MomNRN

MomNRN BSN, RN

Emergency

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All Content by MomNRN

  1. I just received results from my recent MRI - acute sacroiliitis! I knew I had suffered this in the past, but my orthopod said it was rare for it to show up on the MRI; that mine was an acute case....
  2. er nurse retreat day

    About every 2 weeks, there is a bunch of us who have an unofficial retreat - a liquid lunch! It works wonders for morale. Have also been known to head out for "breakfast"
  3. Er Staffing

    Your RN/patient ratio seems kind of low to me. I work in a small, level 2 ED - only 13 beds. A "busy" day for us is 80 pts. On nights we have 3 7p RN's (that includes the charge RN who sees pts), 1...
  4. Anyone else with higher than normal volumes?

    We are getting slammed too! Must be something in the air. We are a small Level II ED - only 13 beds. Yesterday we saw over 80 pts. It doesn't seem like much, but for us it is huge! I swear all 80...
  5. Ice packs for fever?

    Our protocol specifies only treating fevers over
  6. I understand the device you are talking about, but I wonder what is the difference between a manual poke and a delivered poke. I suppose there could be some difference in the amount of force...
  7. Change in IV Phenergan Policy

    I had a pt today who complained of the burn and then had intense itching with transient redness to her forearm. I used my usual protocol: dilute the 12.5mg of phenergan in 10ml of saline and push...
  8. Very well said. This is a difficult choice only she can make. Until we walk in her shoes, we can't truly
  9. Acls

    I can't imagine working in an ED without it. We are required to have ACLS, PALS, TNCC, and ECRN. TNS and CEN are optional. I am currently looking into the SANE
  10. [quote=Anagray;2069732 I am excellent with assessments and IV therapy skills, I know tele like the back of my hand, I know how to deal with families and like a fast-paced environment, I am not afraid...
  11. How much do you enjoy your nursing job?

    I would love to stay at home. BUT - the kids want to go to college and go on nice vacations. The husband likes to golf. And I like to shop! Add all of the above up = Mom working! I enjoy it as much...
  12. Questions about wasting NARCS ????

    We never have had "community" vials of narcs, but we did share the nitro and liquid ibuprofen/tylenol. We went to an omnicell system last fall and they did away with the "community" bottles. Talk...
  13. Sell house while working night shift?

    We sold our house while I was working nights. The open house was on my weekend off so that was not a problem. The thing I remember the most is that I missed the call from the realtor saying we had...
  14. I am one of those perky, optimistic types also. I know sometimes the night-shifters just cringe when I come in at 0700 saying "Good Morning." I think I have become my mother. She has been...
  15. "You're gonna need to learn Spanish...."

    At our facility, we have several Spanish-speaking employees. We are no longer able to pull them away from their duties to interpret for us in the ED. My feelings are those who don't speak English...
  16. How far do you live from work?

    I live around 5 miles away. Depending on time of day - approximately 8 minute
  17. Change in IV Phenergan Policy

    I always dilute mine and give it in the furthest port. I have not heard the slow push
  18. Rules for the ER (long)

    I checked out that website - they look very tiny and difficult to use. Do you use these on all pt's or just difficult sticks? We went to the "wingless" IV catheters about 9 months ago. I miss my...
  19. EMT's in the ER

    In our ED, there is a standing policy that what they are allowed to do in the field stops when they hit our door. When they are available and not on calls, our EMT's will start IV's and take pt's to...
  20. Rules for the ER (long)

    Erin - I agree with what Critter Lover said. PLUS - there is a huge difference between a 4 day old baby and a whining
  21. Shift and weekend differentials- what are yours?

    8% for evenings/15% for nights - regardless of day of week time-and-a-half for 4 hours over your scheduled shift double time for working at least 4 hours of your weekend off We recently went to a...
  22. Questions about wasting NARCS ????

    At our ED they really discourage only using a partial dose of any narcotic type medication and saving the remainder. Our morphine comes in prefilled syringes (4mg/10mg). We almost always start with a...
  23. Rules for the ER (long)

    If I had a dime for everytime I heard this one, I would NEVER have to work again. Who out there puts "butterfly IV's" in? If I resort to anything less than a 20G, it is because I have already stuck...
  24. Admin and scrubs

    It doesn't matter to me who wears what. They could be sitting there naked for all I care. I just want to work with people who do their job effectively - clothing is
  25. How to get to work in a snowstorm?

    It is bitterly cold and snowy here too this morning - once again! Add some ice under that snow as well! Unsafe driving - probably. One of the risks of living in the Midwest. It always amazes me...