NicoleRN07

NicoleRN07 RN

Med/Surge, ER

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All Content by NicoleRN07

  1. Meds you hate to give....

    Definately Charcoal....MESSY! Ketamine....it just scares me. IV Vit K...listed first on side effects is cardiac arrest!! (I always have the doc change it to subcutaneous), Reglan....you never know...
  2. Anyone else with higher than normal volumes?

    YES!! We have been really busy since October 06, and each month seems to be getting busier. I also work 7p-7a, in a little larger ER, 27 beds, and most evenings I go in to a full dept, 8-10 in the...
  3. What is wrong with me?

    Sounds like your job is really getting to you, and you should probably move on to a different type of
  4. canker sores

    One of our docs uses a 1/2 maalox, 1/2 benedryl mixed together, and instructs patients to apply with a q-tip as needed for pain. It works great!! I make it for my husband who has always had severe...
  5. stethoscopes?

    I use a Littman Master Cardiology II.....best one I've
  6. Hourly Rounding

    Hourlly rounding is a great idea! We do this in our ED (or are supposed to), so that the patient is coming in contact with someone whether it be nurse, md, or tech. It has greatly improved our...
  7. Unfortunately, that's part of being a nurse manager. Don't take it personally. Those kind of things happen in every profession, and there's a "bad seed"
  8. Vent...long, you have been warned.

    Once you have reported off on your patient, and the nurse on the floor accepts the patient, you are no longer responsible for him/her. It was not your responsibility to make sure that patient...
  9. Why can't RN take LPN positions?

    I can't understand why you would want to work as an LPN if you have a license to practice as an RN. If Hospice nursing is what you truly want to do, you should develop nursing skills by working in an...
  10. The Night Shift

    I think most do 12 hr shifts, but there was a point in our dept where they tried to make me take a 7pm-3am 5 day a week position in our ER. I simply refused, because I would be the only staff member...
  11. Silly Episiotomy Question

    I completely disagree with this statement. I'm not an OB nurse, but I have had one child, and from experience perineal massage worked wonderful, so wonderful, I had only one suture!! And my son was...
  12. Male nursing students can do assessments on the women?

    I work in the ER and work with several male nurses, and in general, I have not seen any issues with the female patients and male nurses. When doing EKG's, foley's,etc, the male nurse always asks a...
  13. IV drugs RN's can give?

    The only drug we don't push for conscious sedation is Etomidate. I push it for RSI, but when it is used for a conscious sedation, the MD pushes it. Etomidate is awesome for conscious...
  14. Ice packs for fever?

    With my pedi patients, I generally do not use ice packs for fever, unless the child as had a febrile seizure. I simply administer Tylenol or Motrin per protocol, and generally I undress the child to...
  15. Am I having an acute BF (Brain Fart)????

    I have given Adenocard many times, and never checked a Mg level, until afterwards, and in cases, not at
  16. giving report at end of shift

    We do walking rounds in our dept, makes its much easier to give/get report!! THEY
  17. Belittled

    HI! I work with a doctor who constantly is riding my case about something. Regardless how ridiculous the complaint may seem he is always criticizing my work. If I am in charge, he constantly puts...
  18. there's got to be a place for me...?

    Home health may be a good choice for you. You can work at your own pace, and you only have to be concerned about one patient at a time. I did it PRN for a while, and enjoyed every aspect of it,...
  19. Belittled

    I completely agree with you. I try avoiding him while at work, and you're right....it is a waste of my time arguing with
  20. How long is the wait???

    I hate that question, and usually my response is "I don't know how much longer it's going to be, but if you don't feel like waiting, I be glad to let you sign the Left without treatment
  21. Acls

    We are required to obtain ACLS cert within 6 months of hire, and keep it
  22. Belittled

    Thanks for your advice. I have learned to cover my butt, and my charting skills have become excellent because of him. I don't back down from him no matter what, and I have decided that's why he...
  23. paramedics in the ER

    We have a few medics working in our ER, and they are a wonderful assest to any ER. They are allowed to start IVs, draw labs, EKGS, foleys, hang fluids, HHNs, VS, basically, anything a nurse can do,...
  24. straight caths and students

    It's been a while, but as I recall, that was one of the very first things we learned in nursing school, so NO, I don't think it's unreasonable at
  25. Should I write letter?

    4 yrs ago when I was pregnant with my first child, I saw an OB doc, that both I and my mother had worked with and knew very well. About 14 weeks into my pregnancy, I started bleeding heavily and went...