TXTraumaRN

I went through Tech's traditional BSN program, graduated in 2005, and loved it. If you're not from Lubbock or West Texas, be prepared for a little different scenery. It's flat, but that's because it's all farm and ranch land. My family is all from We...

I'm single, live in a one bedroom apartment and drive a 13 year old car (no car payment) lol In all seriousness, it's less expensive living where I do compared to living closer in town.

I just moved to Austin about 6 months ago and work in the ER at Brackenridge ( part of the the Seton system ). I have also worked for Scott and White in Temple. Both facilities are good at what they do. Because Seton is a Catholic based system, they ...

I think we work at the same ER. That patient showed up here a few weeks ago.

An ER nurse's definition Crumping AKA "circling the drain" , "He doesn't look good" , "Come quick! I think my patient is dying!", getting really close to passing the point of no return

I have worked in 3 different Level 1 trauma centers and a 20 g has been sufficient at all of them. Placement is another thing. One hospital it didn't matter if the IV was located in a forearm or AC, whereas where I work now, it has to be in AC or as ...

You can still have a TB skin test after BCG vaccination, just know that it can cause a false positive reaction. I have seen numerous cases where there was a history of BCG vaccination but the skin test was negative. One thing to consider about the bl...

BCG vaccination can cause a false positive reaction to a TB skin test (TST). The gold standard for a positive TST used to be a chest x-ray, then sputum cultures if indicated clinically. The drawback of using a CXR alone, is that the CXR cannot determ...

Like every post before this, I thrive on the variety of patients. I like having new patients every shift. I really like the problem solving involved with trauma patients. To put is simply, I like to fix people's broken bodies.

Hey y'all, I am moving to Austin from College Station and am looking at working in an ER in the Austin area. I have 5 years of experience with the first 2 spent in a Level 1 trauma center; the last 3 years I have been working in college health and am...

Have done the whole giving IV decadron orally, with the hospital pharmacist's blessing. Have not given IV Zofran orally, but have dissolved the oral tablets in juice (or the like) and given it to peds that way. They seem to tolerate it better than ha...

I worked at in the ER at UMC about 4 years ago before moving to College Station. I loved it! I don't know if they still do scheduling the same way but when I was there, you were assigned to a crew and worked a set schedule. It was nice because you kn...

I worked in a Level 1 trauma center straight out of nursing school and loved it. After a few years, my family situation changed significantly and I felt I needed a more regular schedule. I interviewed with the student health center at the local unive...

Not only have I been a Scott and White patient since birth, I used to work in the ER a few years ago. It's a great teaching hospital and the nurses I worked with that came out of the internship program liked it. They remodeled/added onto the hospital...

Come to Texas. There's definately a shortage here. I currently have 3 open nursing positions that have been open for 2 months that I can't fill.

When I was in nursing school, I had to take a nursing history class; my project focused on WWII era nursing. One of the books I used for my research was an excellent pleasure read. The title of the book is We Band of Angels by Elizabeth M. Norman. T...

From my own personal experience working in very busy Level 1 ERs, I called report as soon as I had a bed. I wanted that patient gone because there were 5 more that needed that ER bed. I can guarantee that most ER nurses do not purposefully hold patie...

Howdy! Born and raised in Waco, TX; have been a nurse for almost 3 years. Received my ADN from McLennan Community College and BSN from Texas Tech University (Wreck em Tech!). ER is my passion; have worked in Level 1 trauma centers in Lubbock and Temp...

Well it's that time of year again....July. Those of you who work in a teaching hospital know that the new MD interns start this month. Ours started yesterday...already have had some good stories and crazy orders happen. So in the interest of a little...

Had a lady come in for nausea/vomiting x 3 days. For initial fluids, the intern ordered D51/2 with 20 KCL @ 125 ml/hr and Tylenol 650 mg PO. Because I had already seen the pt, I had already gotten an order for Zofran from the chief resident and had ...

Ok ladies and gentlemen, I haven't made very many posts on here yet, but tonight I have to rant. I just got home (0100) after my 12 hour 11a-11p shift. We had a fairly nice day today until about 1800 when the bottom fell out of triage and EMS both as...

We use IBEX PulseCheck. It has an email feature that allows staff to send emails. You can only access it while logged into the tracking/charting system. We use it so send out notes to other staff (i.e. LVNs are able to send the primary RN an alert wh...

No, she has access to our system from home. She was also sending emails through this system, saying we weren't triaging fast enough. This is a Level 1 trauma center, by the way. The thing that's really annoying is that by the time she called the nurs...

Graduate nurses are required to complete a 3 month internship where they learn about different lines and monitoring; they have to have demonstrated competency before they can complete the internship. Every six months, staff nurses are required to com...

I've already had 3 pts this week with central lines that were used for CVP monitoring and one with an art line...and it's only Tuesday..lol. I work in a Level 1 ER and hemodynamic monitoring is a required competency. I haven't necessarily noticed tha...