NicoleRN07

NicoleRN07 RN

Med/Surge, ER

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All Content by NicoleRN07

  1. Er Staffing

    NicoleRN07 posted a topic in Emergency

    i work in a busy ed, where we see somewhere in the neighborhood of 180 to 200 patients per day. we are getting ready to start pod nursing, and i was just wondering if anyone has experience with this...

  2. Vit K

    NicoleRN07 replied to CraigB-RN's topic in Emergency

    It is in our protocol that we can administer Vit K IV, however, I generally request from the ordering doc that we give SQ. That big DEATH written under the complication section in the drug book is...

  3. Behavioral restraints and q15 min checks

    NicoleRN07 replied to letina's topic in General Nursing

    I work in a busy ED, but when we initiate behavioral restraints, that is an automatic 1:1. We never have a patient in behavioral restraints that doesn't have a sitter at the bedside at all

  4. Visiting hours, whose job to enforce them???

    NicoleRN07 replied to pink2blue1's topic in General Nursing

    You, as the nurse are an advocate for the patient, so if you feel that your patient should have limited visitors or visiting hours, it is your or your charge nurses duty to enforce this. I do not...

  5. room assignments/responsibilities

    NicoleRN07 replied to ERERER's topic in Emergency

    We do the Pod thingie...didn't like the idea at first, but it's better than the team approach where our dept was divided. I don't feel so overwhelmed in my POD, because I am only concerned with my...

  6. add your funny TRIAGE complaints from pts

    NicoleRN07 replied to er nursing's topic in Emergency

    The best I've got this week is....."I can't tell you"......and "God said

  7. Incometent Doctor

    NicoleRN07 replied to Happy-ER-RN's topic in Emergency

    CYA.....I can't tell you how important your documentation is in situations such as this. I work with a MD who is the same way, but I chart, chart, chart! Keep copies of your documentation for the...

  8. SCARED to death of conscious sedation

    NicoleRN07 replied to b eyes's topic in Emergency

    We do conscious sedation frequently in our ER as well. On adults, we always use Etomidate, because it has a short half life, and there is usually no recovery time. Usually, the patient is completely...

  9. "Too unstable for transport"..........WHAT?!?!?

    NicoleRN07 replied to TazziRN's topic in General Nursing

    I've never had that problem, and I've sent out some pretty unstable patients. Just last week, I sent a lady out who came in V-tach, had been shocked like 12 or 13 times, had a lidocaine drip,...

  10. How often do you work overtime?

    NicoleRN07 replied to Sassybottom's topic in General Nursing

    I think that once you get started, you will see that you will have no problem finding an extra shift if you want or need it. Be careful not to over do it though. You will burn out quickly. I...

  11. slave labor

    NicoleRN07 replied to Uptoherern's topic in Emergency

    Let's see.....I began working when I was 16 years old. I started working a full time job after high school so I could pay my way through nursing school, and halfway support myself, so yes, I have...

  12. Blood in the IV

    NicoleRN07 replied to sunshineonleith's topic in Emergency

    Its a gravity thing. If that happens, (rarely, b/c I don't allow my fluids to run completely empty), I just d/c the IVFs, flush the heplock, and hang another bag of fluid in it's

  13. slave labor

    NicoleRN07 replied to Uptoherern's topic in Emergency

    The reason I entered nursing is because I care about others, and I enjoy taking care of people during a time when they need someone to care. I care enough about others not to complain about missing my...

  14. Banning Crocs?

    NicoleRN07 replied to styRN's topic in Scrubs, Uniforms, Gear

    The facility I am currently employed put an end to the vented crocs when they first became popular for the same reasons as discussed above. We can however wear the solid crocs. We are not even...

  15. Charting

    NicoleRN07 replied to Fancy Face's topic in Geriatric, LTC

    If I didn't do the assessment, then I don't chart

  16. Wait for D/C after narcs/benzos?

    NicoleRN07 replied to Miss Mab's topic in Emergency

    We make sure the patient has someone to drive them home before administering narcs/benzos, and after giving IV/IM meds, we observe the patient for 30 minutes and then d/c. The observation time is on...

  17. Nurses are Pathetic!!

    NicoleRN07 replied to lorster's topic in General Nursing

    Sounds to me like you really should leave

  18. passed out

    NicoleRN07 replied to huladancer's topic in NICU, Neonatal

    I had just found out that I was pregnant, and you know how you feel when you're pregnant. It was the middle of my shift, and I was assisting one of our surgeons put in a fem cath (assisted many...

  19. Advice for Handling Pt. Criticism Please

    NicoleRN07 replied to VTBabyNurse's topic in First Year After Licensure

    Look at it this way. You CAN NOT please everybody. It sounds to me like you did a great job, and have obviously been doing a great job taking care of your patients if this was your only complaint in...

  20. ER Patients

    NicoleRN07 replied to vonxojn's topic in Emergency

    I understand. I hate it when parents drag their child out of bed in the middle of the night to bring them to the ER because they've had a fever for 3 days, and then they don't even give them tylenol...

  21. What would you have said to this??

    NicoleRN07 replied to DebRN06's topic in General Nursing

    I would have said, "Thank you", and gone straight to my nursing notes, and charted it word for word, and then I would have notified my charge nurse and nursing

  22. Newbie ER nurse up to her eyeballs

    NicoleRN07 replied to HippieChick_RN's topic in Emergency

    I agree. Get out now!! You worked too hard for your license, and you should protect

  23. Share The Weirdest Reasons Patients Push The Call Light

    NicoleRN07 replied to RN06-NP09's topic in Nursing Humor

    When I worked in LTC, I had a resident call out and ask me if I would call Cecil. Cecil is a mortician with one of the funeral homes in our area. When I asked her why, she simply replied that she was...

  24. "Hardened" Healthcare Providers

    NicoleRN07 replied to cwinlv's topic in Patient Safety Issues

    Just tell the involved parties that their actions were inappropriate. I am a firm believer in being honest with each other. Not only will your co-workers develop trust in you, but you will gain...

  25. Nurses children and vaccinations, how do you feel?

    NicoleRN07 replied to Mistify's topic in General Nursing

    My child gets the needed