ernurse1993

The surgeons at a local clinic have an NP within their group, she see's pt in the ED prior to surgery, and also follows them throughout their hospital stay. If the pt is admitted with a surgical consult she also follows them through discharge, and at...

We very seldom give phenergan anymore for nausea, way to many side effects. Yes, we do give zofran po to small children. We also cut it in half. It works great, no needles for the little ones and frequently they can hold down popsicles within 30 mi...

We have paramedics in our ED. I live in Illinois. They can give any of the meds that they can give out in the field, we have expanded their drugs to include tylenol & motrin, phenergan IV & Toradol IV & non medicated IV fluids. We are l...

We can use the lido in my department, but no one does. And from personal experience I had an outpatient procedure done once and the anesthesiologist used the lidocaine which burned like fire and I still felt the IV stick on top of it all. Since tha...

We not only have to ask them about suicidal/homicidal thoughts, and if they feel safe in there home's. But if they have access to enough food, if they need any assistance at home, and if they live with anyone!! I think JC needs to walk in our shoes...

I think we are enabling the people on public aid!! They have the money for the nice clothes, their smokes, and food, but heaven forbid they have to buy their child tylenol!! They always want a script for it!! Oh, and please call it in or fax it bec...

Does anyone fax their admission reports to the floor? And if you do how is that going. What all is listed in the faxed report. We just started approximately 2 weeks ago and they floors are just ripping us apart. We aren't giving them enough inform...

Thanks for the replies. We do have a meeting scheduled for the end of the week with all the departments involved. Right now we have the pt's c/c, initial assessment, meds given, last set of vitals,monitor rhythm, code status, infection control issue...

I work in a Level II trauma center in Illinois. My hospital just announced last week that they would be phasing out the LPN's over the next 3 years. They are offering to assist them in getting placed into an RN completion program, they also offer t...

We use the Eclypsis system, wouldn't recommend it to anyone, only has spell check in select area's of the document, slow as molasses, doesn't have an efficient way of tracking times for QA. The med list section is very cumbersome and not user friend...

We have a policy that no patients can be transferred to the floor and report can't be give during "quiet time" it is supposed to be from 7AM-7:30AM, 3PM-3:30 PM and again at 7PM. We now call it "happy hour" :wink2: as 15 minutes before the hour and a...

I work in the Ed and it is very difficult getting pt's to the floor at shift change. But a lot of times that is when the beds all the sudden become clean and available. It does seem like a lot of games are played on how long can we stall before we ...

We also have all those questions in the triage document, it is hard for some of our nurses to leave it incomplete. I say the nurse doing the primary assessment can ask all the mandatory questions when doing their primary assessment, hooking them up ...

I live in central Illinois and the pay range for RN's is 18.50-27.50 for day shift. That doesn't include any shift differential, or charge pay. We have no increase in pay based on certification or if you have your BSN.

We have a small drink area in my department. I don't think it is JACHO that mandates no drinks at the nurses station, I think it is the Public Health Department rules.:cheers:

We currently have a 5:1 ratio in a 20 bed acute care ED. The ratio in urgent care is 5:1, and after fighting management for 2 years we finally got approval to increase our staffing, but not until we lost many good nurses due to the unsafe staffing o...

I had a child arrive via EMS with a parent reporting the child had a seizure, after assisting them to the bed the mom came in the room and said the seizure never happened they just needed a ride to the hospital for another reason!!! What a waste of ...

I am also amazed at the number of young children on psychiatric meds. I think the children need discipline at home and a routine. When my children were school age they had a bed time of 8PM and we stuck to it. We told them no and that was the end ...

I couldn't imagine going back to 8 hour shifts and working 5 days a week. I have more flexibility with 3 - 12 hour shifts, also I'm more likely to pick up overtime only having 3 days scheduled per week.

I work in a 20 bed level II trauma center with an urgent care that has 5-7 beds. We will be seeing over 50,000 pts this year, we average around 150 pts daily, right now our patient ratio in the ED is 5:1. At times I find myself deciding what is mor...

I totally agree. The hospital I work for is always wanting us to "meet benchmark" in patient satisfaction, at every evaluation I tell my supervisor if the pay was "benchmark" for the area we wouldn't be working short staffed. They would have nurse...

Fortunately I didn't have to work when I was in nursing school, it was difficult enough managing the kids schedules, school and the dreaded care plans!!! Some of my classmates worked and they did fine. What ever you choose good luck, and remember yo...

I would talk with the professor teaching the class immediately and explain your situation. I would also get put on the wait list just in case someone drops. My theory is it can't hurt to try, and you would have regrets if you don't try. Good luck ...

Pretty much sums up what ER nurses really do in a days time!