I have recently run across patients who are post-cath that have an order for PO Provigil 200mg BID. I have yet to ask a cardiologist the reasoning behind this, but I have researched the uses of...
Provigil's generic name is Modafinil. According to the prescribing information found at provigil.com, "PROVIGIL (modafinil) is a wakefulness-promoting agent for oral administration." and "The...
Highest BP: 277/224 (My mother in law during adrenal crisis) Lowest BP: 20 systolic (pt fresh in from EMS - came in "nonemergent" ) Highest blood sugar: 1900 (my case-study for nursing school...
RedERRN replied to 1sttimetraveler's topic in Emergency
Always take into consideration what the nurses have going on in their rooms. For example, if Nurse Smiley has an STEMI in one room in prep for stat cath lab and a patient with ARDS in prep for RSI in...
I am sorry that you are going through this with your staff. It sounds very frustrating; however, I am sure the nurses are not intentionally leaving the labels off of the lab draws. After all, that...
RedERRN replied to luv your nurse's topic in MICU, SICU
This sounds to me like a classic case of MI-induced heart failure. Possibly these changes were due to an infarction she experienced prior to the CABG? That would explain the "wet" lungs and dry...
RedERRN replied to Jennifer, RN's topic in Emergency
The ER I work in has a policy where all patients meeting triage levels of 4 or 5 (we use the 5-tiered ESI) are sent to "Quick Care" where they receive a MSE (Medical Screening Exam) by a physician....
I have been feeling really, really burnt out lately. I used to love my job and look forward to going to work everyday. Now it seems like every new patient is a new stress that I will leave feeling...
RedERRN replied to optimisticSRNA's topic in MICU, SICU
Hmm, it's kinda funny that you posted this because I am going through the exact same thing - except my area of 3 years experience is the ER. I've deliberated about making a change from the ER to the...
Hi all! I work as a staff nurse at a major hospital - I've worked in the ER there as a RN for 3 years and I worked there for 1&1/2yrs while in nursing school. Recently I've become really, really...
RedERRN replied to phiposurde's topic in Emergency
In my ER these things are not optional...they are mandatory. We spend 90% of the time with no available adult ICU beds...NONE. Our ER becomes the ICU overflow area. If a patient needs CVP...
Quick Poll: What functions do the nursing assistants provide in your ER? Does your ER have good RN/Assistant relationships? What requirements does your ER place on new-hire assistants? What is your...
Hi all you southern belles and gents! I'm Sally. I live in Macon and work at The Medical Center of Central Georgia in the ER. I am currently in school to complete RN-BSN and should be done in...
I'll go first... What functions do the nursing assistants provide in your ER? stocking rooms, transporting patients, drawing blood, helping place patients in gowns, entering lab orders...the problem...
RedERRN replied to er nursing's topic in Emergency
I don't remember the exact words he used, but one of our genuine medical frequent flyers presented one night because he had slept with a prostitute and then proceeded to wash his privates with bleach...
I'm sorry you had the experience of a gum-smacking country-music-listening gal working in triage :uhoh21: . I'm sure that had to make you question the professionalism of the employees there straight...
Hi all! I am an ER nurse at a Level 1 Trauma Center in Georgia. Currently, I am putting my husband through college. When he is finished with college we would like to do some traveling (hey, we only...
RedERRN replied to PACU queen's topic in Emergency
What is a day usually like in the ER? I work 7a-7p in a Level 1 trauma center at a 700+ bed hospital. Our EC has 52 beds that are divided into Quick Care (Urgent Care), Pediatrics, Fast Track, Level...