wibobr

wibobr

ER/PICU

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All Content by wibobr

  1. Prior Service w/disability rating. Will it be a factor for Nurse Corps?

    wibobr replied to Mintyfreshness23's topic in Government, Military

    I entered nursing after retiring from the USN. I too did the ADN program. After the service I was rated by the VA @ 60% for a variety of problems. As a nurse (ER), the only thing that has troubled...

  2. Advice Needed

    wibobr posted a topic in General Nursing

    This probably the wrong spot for this but.... I've been on medical leave for the past 6 months following a near emergent craniotomy to repair a large left cerebral aneurisym. I've recovered reasonably...

  3. Can an LPN in FL legally have a Cardizem Gtt?

    wibobr replied to Gurhlygirl's topic in Florida Nursing

    I don't know about Florida, but here at home, if it's identified as a critical care drug and titrated no, an LPN is NOT

  4. IV Gauge for CT

    wibobr replied to EDrunnerRN's topic in Emergency

    Been using 20's almost since CT PE came into being. 18 is preferred but 20 will do just fine. You will need to check w/CT though about extension PRN adaptors. Those with tubing may not be able to...

  5. ER nurse to patient ratio

    wibobr replied to MGHERRN's topic in Emergency

    We are doing the same although our medics have been leaving slowly but surely. Staffing has been cut for economic reasons. What hurts is when we are at max patient load with NO back-up, NO...

  6. Confidentiality for children

    wibobr posted a topic in Emergency

    How are others treating parental rights to medical information for their own children, especially

  7. Confidentiality for children

    wibobr replied to wibobr's topic in Emergency

    Further research has relealed that there are three distinct area in which children can enjoy perfect confidentiality in all but two states. On ANY matter of self incrimination (drug use), sexuality...

  8. Confidentiality for children

    wibobr replied to wibobr's topic in Emergency

    Unfortunately, we do not have a firm policy within the dept. We have experienced multiple run-ins on this issue and in an in-service a couple of years ago we were told that under law, Once a child...

  9. The trauma I cant let go of

    wibobr replied to ER_JEN_RN's topic in Emergency

    All I can tell you is to seek help IMMEDIATELY! I'm sure your employer has an Employee Assitance Program or something similar. Hate to say it but "been there, done that" all too many times. I can...

  10. Blood draw from IVs?

    wibobr replied to alkaleidi's topic in Emergency

    Look at the ENA websight, there have been numerous articles over the past couple of years on the subject. From experience I will tell you it is a learning curve but one that is easily mastered with...

  11. ED nurse with herniated disk needs advice in changing career...

    wibobr replied to Canadian Girl's topic in Emergency

    As the old song goes..."Welcome to my nightmare..." I too have had serious back issues both from my career as a paramedic and as an RN. I am currently on medical leave status post lumbar lam and per...

  12. Plan to transfer from tele to er

    wibobr replied to pandaboi's topic in Emergency

    With the poor economy and health care dynamics at the moment, there's not much difference in the ER. Census is up, staffing cut to the bone, demanding pts with primary care type woes and moans, those...

  13. Want to be ED tech

    wibobr replied to spooky64's topic in Emergency

    Sounds to me like you have the background to be a great tech! Good

  14. Paramedics in the ER

    wibobr replied to errneducator's topic in Emergency

    We've had Paramedics in our ERs for quite some time. Initially it was a"love/hate" relationship. There were significant deltas in their training to be truly effective (Sterile technique/psych/social...

  15. Where to go after ER Nursing?

    wibobr replied to S.T.A.C.E.Y's topic in Emergency

    I personally was considering Occupational Health. Can't help but think that being a "plant nurse" with almost 20 years in EMS/ER would be a BIG plus (without the growing pain of the

  16. Good ER reference book for new ER nurse??

    wibobr replied to stumillardkm's topic in Emergency

    Go to PEPID.com and download the Pepid RN. Be warned that Pepid ALSO has a MED/SURG, Oncology, EMS version as well. I believe its a 30 day free trial. I've had it for a number of years now and LOVE...

  17. Fever Kits

    wibobr replied to boztc's topic in Emergency

    Our facility provides them without charge to parents (Nurses discretion). One bottle of tylenol/ibuprofen with a digitial thermometer. We also provide a weight specific dosing chart on the patients...

  18. Good ER reference book for new ER nurse??

    wibobr replied to stumillardkm's topic in Emergency

    If you are Pal/Pocket PC savy....download the trial version of PEPID at Pepid.com. It's the emergency nursing reference manual. In my mind better than the paper version as it instantly updates every...

  19. Sick to death about poor staffing level.

    wibobr replied to Djuna's topic in Emergency

    Not much difference here. Staffing based on census. Usually not too busy in the AM so lower staffing than our afternoon early PM peak where are staffing is almost double from the AM shift then a...

  20. oh ye uninformed... this is why er nurses "don't care"

    wibobr replied to Uptoherern's topic in Emergency

    sad,but oh

  21. Frequent Flyers in the ED

    wibobr replied to RNin92's topic in Emergency

    We use care plans. Records are flagged both in the registration computer system with an automatic crossover to our electronic tracking board. Discrete identifier on the patient labels. Care plans...

  22. maggots?

    wibobr replied to billsnurse's topic in Emergency

    Had one just a few weeks ago. Homeless/alcoholic, s/p tib/fib fx in a cast. non compliant as they get. The patient actually had them crawling out of her lady parts and the wound on her cast. Cast...

  23. Drawing Blood

    wibobr replied to fat cat's topic in General Nursing

    As a former phlebotomist, I would NOT use a foot without a physician order. I would be more inclined to draw the patient from the radial artery(Granted a little trickier) but I can do that without an...

  24. Painful IV starts and your hospital policy

    wibobr replied to daisey_may's topic in General Nursing

    Our hospital policy is BUFFERED Lido. I personally prefer a refrigerant spray. (Does not distort the

  25. Stupidest reason to go to ER

    wibobr replied to DachRN's topic in Emergency

    lets see.... 911 Call- To the ER for a toothache 911 call- Pt sked for a colonoscopy at 10am, "Abdominal cramping" at 0930 (needed a ride-lives 3 blocks from the hospital where the coloscopy was...