TRAMA1RN

TRAMA1RN

ER

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All Content by TRAMA1RN

  1. Glynco GA training for BOP nursing

    TRAMA1RN posted a topic in Correctional

    Has anyone been to Glynco GA for training? What kind of free time do you get? Do you rent a car once you are there? What kind of money should you carry with you (amount)? How many people were in...

  2. Medication issue

    TRAMA1RN replied to selebra's topic in General Nursing

    At will employers can fire you for no reason at all, get a lawyer to handle your unemployment. You probably will not get unemployment. Do not be surprised. Sent from my iPhone using

  3. Would you even consider a candidate who was terminated?

    TRAMA1RN replied to DeLana_RN's topic in Nurse Management

    I have experienced the same problem, if every nurse is MSN and PhD who is going to do the bedside care? Bullying is pervasive and is an epidemic in nursing with absolutely no recourse for the nurse...

  4. The Unwritten Laws Nurse Managers Live By

    TRAMA1RN replied to rntj's topic in Nurse Management

    Exactly, I would never have imagined being 13 years experienced, using micro sick time, working tons of overtime. Come in at the last minute, got along extremely well with all of my co workers, but...

  5. Glynco GA training for BOP nursing

    TRAMA1RN replied to TRAMA1RN's topic in Correctional

    Thank you. Sent from my iPhone using

  6. Haldol and Ativan cocktail IV

    TRAMA1RN posted a topic in Psychiatric

    Okay have been working in small ER over one year. I cannot remember How often and the maximum dose you can give of H and A. The larger ER I used to work 2 years ago that saw quite a bit of psych, used...

  7. IV Phenergan and Toradol "Push"

    TRAMA1RN replied to CrohnieToo's topic in Emergency

    Phenergan should never never never be given without a running IV or at least diluted in nss. I have made it a habit of diluting all my push pain meds and antiemetics in at least a 10cc nss syringe....

  8. IV starts and drawing blood

    TRAMA1RN replied to srknurse's topic in Emergency

    Believe it or not, you can actually start an IV as small as a 24 gauge and use a device from Kendall tyco/healthcare called an Angel Wing attached to your extension set to draw blood. DO NOT FLUSH...

  9. Transporting patients to radiology

    TRAMA1RN posted a topic in Emergency

    I work in a small ER. I am wondering who transports the patients in your hospitals to the radiology depatment in your hospital? Do they take your patient off the monitor? Do they put them back on the...

  10. An interesting policy

    TRAMA1RN replied to Guest219794's topic in Emergency

    Having worked ER for many years this should be standard poicy in ALL ER's. All experienced ER nurses and ER MD's will tell you how big a problem RX pain medication addiction has become. Acute...

  11. New Grad Program at Hershey Medical Center

    TRAMA1RN replied to EMSnut45's topic in Pennsylvania Nursing

    I too worked at Geisnger and highly recommend it. Absolutely loved my time in the trauma center, the nurses their were the most professional I have come across. If it would not have been for the...

  12. Triage Rules / Rants

    TRAMA1RN replied to ER-RN2's topic in Emergency

    the problem with the er wait times is that no matter what, you cannot educate the people that need educating about the abuse of the system. i love it when you ask the patient about why they did not...

  13. Need advice from seasoned RN's

    TRAMA1RN replied to mandarae13's topic in General Nursing

    I am a seasoned nurse. Seasoned ED nurse, my advice is, start in your basic medical surgical floor and learn the things that you did not learn in school, which are many. ED nursing is very...

  14. Did I do the wrong thing!!!

    TRAMA1RN replied to barbb51405's topic in General Nursing

    You did the right thing, it would have been a violation of privacy practices. The contact person named can only be notified in the case of emergency, when the nex of kin or guardians cannot be...

  15. Twins...Gest. age and induction/c-section

    TRAMA1RN replied to shortstuff31117's topic in Ob/Gyn

    Speaking as a mom of now 16 year old identical girls my Ob Gyn was on call for me personally as she was al her high risk moms, and c-sections were avoided as much as possible, I did end up with...

  16. Leaving Level I ER

    TRAMA1RN replied to mandasueRN's topic in Emergency

    Been ther done that almost exactly one year ago this month, gas prices a year ago caused me to make the decision. I to drove 55 miles one direction and worked night shift, left level 1 and went to...

  17. ER Nurse----> New preceptor for new grads

    TRAMA1RN replied to AnnieOaklyRN's topic in Emergency

    IMHO no new nurse (less than at least 2-3 years) should ever be precepting another new nurse, especially in any specialty field. Good luck to

  18. IJ catheter for Dialysis

    TRAMA1RN replied to kstec's topic in Dialysis, Renal, Urology

    By no means should you feel like an idiot. I think that it showed great critical thinking on your part to ask the pysician for an IM or peg med order. ALL dialysis catheters are off limits to...

  19. 2 hour reassessments in Triage

    TRAMA1RN replied to Opinions matter's topic in Emergency

    First of all if you are truly using a level 5 ESI system narcotics should not be given in triage if someone is having that much pain that bumps them to a five, and having been burned by narcotics per...

  20. Should families be present during a code?

    TRAMA1RN replied to paperdreams's topic in General Nursing

    i am an er nurse, and have worked level 1 trauma to small rural er's i am totally for a family presense, if the rooms are small allow only the single family rep in the room. if you run enough codes...

  21. No Smoking Campus

    TRAMA1RN posted a topic in General Nursing

    i am curious how your facilities around the country are enforcing the no smoking policies that have become so popular. i don't smoke, so no smoking is fine with me. i have worked in a level 1 trauma...

  22. Random rant

    TRAMA1RN replied to anggelRN's topic in General Nursing

    First of all! They cannot unswaddle a baby themselves? Second of all there is no excuse for not rewrapping the baby and if they were unable then they should have gotten you right away. Basic HUMAN...

  23. hanging cartizem

    TRAMA1RN replied to Kristine6767's topic in General Nursing

    My concern is this, usually this is kind of question comes from having a current order. Where is your preceptor to answer your question, and why are you not checking hospital policy and why can't you...

  24. Phlebotomy Question

    TRAMA1RN replied to springgarden's topic in General Nursing

    Phlebotomy training is not always provided by your hospital or unit, depending on where you work your facility may not deem it neccesary for you to do phlebotomy. If you have access to learn it I...

  25. Lpn's working ER

    TRAMA1RN replied to Arky's topic in General Nursing

    Your LPN's will be going out of the ER soon unless you are in a level 1 trauma center. Due to the fact that all patients need to be assessed by an RN. I too have met many LPN's that are more capable...