NYCRN16

NYCRN16

ER, PACU

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All Content by NYCRN16

  1. 8:1 ratio in the ED?

    It is sad to say that 8:1 is a reality for ED nurses in NYC. Diversion means nothing because everyone is on diversion, which really means that NOBODY is on diversion. Besides, if the patient requests...
  2. rough night

    OMG:uhoh21::uhoh21: That is a scary patient to have, but you did great! Patients that sick rarely survive and you are doing a great job trying to keep her alive. Don't feel that its your fault if...
  3. Learn From My Mistake - Dilaudid

    Don't feel bad, I am experienced and I may not have thought that order was a mistake either. I work ED, and I have had plenty of patients who have drug tolerances and 6 mg of Dilaudid is not an...
  4. We do exactly the same thing. I just label the envelopes and seal them, and then give it over to the
  5. IV Dex for PO Dex?

    We do this all the time. Never had any adverse effect and it works like a charm. The small volume prevents it from being spit out most of the time! Edited to add: We also give the IV Zofran PO too and...
  6. Tis the season for new docs

    :lol2::lol2::lol2: You should have asked the intern to help you stand the patient up so you can carry out his order
  7. Team Nursing Approach in ED

    I see what you are saying, and I can see how the patient could suffer if the team approach works likes this. In my ER we have 2 teams with 3-4 nurses on it, but each nurse individually is assigned...
  8. trouble triaging

  9. In this day and age, we have options! Dont settle for a job that is not what you want. Plenty of new grads start into specialty areas, and if one hospital does not have what you want, you interview at...
  10. When does it get easier?

    I started in a busy ER as a new grad, and 3 1/2 years later I am still there, and still alive to talk about it Believe me, I was an LPN before graduating RN school so I thought it would be a little...
  11. Dear nurse, I really don't want to bother you

    I guess it depends on the ER. Our techs usually dont help in codes, maybe 1 or 2 are BLS certified and will do chest compressions, but that is not the usual case. Even if the techs are busy with other...
  12. Dear nurse, I really don't want to bother you

    Why not ask the nurse's aid/tech instead of the nurse? He or she will usually not be tied up in some critical situation and would be able to get it for
  13. Who's requiring the BSN??

    I know at one time there was a law that did require nurses to have BSN, but I believe it has been
  14. Who's requiring the BSN??

    I hear that NY is going to start in the next few years, but I think you are grandfathered in if you graduated before a certain year?? I know that in the NYC hospitals are not hiring ADN into specialty...
  15. Are you my waitress today?

    I did have one occasion where a patient asked me if I was her waitress today..But she was a pleasantly confused alzheimers patient in the nursing home I worked, and the sweetest old lady you would...
  16. TOP 10 Meds?

    This is not necessarily wrong. Maybe in your hospital they dont use this, but in mine we do. Every hospital is different, we use propofol all the time in adult patients and have never had a problem....
  17. TOP 10 Meds?

    Every hospital will use different things, some of the meds I have seen on this thread that others use often, we dont use that much or I havent even heard of at all. Its ok if you dont know some of...
  18. Foley Phobia??

    I dont know about the UK, but in the US you DO need an order. That is standard no matter where you work. Most of us in ER have standing orders that we can put a foley into anyone we feel needs it. The...
  19. WARSWITHFLOORS/Round 99,999

    A faxed report is the best thing that we have found, because first off, trying to get the nurse on the phone is a few hour ordeal, secondly, they are asking questions that are not priorities for ER...
  20. Drug Testing At Hospitals

    I agree with this. I heard somewhere that some hospital locally decided to randomly test a lot of the residents and when most of the doctors came up with something or other they decided to throw the...
  21. narcan question

    I know you can definitly give it through an ET tube, and I believe you can also give it SQ but I dont know why anyone would do that unless there was truly no other
  22. I work in and ER that has seperate peds and adults, but I work mostly on the adult side. Recently, we had a child in the peds ER that the resident wanted dobutamine gtt on. He went back and forth on...
  23. Student Intern in ED-Can I be Productive??

    I did an externship in the ED, and I am now working in an ED (started right after graduation 3 years ago). When I was an extern, I was not allowed to draw bloods or start IV's as per school and...
  24. rules of injections

    I would never give an injection that I did not see personally drawn up in front of me that I didnt do myself. You have no idea what is in that syringe and its your license if its the wrong medication....
  25. Being made to work as an aide...need advice

    You are partially correct. There is no law that says that you "can't" do CNA work, HOWEVER, you are still held to the higher standard of LPN by law. If something happens during your care you would be...