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. Does anyone else suffer from this? There are no sur...
  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" too.
  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 RN who leaves at 2230 and another who leaves at 230...
  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 came in between 8a-2p. Lunch was ordered up for us...
  5. Ice packs for fever?

    Our protocol specifies only treating fevers over 101.
  6. Manual lancing still OK practice?

    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 delivered. In previous job as school RN, I had a kid whose...
  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 slowly - usually over 2.5 minutes. She also received...
  8. Very well said. This is a difficult choice only she can make. Until we walk in her shoes, we can't truly speak.
  9. Cheap or Loan Textbooks

    I ordered mine off the computer - VarsityBooks.com. I had them shipped to a friend in a bordering state to avoid the state sales tax.
  10. 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 program.
  11. [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 to get down and dirty. Plus, I can use my native l...
  12. 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 as possible. On work days I want to be home and s...
  13. 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 about a big waste. If I have a chest pain that com...
  14. 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 a offer. I slept through it and the machine picke...
  15. Is there such a thing as "too positive"?

    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 eternally perky and it used to annoy the living he*& o...
  16. "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 should bring an interpreter. And I don't mean a 4-ye...
  17. How far do you live from work?

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

    I always dilute mine and give it in the furthest port. I have not heard the slow push time.
  19. 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 wings - it sure made it easier to use and secure.
  20. 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 the floor for admission. That is it! They might h...
  21. 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 adult!
  22. 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 dollar-per-hour schedule for the differential, but gra...
  23. 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 initial dose of 4mg and proceed from there. Very...
  24. 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 the pt a couple of times and they have crap for vei...
  25. 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 optional!