HopeItWorksDNP

HopeItWorksDNP

ER

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All Content by HopeItWorksDNP

  1. How to carry yourself under high stress?

    HopeItWorksDNP replied to winter_green's topic in General Nursing

    Working in the ER, I instruct the new grads: "You've always seen worse." No matter how bad the patient it, you cannot show it to the patient. Your job is to remain calm so the patient remains calm....

  2. Cath'ing Females

    HopeItWorksDNP replied to OttawaRPN's topic in General Nursing

    I've done more than my share of caths on large women during my time in the ER and have found a few things that seem to help. Like the other poster said, take help. The other nurse can help spread...

  3. Really, how can you remember?

    HopeItWorksDNP replied to sunnycalifRN's topic in General Nursing

    It's not the Y-chromosome. I can only remember you if I see you in the same context I saw you in before. If you return to the ER, I'll recognize you and remember what your last visit was for and...

  4. "size of the paycheck"

    HopeItWorksDNP replied to agnesj23's topic in General Nursing

    Just have to correct you (as a longstanding LPN) with no malice intended. I can do IV pushes in my state. Not sure where you got your incorrect information. We just can't push particular drugs like...

  5. My patient takes ibuprofen for sinus congestion!

    HopeItWorksDNP replied to Blackheartednurse's topic in Patient Medications

    I frequently take ibuprofen to help with my sinuses. I don't like the side effects of Sudafed or other decongestant and have found the ibu does just as well in shrinking inflammed sinuses. It also...

  6. Have you ever shed tears in front of a patient or a patient's family.

    HopeItWorksDNP replied to dudette10's topic in Patient, Colleague Relations

    Ok. I guess I'm different. And its not intentional. Sometimes I wish I could cry so the family would know I truly do care. But I can't. Something in me says I have to be the strong, solid one. I...

  7. Should I Take the Chance/Sacrifice?

    HopeItWorksDNP posted a topic in General Nursing

    Big, big decision to make. Will have all pre-reqs to BSN program finished at end of fall semester. Have been LPN for 5+ years. Committed relationship for 3. School I am currently in does not start...

  8. The trauma I cant let go of

    HopeItWorksDNP replied to ER_JEN_RN's topic in Emergency

    Is that covered by Worker's

  9. Secret to successfully inserting an NG tube?

    HopeItWorksDNP replied to Nurseinprocess's topic in General Nursing

    I always look into the nose first to see which side appears the most open. Don't use ice on the tube but do use KY jelly to lubricate well. Chin to chest and have pt suck on ice chips if alert. To...

  10. New LPN with BIG concern over TN scope of practice re: IV Push

    HopeItWorksDNP replied to LPNalmost!'s topic in Tennessee Nursing

    There are lots of meds LPNs can push. I push pain meds, antiemetics, etc. everyday. My original post was several years ago. Since then, my facility instituted a IVP class. As LPNs you can't push...

  11. I haven't a clue

    HopeItWorksDNP replied to shamari's topic in General Nursing

    Jasco.com sells Can't See through me pants. I love them! They are a little thicker than most whites so they last longer too! And not expensive at

  12. Respiratory Question: What to do first?

    HopeItWorksDNP posted a topic in General Nursing

    I've recently picked up a PRN job taking care of a pt with a trach. Orders are to give HIT and CPT tx's every 4 hours as well as a saline neb. Doesn't specify what order. What's the appropriate...

  13. Low Census-Cancelled Shifts-Where Are You Located?

    HopeItWorksDNP replied to pagandeva2000's topic in General Nursing

    I'm in Tennessee. Today our med/surg floor had 4 patients and none in the unit! But then we admitted 3 in the last 2 hours of my shift in the ER. So go figure? We were talking about the low census...

  14. Funniest briefs story?

    HopeItWorksDNP replied to thunderdan's topic in General Nursing

    Oooh, I've got a funny brief story! Or at least its funny to me! Had one of "those" husbands always coming to the ER with his wife and her migraines. Very demanding, arrogant, rude, even intimidating...

  15. quick question....

    HopeItWorksDNP replied to jenpan's topic in General Nursing

    In my ER, usually hours after the code, when the doc is finishing up his paperwork, he says, "Nurse Nancy, what time did I pronounce?" I provide him with the time I recorded the code ending, since he...

  16. Should I be upset? Or am I making a big deal out of nothing?

    HopeItWorksDNP replied to redhead09's topic in General Nursing

    I was 31 years old when I attended LPN school. I HATED my instructor. She would humiliate us on a daily basis. She would laugh at questions we asked and sneer when when we answered her questions...

  17. HE was sent back onto the streets??

    HopeItWorksDNP replied to DebRN06's topic in General Nursing

    We had a similiar situation which I still don't get. Have thought about it a lot, and still don't understand what could have possibly happened to make anyone d/c this pt home. Pt came in after...

  18. Having pooping issues!!!

    HopeItWorksDNP replied to locolorenzo22's topic in General Nursing

    30cc MOM and 8 ounces prune juice. Stir well. Microwave until coffee temp. Serve/Administer immediately. Will make a concrete brick poop. We call it "the

  19. HOPKINS: 20 minutes into the show

    HopeItWorksDNP posted a topic in General Nursing

    I was really looking forward to this series. I thought, FINALLY, a tv show that depicts REAL hospital life. So here I am, 20 minutes into the very first show of the series, wondering as usual: Where...

  20. er visitors...a funny

    HopeItWorksDNP replied to UtErRnEmt's topic in Emergency

    We had a pt that made 136 visits in less than 6 months. She would try to cook for us. She would arrive with her complete meal prepared and packaged for us with her c/o excrutiating migraine x2 days....

  21. Discharging a patient...to the streets

    HopeItWorksDNP replied to ChocoholicRN's topic in General Nursing

    We had a pt that would bounce from house to house...he was mentally "slow" and completely physically disabled. No family left living. He would live with whoever he could until they spent up all of...

  22. I'm guilty!

    HopeItWorksDNP replied to FireStarterRN's topic in General Nursing

    Wow! I'm looking at life with no possibility of parole for the things I give out!! Sweet, appreciative pts...I'll push the supply cart out the door for them!! Anything goes but my crash cart. And...

  23. can't do nightshift anymore..on the verge of having nervous breakdown

    HopeItWorksDNP replied to inthesky's topic in General Nursing

    I have a diagnosis of rapid cycling bipolar disorder. My first year out of night school, I worked straight nights. I didn't think it would be any big deal; I had worked rotating shifts off and on...

  24. How do people manage?

    HopeItWorksDNP replied to Shenanigans's topic in Emergency

    I came on today to post a similar question. I have been in the ER for going on 3 years. I have found at times I almost seem to have PTSD after some deaths. I will cope fine while at work but then...

  25. The Great "Nursing Show" Discussion

    HopeItWorksDNP replied to Tait's topic in General Nursing

    What? Yall don't canoodle in the linen closets?? You mean I'm the only one that finds time between bedpans, meds, charting, codes, more charting, getting yelled at for something not my fault, to...