NicoleRN07 replied to UM Review RN's topic in General Nursing
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...
NicoleRN07 replied to ParrotHeadRN's topic in Emergency
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...
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...
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...
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"
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...
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...
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...
NicoleRN07 replied to TheCommuter's topic in Ob/Gyn
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...
NicoleRN07 replied to PHLEBOTOMIST_TO_RN's topic in General Nursing
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...
NicoleRN07 replied to bill4745's topic in Emergency
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...
NicoleRN07 replied to santhony44's topic in Emergency
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...
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...
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,...
NicoleRN07 replied to scrmblr's topic in Emergency
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
NicoleRN07 replied to NicoleRN07's topic in Emergency
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...
NicoleRN07 replied to blufoxtrot's topic in Emergency
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,...
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...