robinzkj

robinzkj

Emergency Department

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All Content by robinzkj

  1. Door to EKG times

    Our door to EKG times are not good. They should be 10 mintues or less. I have to do a PI project to help us decrease our times. Right now when a patient arrives to the ED, they stop at registration to give name, dob and complaint. If they state c...
  2. Anyone else taking Legal/Ethics Nursing class?

    I am taking it also. It starts Sunday. I don't think it looks too bad. Robin
  3. do you wear those clogs?

    I love my Alegria shoes! They are very comfortable and stylish. I wear them in the ED for 12 hr shifts and my feet and legs never hurt.
  4. I went to a one day CEN review class by Jeff Solheim (wish they had the 2nd day but they didn't) and I purchased the set of 6 pocket guide books. I am looking for the CDs or a pod cast with him for the material we missed out on. Does anyone kno...
  5. Jeff Solheim -where can I buy his CEN CDs?

    Yes, that is the first thing I did. I went to his website and all they have for sell are the books I purchased.
  6. Med question

    You have the right answer on both questions. On the 2nd one, I rounded the weight to 42kg and got 6.3 ml for my answer. When it comes to peds it is always a great idea to have someone double check you math. when in doubt ask... If something jus...
  7. OH, My Aching Feet...

    Alegria shoes. I got the Alegria Seville about a month ago. I work 4- 12 hr shifts in the ED and my feet feel great. They are very comfy and stylish too.
  8. I am an ER nurse and we once had a patient complain that "the nurses all ignored me, they were ALL in with the patient across the hall". Well, said patient was here for a non emergent complaint and the patient across the hall was a full arrest. So,...
  9. I'm an ER nurse and often send out burn patients out to a burn center. I have had multiple different instructions on how to dress the wounds. I was wondering if I could get some advice from actual wound nurses. I recently had a 15 yo who was burnt...
  10. What's in your pockets?

    Wow,that's a lot of stuff! I carry 2 pens, trauma scissors, my phone. Maybe a dollar for a diet coke at 1 am. Can't imagine carrying anything more. Cant do CPR with a pocket full of stuff. Everything else I need is in the room, tape,gloves etc.
  11. Triage practice

    1) How many RNs do you dedicate to the practice of triage? All ER nurses take turns in triage, must be an ER nurse for 6 mos before they can be in triage 2) Who is the FIRST PERSON that interacts with and takes the complaint of your patients when th...
  12. ER Nurses -- Any Advice for RN Student?

    don't be afraid to ask lots of questions, volunteer to do things without being asked, see and do anything you haven't seen or done before because this may be your only chance. Do compressions on a code, start IV's, hang drips....
  13. POC Testing in the ED

    In our ED we are able to do POC troponin, influenza swabs, rapid streps, ua dips and urine HCG. All are kept in individual logs with pt info, result, lot # and exp date of test and RN initials date and time. We then put the results in the computer ...
  14. Things you would like the ICU to understand

    "I'm sorry ER, but our ICU is often just an extension of your situation. Unstable patients with another one rolling through the doors. (And sometimes two at a time.)" My ER doesn't send unstable patients. However, we do get many unstable patient...
  15. Sports-Related Nursing Gifts

    NFL team pens, earrings, socks, stethescope cover, covered cup,---
  16. RN experience prior to ER triage?

    Where I work you must have 6 mos ER experience before you can go to triage. No rules here for charge but I've been in charge and have 18 mos nursing experience, 9 of which in ED.
  17. Emergency IV calculation! HELP PLEASE!

    opps I forgot the over 20 min part. 200ml over 20 min would make 600ml/hr
  18. Emergency IV calculation! HELP PLEASE!

    40 g needed (0.5g/kg 80lb pt) converted to 40000mg have 200mg Xml 200ml/hr
  19. Anyone gone from ICU to ED?

    "Sometimes I want to tear my hair out when I get the same patients for weeks at a time because they are now chronic but too sick to go anywhere else. I crave a little variety, and maybe this is why the ED appeals to me." I was an ER tech while in nur...
  20. 24 Things ER Nurses Know All Too Well

    "I was just wondering if people come into the E.R expecting you to treat these chronic conditions a.s.a.p ...?" yes they do and I make them wait. Chronic pain is NOT an emergency. Call your dr. I don't care if his office is closed, he has an answ...
  21. Is it ok to specialize right out of school

    I was an ER tech while going to school and wanted to get into the ER as a new nurse however there weren't any openings. I went into a surgical ICU as a new grad and learned a ton. Then I went to ER about 9 mos later. I'm so happy i did it that way...
  22. Leadership teaching project

    How about a Stroke alert teaching packet? Last time known well, if they are in the window for tpa, if they need a dysphagia screen and how to do so. How to mix tpa if needed, neuro screen, history... Or the same for a STEMI alert...
  23. Is YOUR hospital hiring???

    I work for UH and as far as I know they are still hiring, there are jobs posted on the website. I am at on of the community hospitals. I know they hired new grads here in Jan but I'm not sure if they are now.
  24. SHOW Nursing Procedures

    www.wonderhowto.com has some nursing how to videos. Hope that helps you. http://www.wonderhowto.com/how-to/video/how-to-administer-an-intramuscular-ventrogluteal-injection-259906/
  25. common ED medication infusions

    http://www.geocities.com/tmhrx/drips.html this is a great site - shows concentration, what you mix it with and loading does. I booked marked it on my blackberry and pull it up at work all the time. Just make sure you go by your hospital policies. For...