TinyRNgrl

TinyRNgrl

Emergency Medicine

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  1. Know of any free online phlebotomy classes?

    As far as Phlebotomy goes there is not much to it as far as theory goes. EMT's do not draw blood nor do that start iv's. And when you go on to take medic class they will train you on IV starts. I...
  2. "Two nurses called off tonight, your working short. Oh, and there is an arrest 5 minutes out". "I just gave the pt your taking kayexalate". "The helicopter is grounded and a RN has to go with the pt...
  3. random ED interview question i got asked

    "Leg is last because a fracture is not a life threatening condition". Ummm, ok. An unstable femur fx could very well be a life threat. Just
  4. How to learn ACLS?

    Also, the hospital where I work actually sent me to a basic dysrhythmia class and had a wonderful, very simple to understand booklet. I actually made a copy of it and sent it to a friend of mine who...
  5. How to learn ACLS?

    The class isn't bad at all. If you have a good instructor that reviews basic rhythm analysis and you follow the algorithms you will be fine. If you want to message me I would be more than happy to...
  6. First day off orientation tomorrow....tips?

    Just take a big, deep breath and relax. They say it takes a good year for you to even begin to start to feel comfortable as a new nurse. I was cut loose early off orientation and I was terrified....
  7. Does he need to be intubated??

    I am going to respect the fact that you are a competant provider and I am going to ask the same respect in return. I am good at what I do both in the ED and out in the field. So, if you choose to pass...
  8. Does he need to be intubated??

    "Chances of passing a NPA into the cranial cavity are probably way overstated. I would be more cautious in the case of maxilofacial injury, but the general category of "head injury"' isn't really a...
  9. Does he need to be intubated??

    Given the mechanism of injury and the pt's condition and symptoms, this is a trauma pt and nasal airways are CONTRADICTED! With any evidence of head, or nasal injuries NEVER attempt a NPA. And...
  10. I just have to say THANK YOU to all the ED techs. I know personally my job would suck without some of our awesome techs. You guys are underpaid, overworked and abused by alot of the nurse's who spend...
  11. Every single day of clinicials. (except Peds and OB/Maternity rotation. Liked that). I dreaded every care plan and nursing diagnoses I had to write because it was a waste of my time I felt. I had no...
  12. Need to vent.......

    Not sure the point of me posting this. I think I just need to vent, or whine, but just need to spill my guts because I'm frustrated and feel like I am in a rut. Just need to get this off my chest....
  13. why can't the nurses give out medical advice here?

    If you are seeking more medical opinions and advice regarding your cardiac condition then you need to speak to your cardiologist or ask for a second opinion. We do not give advice for a reason....
  14. How do you treat headaches?

    hherrn You crack me up! "exacerbated by a set of scrubs". How true though. I seen great results with reglan. Although I always mix it in a bag of 50ml of NSS and let it drip in. We also use...
  15. Need to vent.......

    Thanks everyone for the awesome advice and responses. And your right, I keep telling myself this is for the better of the ED AND the pt's and my boss is doing it for a reason. And although I hate the...
  16. white underwear under white scrub bottoms?

    I am a big fan of boy shorts under my scrubs. Wal-mart OP brand is my favorite. It is a combination of nylon and spandex so they stay put and I am never pulling at my wedgies. Love
  17. Not ur usual ADNvsBSN ?? please answer

    I am confused. Your not a LPN? I am wondering what RN program you think you can complete in only 1 year. Are you maybe thinking of a LPN program? That you could complete in 1 year. And like someone...
  18. Kudos to Nurses!

    Thanks! You know, sometimes all it takes is a small little gesture like him taking your face in his hands and assuring you it is all ok that makes a world of difference. I know I am totally guilty of...
  19. What are you best work tips?

    Just a few more little ones........... *gloves blown up make a cute little balloon for little kids. *xtra large glove filled with ice makes an excellent ice pack and I personally prefer over the...
  20. What are you best work tips?

    Awesome thread! I am a BIG advocate on pt teaching when d/c a pt from the ED. Main topics are..... 1. I teach parents who are leaving with a child that they can alternate tylenol/motrin to control...
  21. Advice to the LTC nurse...

    Oh......forgot this one. PLEASE when sending a pt to us with AMS that has a hx of alzheimers and or dementia, we need to know baseline for this pt and exactly what is different from baseline and if...
  22. Advice to the LTC nurse...

    This might be relevant or not but one night when I worked EMS we got called to a LTC for a "ill person". When we arrived the pt was sitting in a chair, chin on chest, basically occluding her own...
  23. Ok, this one hasn't been done in a while....

    When I first started running EMS everyone kept saying, "aww, your so tiny". (I am 4'11 and 90 pounds soaking wet.) So, the nickname "Tiny" stuck. After 13 years I am known as Tiny in the EMS world. I...
  24. I totally agree with fancypants....that shows perfect example of your critical thinking and prioritizing...(did I spell that right?) I think you will do just fine in the ED. Best wishes.
  25. PACU to ED

    I say, Welcome aboard and go for it! ER nursing is, in my opinion, an area that is like no other area of nursing. There are some days I am a OB nurse, Peds nurse, Psych and orthopedic nurse all in a...