TRAMA1RN

TRAMA1RN

ER

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All Content by TRAMA1RN

  1. 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 your taining?:)
  2. Medication issue

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

    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 being affected. I hate nursing and have been unemp...
  4. The Unwritten Laws Nurse Managers Live By

    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 because my manager and I had personality differenc...
  5. Glynco GA training for BOP nursing

    Thank you. Sent from my iPhone using allnurses.com
  6. Haldol and Ativan cocktail IV

    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 to start with 10mg Haldol and 2mg Ativan, then ev...
  7. IV Phenergan and Toradol "Push"

    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. ( expel the amount you are going to add). Toradol...
  8. IV starts and drawing blood

    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 YOUR EXTENSION set first and draw only your essentia...
  9. Transporting patients to radiology

    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 monitor when they return the to the room? What a...
  10. An interesting policy

    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 exacerbation is different from abuse, as the policy stat...
  11. New Grad Program at Hershey Medical Center

    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 price of gas I would still be working there, but due ...
  12. Triage Rules / Rants

    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 call their doctor before coming to the er and they...
  13. Need advice from seasoned RN's

    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 specialized, don't let the above poster fool you. I have p...
  14. Did I do the wrong thing!!!

    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 reached. I learned this lesson the hard way.
  15. Twins...Gest. age and induction/c-section

    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 c-section as twin A would not decend through birth canal...
  16. Leaving Level I ER

    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 rual ER 10 minutes from home, same thing with benefi...
  17. ER Nurse----> New preceptor for new grads

    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 you.
  18. IJ catheter for Dialysis

    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 anything except dialysis. If you worked with me I would...
  19. 2 hour reassessments in Triage

    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 protocol in the past, patients leaving ER I no lon...
  20. Should families be present during a code?

    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 you know how to conduct yourself with lay people pr...
  21. No Smoking Campus

    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 center where security basically said they will no...
  22. Random rant

    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 care is everyones responsibility.
  23. hanging cartizem

    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 spell the name of this drug properly? Call me su...
  24. Phlebotomy Question

    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 encourage it, usually your facility will provide your...
  25. Lpn's working ER

    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 than some RN's. But scope of practice is somethi...