kmoonshine

kmoonshine RN

Emergency

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All Content by kmoonshine

  1. Medicine vs. ER

    kmoonshine replied to Erin 321's topic in General Nursing

    I don't think I've ever sent an admit up without a PIV! Although, placing an IV is my favorite thing to do - the harder the stick, the better! :loveya: And for you ICU nurses: I'll send my patients...

  2. Medicine vs. ER

    kmoonshine replied to Erin 321's topic in General Nursing

    I guess by "rewards", I was refering more to appreciation and less to incentive. One place where I worked filled a bowl up with candy (it was actually filled with lots of good treats). It was passed...

  3. Medicine vs. ER

    kmoonshine replied to Erin 321's topic in General Nursing

    Sometimes we can't help it. There's times that we're pulling patients into the halls because we are over-capacity; why is it fair to make the patient lay in the hall when they have a room ready for...

  4. Precepting: One preceptor/2 orients?

    kmoonshine replied to yogi2000's topic in General Nursing

    Honestly, it's possible that it could work out well. I've had a couple of orientees on several occasions but I don't have a lot of experience to back up my thoughts on this issue. I do think that in...

  5. just a vent about a nurse brown noser!

    kmoonshine replied to uscstu4lfe's topic in General Nursing

    Just kill him with kindness! Address him by "nurse" (say "oh thank you nurse mike, yes nurse mike"), bring sweets to work when you know that he will be on, and become a brown-noser to him....

  6. ONLY 6 week orientation for New Grad?

    kmoonshine replied to clairebearrn's topic in Emergency

    Also, here's another option: Pick out the best hospital ED in the area and apply for a nursing job on another unit (one that you can tolerate and one that will fit in with your schedule). Take as...

  7. ONLY 6 week orientation for New Grad?

    kmoonshine replied to clairebearrn's topic in Emergency

    if you do choose ed, please get this book (you can order it of amazon.com, as well as other online book stores): "an introduction to clinical emergency medicine: guide for practitioners in the...

  8. CHF and low BP

    kmoonshine replied to RNKPCE's topic in General Nursing

    Hey, I'm interested in how this would be treated. If someone's BNP is high but their BP is low, what would be the next step (assuming they is not dehydrated)? Does the patient's po meds get switched...

  9. What is your policy regarding pt transports from the er?

    kmoonshine replied to larn901's topic in General Nursing

    Medical Surgical Floor: BLS tech Cardiac/Tele Floor: ACLS RN + tech, patient on defib monitor ICU: ACLS RN + tech, patient on defib monitor, along with a kit with ACLS drugs (epi, adenosine,

  10. ONLY 6 week orientation for New Grad?

    kmoonshine replied to clairebearrn's topic in Emergency

    I don't understand why each unit only gives 6 weeks orientation, because each unit is different. ICU is different than ER, which is different from ortho/med surg, which is different than peds. Each...

  11. Emergency Room Nurses!!

    kmoonshine replied to Wooji13's topic in General Nursing

    The Emergency Nurses Association (ENA) allows student nurses to join at a discounted rate. Try joining the ENA because you'll get their professional journal. You can also state that you belong the ENA...

  12. ONLY 6 week orientation for New Grad?

    kmoonshine replied to clairebearrn's topic in Emergency

    ClaraSicRN: What I'm about to write might seem harsh, but please hear me out. For a new grad in the ED, 6 weeks of orientation is not enough. I started out in the ED as a new grad myself, and had 3.5...

  13. BACK PAIN & going to the ED

    kmoonshine replied to coltsgrl's topic in Emergency

    Agree with the other posters, no MRI would be done unless you had signs of cauda equina. Xrays probably wouldn't show anything since there wasn't any injury (such as car accident --> immediate...

  14. ONLY 6 week orientation for New Grad?

    kmoonshine replied to clairebearrn's topic in Emergency

    Were you a tech in the ER? I personally feel that 6 weeks is WAY too short for ER orientation. The ENA recommends at least 3-6 months of orientation for new grads. There is so much to learn, and you...

  15. Left ED job due to unsafe staffing...

    kmoonshine posted a topic in Emergency

    So, I finally left my ED job because I felt that things were unsafe. One night I had 2 chest pain admits (nitropaste, continuous cardiac monitoring etc), a fresh chest pain, a drunk guy with a large...

  16. Documentation

    kmoonshine replied to minderaser804's topic in General Nursing

    It's the RN's job to take the data and act accordingly. You've pointed out that it frustrates you when CNA's document that they told you about something when they actually didn't - and then you state...

  17. charge nurse calls work drunk

    kmoonshine replied to ohmeowzer RN's topic in General Nursing

    Why is she always calling work on her days off anyways? I would think that her behavior would be crossing boundaries since she isn't separating her "home life" from her "work life". She is letting her...

  18. Differences in pain medication

    kmoonshine replied to heaverboo's topic in General Nursing

    I've never seen a person admitted for pharyngitis; but I've seen people with peritonsillar absesses admitted, and they all seem to get heavy narcotics. It sounds like the patient who went to ICU had...

  19. Documentation

    kmoonshine replied to minderaser804's topic in General Nursing

    I chart "Verbal report recieved from Sara Smith RN; patient resting, c/o pain 0/10, awaiting lab results; will continue to monitor", or "Insulin pump settings verified by second RN (Sara Smith)". I...

  20. Differences in pain medication

    kmoonshine replied to heaverboo's topic in General Nursing

    From my experience: Percocet is stronger than lortab. Fentanyl is the strongest, followed by dilaudid, then morphine. I've used demerol once, so I'm not very familiar with its efficacy; but my...

  21. inappropriate comment made by RN in front of patient

    kmoonshine replied to uscstu4lfe's topic in General Nursing

    Wow, that is really sad. You should say something to that nurse, and let her know that her behavior was inappropriate. Perhaps discuss the situation with the unit manager also. At the very least,...

  22. Good Looking Enough to be a Nurse?

    kmoonshine replied to casey1988's topic in General Nursing

    If you truly want to become a nurse, then I strongly encourage you to focus on your career and resist from indulging in stereotypes. The nursing profession has come so far, yet there's still a long...

  23. Horrible Visitor Behavior!! Help!!

    kmoonshine replied to LauraRN4U's topic in General Nursing

    Ridiculous! They brought in pizza? Why would visitors want to eat in the hospital room which is filled with germs and who knows what else? It was nice of you to tell them to eat elsewhere since it was...

  24. Horrible Visitor Behavior!! Help!!

    kmoonshine replied to LauraRN4U's topic in General Nursing

    Report it to the hospital. Make sure to discuss the situation with your unit manager also. I'd even consider filling out an incident report. Think about it: if increased incident reports are being...

  25. Should families be present during a code?

    kmoonshine replied to paperdreams's topic in General Nursing

    Family should be present, as long as it does not interrupt the resuscitation efforts. If space was an issue, it should have been stated that 2 family members/representitives could be present; but the...