There is a large window (unbreakable, of course) for each room , and both are equipped with a camera. All medical equipment is hidden. There is...
  20. slave labor

    I work in a very busy Level III trauma center, where we see approximately 180-220 patients per day. It is rare that any of us get an entire break. That, unfortunately is just part of working in the...
  21. Nurses with a hx of Med Surg Experience

    Three years ago, I transferred from a med/surg unit to the ER. Having that experience made me a better ER nurse, and I am thankful that I had that experience going into the ED. I always knew that ER...
  22. mp3 player on breaks

    If you're on your break, then it shouldn't matter, and yes, it is very petty. As long as it's not interferring with the care of patients, then I see no reason why it should be a problem to
  23. "Funny Codes"?

    One of our older MDs worked the night shift with us one night, and about 630am, we got a call from EMS that they were bringing in a code. We prepared for their arrival, and were in the room waiting...
  24. Speaking of adenosine

    Hmmmm......maybe this doc shouldn't be taking care of pts in SVT. I guess he wants you to slow push Epi, and Atropine during a code as
  25. Er Staffing

    Wow....that's a wake up call!! In less than a week, we will be moving in to a new trauma center with 8 more beds than what we have now, and will be left with the same staff. Right now, we only have...