b eyes

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 after a nurse acting as recorder during a trauma f...

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, VS, 101.5, HR 116, Systolic BP 140's, O2 saturatio...

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 the pain clinic use too many narcotics and create ...

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 should have done is get a different medication order. ...

Gotcha! Thank you again!

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 appropriately. He was my only patient at the time, which...

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

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 when to give meds and when to hold off, but I do n...

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 contact allnurses first!

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 end.

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 ask for something stronger. I just remember the C...

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 not have created the same issues regarding anesth...

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. This person was threatening in that he made a threat...

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 currently work in one and have gotton myself in to an ...

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, getting it ordered, etc.. My questions are.. 1. ...

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 get right to it. My concerns lie in the stress l...

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 was told ) Anyway, I am going to go to a larger ...

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 moved from the hospital and is now located in a clinic...

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 director said that it is a violation of HIPPA. I...

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. Now my DON said that as long as the MD verifies t...

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 I never have and be honest, don't know how. Do...

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 man died. 50 year old man presents to the ER with le...

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

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

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 cascade of events going on inside his body??? Have ...