-
Passing out in the OR
:) I am suprised that they were not more supportive. It has happened to plenty of people, one of my classmates passed out, knocking into a sterile cart and knocking a bunch of stuff over :) The grossed out hot feeling you get goes away with time. I would not get discouraged. If anyone in that room said they didn't get that feeling sometimes they were lying. I didn't have a terribly long OR rotation so I was spared or it would have been me too. Good luck, don't give up on your dream. The more you are around, the easier it will get!
-
Which laxative to use?
LOL good q. Well, sennokot is a PO stool softner, probably easiest on system. Then PO dulcolax (PO and PR are kind of a different story, PR is more effective obviously :) Then MOM and miralax, Mag citrate is usually always effective but takes time. Fleets, since it is an enema would be a last ditch effort. My specialty is warm prune juice mixed with MOM. Works like a charm :) Hope that helps!
-
large bore needles
agree with above. If you can get an 18, then why not. What cracks me up is when squads bring in a toe hurts with a 14 gauge :)
-
Eat Before You Get Here!
I didn't get to read this whole thing b/c it was long, but this is a HUGE pet peeve of mine!!!!!!!!!!!!!!!!!!!!!! We have gross food too! Why do people not eat at home? Do they think we are a five star restaraunt?? The homeless people, I will slip them a little something. I am ok with that. The crackheads will eat everything in sight, so I try hard not to feed them b/c it is a neverending battle. We have one patient that drives me nuts!! He always comes in with nausea/vomiting. He has diabetic gastroparesis. We gave him iv fluids, zofran, phenergan, the works. Wrote him up for outpatient gallbladder workup. Educated him on the lowfat bland diet. Literally walked into the ED 1 hour later. He left and got a big mac and fries, and came back in for nausea and vomiting. Are you f)*^&%ing kidding me???????????????
-
Most likely a stupid question...
I agree with above, especially for insertion of central lines. I had a trauma patient with mult attempts for a central line, developed bilat pneumos and had to be tubed on arrival to recieveing hospital. Always good to know how insertion went!
- What was the MOST ridiculous thing a patient came to the ER for?
-
Life and ED Nursing
I feel ya sister :) I have 2 kids, work 32-36 hr/week, and am in school. It is tough!!! It took awhile to find my area of comfort though, that did not happen straight out of school. Does someone keep your child while you sleep?? It would be impossible to work all night then not sleep. I agree with above posters, bedside experiance is way more important to you right now. Once you get comfortable, then maybe pick up one class at a time. As nurses, we feel the need to be superwoman. We can't be :) It seems to me that only working 3 twelve hour shifts a week gives ample time for you and your family, but you cannot feel guilty about it. You are doing this for your family. Some women have to work 2-3 jobs a week just to make it. Be thankful you have what you have, pat yourself on the back, get some rest, and take a deep breath. You will be fine!
-
Code blue nurse's/ rapid response team
Well what are the first things you would do? Vital signs, Check JP, asess patient, put page into surgeon What are your common postop complications with abd surgery? Is JP working? Is there a large amount of blood in JP? There are many possibilities here :) I am sure you will do fine! Hope I helped :)
-
Coronary angioplasty....
I agree, They would go back in and recheck to be sure there was no restenosis. Usually when the blockage is cricital, it is deemed necessary to put in the stent. Where I am from ususally at 60-75% they will place a stent. If this patient was having an MI or other factors at play could deem it necessary. Good luck!
-
How to thank an ED RN?
That is very nice :) Usually a note to administration gets passed on to our nurse manager and filed in our employee file. Any thank you card we recieve gets hung up on a community bulliten board. Thank you for your recognition :) I love it when I know I have made a difference in somones life :)
-
prehospital EKG transmission
At our hospital, they put age, last name, and gender on the EKG before they transmit. When the patient arrives, we stamp it with pt. information and put in the chart.
-
how do you take the BP in this scenario?
You can point the cuff to face the femoral (outer portion of leg) This will be upper thigh. It is quite accurate.
-
Rules for the ER (long)
Okl, so I didn't get to read this all, but what I have read is hilarious!! Here are a few rules I am adding: 1. If you plug in your cell phone charger into the wall when the ambulance drops you off for your "severe abdominal pain" It isn't that severe!!!!!!!!!! 2. If you walked into the ER, do not expect me to push you around (unless you have a broken limb or are over 65) That annoys the CRAP out of me!!! 3. Just because you are a diabetic (and obese) you do not have to eat every 3 hours. If you are NPO it is for a reason, I have checked your blood sugar, you will live I swear! 4. I don't want to hear you badmouth the other staff/ doctors/ PA I could care less what you think. I like them alot more than I like you so save it for your survey 5. If you tried to commit suicide by taking 3 valium, you get no visitors, an overnight stay, and charcoal you big jerk. Attention seeking gets you no where with me! 6. Take a pregnancy test at home!!!!!!! 7. If you worry about your kid doing drugs, we can't fix that only you can!! 8. And please, before you act like you know everything because you are somewhat connected to the medical field, know what you are talking about ("He has a great vein in his anticubical area" "He has a hyena hernia??")????????? I could go all night!!
-
Public Service Announcement
Ahh.. A sandwich would have been nice :) An award for my charge nurse would have been great. I'm suprised she wasn't hiding in our lockdown psych room :)
-
Public Service Announcement
I am almost positive most people in here are my coworkers or are all ER nurses this fantastic?? My worst shift was in Sept. when Hurricane Ivan (? i think that is what it was) hit us in southwestern ohio. Talk about hell. We have a 28 bed ER with a 5 bed fast track. We had no electricity, lost our computerized tracking board, no air conditioning (SOOO unseasonably hot, but windy, dripping with sweat. the er was 80 degrees!!!) No tube system, all labs taken to the lab by hand ( 10 min walk there and back) MD had to go to Xray with patients (again 10 min round trip) CT scanner was down (Too hot!!!) Stuff flying around in the parking lot and breaking peoples windshields(I can't go home now! AHHH!!) Both Night shift techs called off (Wives wouldn't let them leave????), 4 hour lab turnaround (I"M HOT, nurse can i have a fan??? No electricity!) had codes left and right, all of the breathers showed up around 10 pm like clockwork ( no electricity at home for CPAP, Bipap, no O2 or nebulizer machines working!!!!) people getting hit in head with flying objects (No CT!!) -- No aircare, 3 hour waits for transport squad to hosptial with electricity, no food (who needs to eat??) No freaking electricity, level 3 county emergency. NO lights to see the road with, let's go drinking and driving!!! ( How many MVA's can you have in one night??) By the time everything came back on, we had to completly put everyone through the system and take them back out. Our volume was ridiculous. All in all, 8 hour turn arounds for even the easiest work ups. Hands down, shittiest shift of my life!! (administration was called in and they stand there with their grins, "How can i help?" Then answer the call light-- Oh, your lady in bed 2 needs some water. Gee thanks for answering that for me! )