msjellybean

msjellybean has 4 years experience and specializes in Emergency.

Latest Activity

1. I never, ever went to ER when I was a kid

   msjellybean replied to Emergent's topic in Emergency

   I was in the ER several times as a kid. I was 3-4 and being stupid in day care and split my chin open, needed sutures. When I was 5, I fell off a slide and had a humeral neck fracture. In my teen...

2. Critical Alarms, who answers?

   msjellybean replied to Emergent's topic in Emergency

   In my ED, we have two nurses stations. One larger, more central area that shows all the monitors and a smaller area that only shows the monitors in the rooms close to that station. It seems to be an...

3. Guns and Wepons

   msjellybean replied to exit96's topic in Emergency

   Access to our ED is badge controlled. Visitors get an ED visitor sticker, which allows them access through the locked doors. Mental health patients and combative patients are stripped only to a gown...

4. Portal cath

   msjellybean replied to Avu00's topic in General Nursing

   As always, refer to your P&P. In my facility, if a patient has a port, it is expected that you will access it and use it. Unless the doc suspects it as an infection source. In which case, we...

5. tPA

   msjellybean replied to Gabby-RN's topic in Emergency

   This is tPA for CVA. We do use it PEs and DVTs, but I'm not sure what the standards are because we don't do that in the ED. All of that is started in IR and then sent to the ICU. VS and neuro checks,...

6. Radiation danger, repeated CTs by frequent flyers

   msjellybean replied to Emergent's topic in Emergency

   We have an alcoholic frequent flyer, who typically presents drunk after a fall of some kind. She has had 8 brain CTs so far this year. I hate to think about how much radiation her brain has received...

7. How does your ED treat chest pain?

   msjellybean replied to dsherman's topic in Emergency

   Forgot to add we also give 325 ASA if no

8. How does your ED treat chest pain?

   msjellybean replied to dsherman's topic in Emergency

   We're supposed to initiate the CP order set with in 3 minutes of presentation to registration. From presentation to registration we have 7 minutes to get the EKG complete. Our standing orders include:...

9. What's in your pocket - ER Style

   msjellybean replied to Frizbeeboy's topic in Emergency

   Depending on what scrubs I'm wearing, the location tends to vary a bit. But... in my left top pocket I have my phone, gum, and carmex. Top right pocket is a couple pens, dry erase marker, & a...

10. Cnas and sheath caths

    msjellybean replied to Hugurqh's topic in General Nursing

    This is facility specific. My hospital allows our techs do d/c PIVs, provided they show us the catheter before disposing of it. Since that rarely ever happens, most RNs d/c their own

11. When Hospitalists Attack

    msjellybean replied to Anna Flaxis's topic in Emergency

    Reminds me of an incident I had a few weeks ago while sending a patient upstairs. College age girl with SOB x5 days. Chest CT reveals multiple PEs... described by the radiologist as "significant" clot...

12. What is the lowest HGB you have seen?

    msjellybean replied to I<3H2O's topic in General Nursing

    Pt came in via EMS for a fall. A&O x4, no SOB or cardiac complaints. BP stable. Lab calls with a critical hemoglobin of 2.4. A recollect is automatically ordered, based on that level. After the...

13. Holding admitted patients in the ED

    msjellybean replied to hella_RN's topic in Emergency

    I don't mind taking holds, so long as they aren't ICU patients. And my reasoning is this: while they're held in our department, they are to receive the same care standards as if they were actually on...

14. ER nurses bringing pts to the floor soiled

    msjellybean replied to garn12's topic in Patient, Colleague Relations

    I'm an ED nurse now, but worked on the floor for 3.5 years, frequently with a 6:1 ratio and one tech. If the IV site became problematic, I'd would start a new line and move on with my day. I don't...

15. New and 'fun' things

    msjellybean replied to Sassy5d's topic in Emergency

    Anecdote from when I was a floor nurse... had a rapid response code on a patient and by the time EKG got there, she was already to the ICU. They ended up performing the EKG on her roommate (oops!)....