msjellybean

msjellybean

Emergency

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All Content by msjellybean

  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!)....

  16. What are your pet peeves?

    msjellybean replied to forgop's topic in Emergency

    Anytime an EMS patient arrives and they are ambulatory to the room. If you weren't even in bad enough shape to come in on the cot, you should go to

  17. What was the MOST ridiculous thing a patient came to the ER for?

    msjellybean replied to JUSTYSMOM's topic in Emergency

    Had a college age girl come through the fast track part of our ED yesterday for jaw pain. R/t ahem, sexual activities from the night

  18. What critical vital signs would institute a rapid response

    msjellybean replied to uniquegifts1's topic in Patient Safety Issues

    This this this. When I used to work the floors, while I was looking information up before report started, I would always scroll back 24-36 hours and look at their vitals. I've managed to catch several...

  19. Irritating things about being a nurse VENT

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

    I know this isn't the topic at hand, but I just had to reply because this struck a chord with me. I have a previous bachelors in a health field + a minor in chemistry. I went back and got an...

  20. Irritating things about being a nurse VENT

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

    I think one of the most irritating things I deal with is when lab calls me to tell me that a specimen hemolyzed or something. And then they ask if I want a re-collect. Yes. Duh. Why are you even...

  21. What Is The Shift You Will Never Forget?

    msjellybean replied to bsartor's topic in General Nursing

    My worst shift ever. Worked a 12 bed in patient oncology unit. It was me + a newish RN, who had been off orientation probably 3 months. Plus one CNA. We had 11 patients. There were multiple total...

  22. Cost Cutting/Budgeting --- the patients suffer the most

    msjellybean replied to abbaking's topic in Patient Safety Issues

    About 9 months ago someone in our ICU found the tax records from my hospital online. Since we're a NFP organization, I guess with the freedom of information of act, they have to be available? Anyway....

  23. Question about heparin

    msjellybean replied to SGroRN87's topic in General Nursing

    Used to be an onco nurse and I've seen several patients with plt counts Given the hypercoaguable state that exists with cancer, it's appropriate to give

  24. Losing respect for nursing students

    msjellybean replied to kjnsweets's topic in General Nursing

    No but you said that students do some of our work. I think the majority of people would assume that you are insinuating that since you are doing some of our work, that our load is somehow

  25. Losing respect for nursing students

    msjellybean replied to kjnsweets's topic in General Nursing

    Just this week, we finished up with a group of first semester students. I'm the first to admit that I don't like students (especially first semester) because they are often more of a hindrance, than...