b eyes

b eyes

ER, Med-surg, ICU

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All Content by b eyes

  1. handling complaints

    b eyes posted a topic in Emergency

    I have a quick question for you? How do you handle.complaints? Does anybody use the chain of command anymore? Or does the squeaky wheel get the grease? I was called into the supervisors office today...

  2. How much morphine is too much??

    b eyes posted a topic in Emergency

    The other day in ER, I had a patient with a ruptured appy. Waiting 2 hours for surgery to take him, the patient was experiencing pain consistently rating it between 5 and 10. Pt was alert/orineted,...

  3. Treating pain in ER

    b eyes replied to Butterfly0328's topic in Emergency

    I just returned from a CALS class and many of the providers were discussing treating their chronic pain patients. Many of them stated that they do not use pain clinics due tot he fact that they feel...

  4. How much morphine is too much??

    b eyes replied to b eyes's topic in Emergency

    Yes, thank you for your input. He was getting antibiotics. The OR was aware of him, surgeon, CRNA, and OR nurses, Scrub tech, etc. Everybody was aware. I think the only thing I couyld have and...

  5. How much morphine is too much??

    b eyes replied to b eyes's topic in Emergency

    Gotcha! Thank you

  6. How much morphine is too much??

    b eyes replied to b eyes's topic in Emergency

    Thanks for your input. The patient was completely alert. got up out of the bed and into a wheelchair independently to go to OR. Able to answer all questions for me and talking to his family...

  7. How much morphine is too much??

    b eyes replied to b eyes's topic in Emergency

    You are so right! I agree with you 100%. Always a difficult situation for nurse, family and

  8. How much morphine is too much??

    b eyes replied to b eyes's topic in Emergency

    OK I understand . Another question, If the patient is still experiencing this type of pain after two or three doses of dilaudid, do I give more? I know how to monitor my patient in the ER as far as...

  9. How much morphine is too much??

    b eyes replied to b eyes's topic in Emergency

    Thank you and I will. I have been racking my brain looking up meds for two days, trying to find dose limits, etc and not coming up with much. yu have been a tremendous help! Should have known to...

  10. How much morphine is too much??

    b eyes replied to b eyes's topic in Emergency

    OK thank you. Makes sense to me now. I felt terrible but on my end, what I was doing was OK, not fully understanding anesthesias

  11. How much morphine is too much??

    b eyes replied to b eyes's topic in Emergency

    Also the boy had been ruptured for about three days the surgeon felt. I really don't feel pain relief was even acheivable for him. But thanks, next time I am giving frequent doses of morphine, will...

  12. How much morphine is too much??

    b eyes replied to b eyes's topic in Emergency

    Hi and thanks for replying..first, no the morhine did not have a limit. Just our discretion hence pain level, VS, Pts LOC. Pt fully alert and so uncomfortable. So using dialudid or fentanyl would...

  13. Support needed

    b eyes posted a topic in General Nursing

    Hello all. Just wanted to talk about something that has been going on. Working in ER recently, received a threatening phone call from a very angry family member about the care his wife received....

  14. I took a new job and hate it!!

    b eyes posted a topic in Cardiac

    Hello, I will try to make this as short as possible, but I am pretty stressed out right now. I was wondering if any of you know or can tell me the staffing standards for a cardiac stress lab? I...

  15. pediatric conscious sedation

    b eyes posted a topic in Pediatric

    Hi pedi nurses.. Need some help.. I started a new postition and one of the areas I was put in charge of is pediatric conscious sedation. I am in charge of setting up the room with all the equiptment,...

  16. New position in stress lab

    b eyes posted a topic in Cardiac

    Oh, you guys I am not sure if I made the right move...I have been an ER rn for about 3 years and just recently took a job doing ER/Stress lab. Oh...this post could end up being quite long, so I will...

  17. New position in stress lab

    b eyes replied to b eyes's topic in Cardiac

    OOOH OOOH OOOH, Thank you so much. I will definetly find those answers. I have been looking up and reading tons, and it sure showed today at work. I felt more confident and it showed (from what I...

  18. New position in stress lab

    b eyes replied to b eyes's topic in Cardiac

    Thank you so much for your response. First off, there is one RN who has been doing stress testing for 15 years. I was hired on to assist in giving her breaks, vacation, etc. the stress lab was...

  19. reportable cases in the ER

    b eyes posted a topic in Emergency

    I was told yesterday at work that we cannot report MVC's to police and that if the police call to ask if somebody who was suspected of being in an accident is in the ER, we cannot tell them. The ER...

  20. dispensing medications

    b eyes replied to 9309's topic in Emergency

    I work in a small rural ER. We have an automated dispensing machine in the waiting room. "Insty meds". but in the case where the patient doesn't have any $, we will send them home with a few meds....

  21. blood gases

    b eyes posted a topic in Emergency

    Can anyone give me any advice on how to draw blood gases...any helpful hints. Our lab is capable, most of them, but there are times when the tech is unable to get the stick and wants me to do it, but...

  22. Is E-coli this rapid???

    b eyes posted a topic in Emergency

    This may be long, but here goes. I am just having a hard time understanding the pathophysiology with e-coli and hemolytic uremic syndrome. And I feel like I missed the boat somewhere because this...

  23. packing a child in ice for a fever of 105 degrees?

    b eyes replied to TooterIA's topic in General Nursing

    the only thing I have recently packed in ice was a corpse..while waiting for the procurment team to

  24. Fellow RN died this morning.

    b eyes replied to Ali_Oop07's topic in General Nursing

    so sorry to hear about your coworker...will keep you and her famiy in my prayers.. b

  25. Is E-coli this rapid???

    b eyes replied to b eyes's topic in Emergency

    Gosh, that was a great article to read and explained the patient to a T. makes me wonder if he could have been saved. With HUS, what is the treatment, I mean how could we have stopped that deadly...