amzyRN

amzyRN

ED, Cardiac-step down, tele, med surg

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All Content by amzyRN

  1. Thinking about switching to ED

    amzyRN replied to Koalified's topic in Emergency

    I have worked in cardiac step-down/tele and med surg on very busy units and the ED is more labor intensive. Perhaps I work in short staff facilities but from what I have been told, a difficult work...

  2. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

  3. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

    I have another one. A 37-year-old female comes to the widow at triage huffing and puffing, can't catch her breath, is able to say she has asthma and her inhalers aren't working. Her respiratory rate...

  4. ESI question

    amzyRN replied to peaches88's topic in Emergency

    posted in wrong

  5. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

    "30-something ambulatory female also with non-traumatic unilateral pleuritic chest pain. Looks okay in triage but concerned about herself. I can't remember her meds but, if any, they were irrelevant...

  6. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

    ESI 2, possible sepsis, meets SIRS criteria with the fever and

  7. What do I do now.

    amzyRN replied to MissouriRN13's topic in General Nursing

    That's a bad idea. It's your career. Bad things happen to good people all the time. It has nothing to do with

  8. Manager reporting confidential info to state board

    amzyRN replied to geoda's topic in General Nursing

    Wow! That sucks. No good deed goes unpunished. It sounds like you tried to do the right thing, never were intoxicated at work, weren't using illegal substances. Alcohol is legal afterall. I'd get a...

  9. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

    I gave him an esi 2. We immediately gave D50 prior to the finger stick, the recheck after the D50 was normal and he started to perk up a little but was still pretty lethargic so he was put on BiPAP...

  10. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

    53 y/o male comes in by EMS for AMS, lethargy, and hypoglycemia. Finger stick in the field was 27 and he was given D10 in the field with a recheck of 70 in route. On arrival pt is still lethargic and...

  11. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

    ESI 2, possible

  12. Addicts in the ED

    amzyRN replied to amyjm333's topic in Emergency

    I don't think this thread is referring to chronic pain patients who run out of meds or need a refill or restarting their meds. I believe this thread was referring to malingering drug seekers who use...

  13. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

  14. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

    55 year old male comes in pale, cool, diaphoretic. Complaints of palpitations and chest pain, heart rate 150s and irregular. Pt is hypotensive

  15. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

    ESI 2, high risk

  16. Ratios changing in my department

    amzyRN replied to montecarlo64's topic in Emergency

    It sounds unsafe with your level of acuity. Where I work in CA, ratios are 4:1 regular ED patients (even esi2) in regular rooms, ICU patients 1:1 or 1:2. When I say ICU, I mean either they were a...

  17. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

    I have another one. A 58-year-old male found down on the kitchen floor at home by his wife for an unknown length of time. Pt was soaked in urine when he came in, did not follow commands but was...

  18. Been working in the ER for a while but I don't feel like I've improved

    amzyRN replied to Catch22Personified's topic in Emergency

    It sounds more cardiac to me than possible stroke as being the primary concern without risk factors such as diabetes smoking, etc. At our facility, stroke alerts are called by a physician or charge...

  19. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

    We designate esi 2 for psychosis and/or suidal/homicidal thoughts. Usually, people with psych issues who come to us are having one or the other, so most of our psych patients are triaged an esi

  20. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

    At our hospital, we have a 2 tiered triage process. The nurse in the lobby takes basic info and puts the patient in the system gets brief info, like chief complaint and quick pertinent info and assign...

  21. ESI practice thread

    amzyRN replied to Lev's topic in Emergency

    Male patient 39 years old comes in with complaints of swollen cheeks and lip swelling. Pt says also has been having sore throat, cough, and fatigue. Pt comes in with his son who also has a cough and...

  22. Addicts in the ED

    amzyRN replied to amyjm333's topic in Emergency

    I hear you, it's really annoying when some malingering junkie is draining resources. I get really pissed off, but I usually fall back on an inkling of compassion that carries me though in order to...

  23. Am I too old to become an RN??

    amzyRN replied to bananerz84's topic in LPN to RN

    You're never too old to pursue your

  24. Psych to ER?

    amzyRN replied to SillieSammie,RN, BSN's topic in Emergency

    It will be like you're a new grad all over again! Just make sure you get a job that is willing to give you enough training, like at least 12 weeks with the options of extending

  25. What are patient ratios like for emergency nurses?

    amzyRN replied to KaTStudentNurse's topic in Emergency

    I work in CA and our ratios are 4:1 in the regular acute part of the ED where I work. If you're working in the trauma/resus bay at my hospital, depending on acuity, either 2:1 or