NYCRN16

NYCRN16

ER, PACU

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All Content by NYCRN16

  1. Abandoning babies at Hospitals LEGAL?!?!

    Although noone wants to think that someone would abandon thier baby, I think the option for these women and young girls to leave the baby at a safe place gives the baby a chance! Who knows what the...
  2. I agree with the fact that the ER is not an ICU and shouldn't be expected to function as such. There is no PICU that I ever heard of that had it's nurses responsible for that many patients in addition...
  3. IV's- nursing or medical decision?

    If our patient didnt have a line and bloods drawn and sent before the MD sees them we would be in trouble! The only patients we dont put lines in is fast track type patients, and in peds unless they...
  4. "Abandonment"

    This is ridiculous! We did this very same thing when my grandmother was dying of a stroke, my grandfather was also a patient on another floor and we brought him to her room WITHOUT the nurse present...
  5. is this typical?

    In my hospital this would be typical. This patient would have never gotten a telemetry bed in the first place unless there was a cardiac issue going on, and probably would have been downgraded if a...
  6. ICU holds in the ER

    This is what we do as well. We do not have anyone come from the ICU or floor to care for patients admitted with no bed, we have to do it. Sorry to the floor nurse who is mad that I didnt give the 9 pm...
  7. I totally agree with this. We use it in the ER all the time for the same things, and they always wake up faster when they get this then with fentanyl or versed. The main risk is resp depression, and...
  8. New nursing graduate - Question about ER

    Hi there, I went straight into ER after graduation, I am now 3 years out of school and glad that I didnt go to a floor first. I also did a preceptorship and knew that I wanted to go into ER. I...
  9. Discharge orders you'd LIKE to write!!!

    Wait until you become a nurse, you will feel differently. Sometimes we need humor to get through the day and this is just an expression of that. It does not mean that we do not take care of our...
  10. I agree that not all CNA's are lazy, I work with many great CNA's and they are worth thier weight in gold. However you are dead wrong about saying that there would be a lawsuit over a bedpan. When you...
  11. Standard Times for Vital Signs

    The average amount of patients we have is at least 5, usually about 8 is average. During the winter it is not uncommon for us to have 10-15 patients each, with us getting a new patient like every...
  12. I will probably get flamed here, but I am agreeing with the original poster. Ill start off by saying that you will never hear the words "that is not my job" out of my mouth, the PCT's that I work with...
  13. Standard Times for Vital Signs

    I work in a busy NYC ER, and I am not sure of the protocol, but usually I keep it up to my discretion for critical patients, usually every 15 min or so, not to exceed one hour. Patient in the middle,...
  14. Longest "Visit" in ER b/4 admitted to your floor

    The longest I have seen is 5 days..for an ICU patient!! :angryfire In the winter the average wait for a patient going to a medical bed is about 6-12 hours, if they are vented, even
  15. Need help with Emergency Triage

    We use a 5 level triage system. I will provide you examples of patients that I would categorize into each level to give you an idea, but feel free to PM me if you have any questions. Level 1: Patients...
  16. I dont think in any state and LPN works "under an RN's license", but I understand what the OP meant by this. For example, an RN must assess every patient on the floor initially and then periodically,...
  17. Evil People

    Many of you are much nicer than I am by biting your tongue! I would have reminded this mother that she is responsible for her daughter and that I will call the police and child protective services for...
  18. narcs at triage

    IMO, this sounds like a bad idea. People would just get thier Percocet, feel better and then leave before being seen. Not only that, all the drug seekers will be lined up with thier hands out waiting....
  19. I was in triage last night and a lady came in asking if we could give her a urine tox screen..See she had taken one for her job and it showed up positive for marijuana and she wanted to prove them...
  20. Question on sisters visit to ER

    In my ER, I dont think they would have sent her home without at least a CT scan and/or a pelvic exam, especially since she was febrile. That being said, appendicitis can be a tricky bugger..it can...
  21. ER Dept Scrub Color

    We are supposed to wear royal blue scrubs, but we wear whatever scrubs we want really, I feel that as long as you are wearing scrubs and not street clothes what does it matter. I dont think anyone who...
  22. I was an LPN before I went to RN school and we were not allowed to do any IV meds in LPN school at all..I think that was the hospital policy and not a state law because I believe that LPN's are...
  23. I have been working at times with a student nurse at work, and I love teaching and guiding her, which got me to thinking that maybe I should go into teaching in the future? My question is, what does...
  24. What's Your Best Nursing Ghost Story?

    I would have had nightmares for YEARS after seeing that! It probably would have scared me into going to church every sunday for the rest of my life! This has to be the scariest story I have ever heard...
  25. Five week ER orientation

    I started out as a new grad in a busy level II ER, and I got 12 weeks orientation (including the general hospital orientation) and still felt like I didnt get enough at first. I could not imagine...