TRAMA1RN

TRAMA1RN

ER

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All Content by TRAMA1RN

  1. Peripheral IV lab draws

    TRAMA1RN replied to kimmie518's topic in General Nursing

    You use a device called an angelwing, this screws onto the clave of your IV lock. This is a completely closed system no blood leaks out, and yes you can even use on an established lock, just flush...

  2. ER Questions

    TRAMA1RN replied to punkstar's topic in Emergency

    Ammonia, lactate and ABG's on ice. As for STEMI's they come in the ER get EKG, 2 if not 3 Large bore IV sites with lab draw from the site, 4 baby ASA, 600 mg Plavix, 5000 unit Heparin bolus, 5mg...

  3. Wow a bag of pretzels, your right admin, this is a good place to work

    TRAMA1RN replied to time4meRN's topic in General Nursing

    Christmas bonus what is that? Nurses week? ER nurses week? I work for very small rural hospital and we get nothing. We also get no overtime but the nurses on the regular floor have to take on call...

  4. Mandatory inservices, meeting, etc

    TRAMA1RN replied to FireStarterRN's topic in General Nursing

    First of all If I am getting paid and have nothing better to do on my day off I will come in. If I have plans already then forget it I do not come in. If they cannot rotate things for my schedule, I...

  5. preggy----im bored!!

    TRAMA1RN replied to bhevy's topic in General Nursing

    First if you haven't passed NCLEX you are not an RN, second places can NOT refuse to hire you because of pregnancy that is illegal in all fifty US states and territories. Third there ust be other...

  6. need advice

    TRAMA1RN replied to sumatra1's topic in General Nursing

    Also you may not be eligible for financial aid. The financial aid people like to be assured that you can either continue your education or will be eligible for hire upon

  7. practicing iv

    TRAMA1RN replied to Agnus's topic in General Nursing

    Sorry to disagree with you, I have worked several different ER settings from rural to level 1 trauma, you need to be doing your own IV's waiting for the IV nurse delays care. If you are going to call...

  8. .... I made another mistake :( Need encouragement.

    TRAMA1RN replied to RNcDreams's topic in General Nursing

    I have always worked ER, first thing I do when I take a patient over is go through the entire chart and every piece of paper, PIA yes but this way I know what is with the chart and what isn't. I do...

  9. Suggestons for ER miscarriage

    TRAMA1RN posted a topic in Ob/Gyn

    I work in a very small ER we have no OB service but sometimes get patients that are having miscarriage. I would like to put together a small kit to keep in our GYN room that would have things needed...

  10. Waiting Room Signage

    TRAMA1RN replied to willa76's topic in Emergency

    Standard answers are, when patients call and ask if you are busy, of course we are busy even if we aren't. You can't be too sick if you are concerned with the length of wait time. Standard answer...

  11. Use of Diprovan in your ER

    TRAMA1RN posted a topic in Emergency

    Can anyone share with me how their hospitals handle the use of Diprovan in their ER's. Where I am currently working, the ER RN"s is not allowed to use Diprovan. This past year I wroked in two other...

  12. New nurse wanting to know how to deal with co-workers

    TRAMA1RN replied to hollyberry678's topic in General Nursing

    You as a new grad are going (and it sounds like currently you are) to experience resentment from others (for whatever their reasons may be). You need to assert yourself in a firm manner and tell your...

  13. Use of Diprovan in your ER

    TRAMA1RN replied to TRAMA1RN's topic in Emergency

    If an Rn in the ER is ACLS certified and cannot protect an airway she/he better get out of my ER. When Diprovan is used for MODERATE sedation you are NOT totally putting them into a complete sedative...

  14. Use of Diprovan in your ER

    TRAMA1RN replied to TRAMA1RN's topic in Emergency

    For PA nurses In response to your question about the RN administering Diprivan for moderate sedation, the Registered Nurse Rules and Regulations Section 21.413 (d) states "As used in this subsection,...

  15. What would YOU Do?

    TRAMA1RN replied to mh3136's topic in General Nursing

    you owe your employer nothing. If you don't have a union they can fire you because they don't like your shoes, having been burnt by at will employer, look out for number 1, but be sure that is really...

  16. Not enough experience!!

    TRAMA1RN replied to kwagner_51's topic in General Nursing

    As ane experienced nurse I find it amazing that an agency would hire you. IMO this is the problem, you should get med surge experience in a hospital even if you don't like the job YOU NEED to get...

  17. 3rd shift always leaves on time... I never do

    TRAMA1RN replied to TigerGalLE's topic in General Nursing

    You are indeed starting a shift war with your title. I work third shift and pretty much always have, my choice. Generally, notice I said generally your most experienced staff work this shift. I...

  18. A Generation of Wimps?

    TRAMA1RN replied to EDNewbie's topic in Emergency

    I agree today society is be enable by the previous generation. As to men I see it in women

  19. question about MRSA

    TRAMA1RN replied to Ms.RN's topic in General Nursing

    MRSA is droplet transmission, you can use regular dishes if they remain in patient room long enough for droplets to evaporate, otherwise disposable is recommended. Patients should never have a foley...

  20. Help....I'm being harassed in the workplace

    TRAMA1RN replied to goodgyrl's topic in General Nursing

    Having experienced this myself GET THE HELL OUT! AS FAST AS YOU CAN! My experiece is you are the influx and no one feels they need to pay you any loyalty. Good

  21. Not enough attention to BMs in nursing today!

    TRAMA1RN replied to FireStarterRN's topic in General Nursing

    I don't know where you work but I work ER and we do address this very question in every triage even if the person doesn't come in with an abdominal complain. In the rest of the hospital 99.9% have...

  22. Tired of impaired nurses

    TRAMA1RN replied to epipusher's topic in General Nursing

    Most if not all hospitals have a compliance line, this is not only for billing and such complaints this line is confidential and anonymous, use this line to report this and follow up. Report it...

  23. Nurses taking patient's off backboards without doctor clearnce?

    TRAMA1RN replied to the big nurse's topic in Emergency

    Having worked in numerous different ER's under many different situations, as a nurse part of my assessment requires proper inspection and palpation of areas of injury, backboards can be removed safely...

  24. Stripping an IV?

    TRAMA1RN replied to S.T.A.C.E.Y's topic in General Nursing

    Stripping an IV is usually when the dressing is changed due to being very blood or not sticking well if patient is ver y dirty or diaphoretic. Being an ER nurse we do not always use J loop because...

  25. Urinary Catheter Care question

    TRAMA1RN replied to JellyBean1's topic in General Nursing

    Catheter placement IS A STERILE procedure, even if your patient is 500 pounds and has mobility issues the initial prcedure can and should always be done as a sterile procedure. Cleaning and rinsing...