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Anyone out there had to infuse multiple units immediately and if so what advice can you give. How to assess for transfusion reactions when the time to infuse is less than 15 min per unit? What about many units simultaneously? Ever heard of this as...

I am the charge RN in an innercity 40 bed ER that averages 250-300 patients per day. Many are hight acuity, telemetry or ICU patients since this hospital is a large heart - lung transplant center. I know many hospitals will not hire LVNs to work i...

is the pay comp. to NP?

Well, all I can say from Texas, where winter is almost non existent is that I am jealous. Every year our family pays thousands to travel on a winter ski vacation and just visit the snow. I keep telling my husband that when he retires (in 8 years) t...

Aren't we a superstitious bunch!! When reporting off to the next shift we say, "it has been a lovely day in the ER". Great idea about calling EMS to keep those friendly stretcher carrying folks at bay. If they feel loved by us maybe they will take...

You might also look at you hospital policy for its copy of the laws governing EMTALA. This is the governments way of making sure that people are "screened" and treated appropriately without being refused or inappropriately transfered to another hos...

I too recommend time on another floor before going to the ER. Critical Care would be adviseable. Even Tele. Because you have to be DEAD ON ACURATE with your drugs, doses and ability to titrate in a code in the ER. Sometimes many codes at once and...

Incredible AngelGirl, our ER is like that too. Get those new mommies up stairs before the water breaks. We like all of our patients to be those that have already had a couple of weeks or more to adjust to the outside world. Don't want to catch any...

You know, AngelGirl, I actually have encouraged our LVNs to return to college, commenting on what competent clinicians they are, but to no avail. Not one of them will make the effort to go back to school. They talk about the time commitment or the ...

Well, I have a meeting scheduled with her on Thursday, but I don't see an immediate solution. I told her that I will not sign off on the charts of the LVNs and that if she didn't think their scope covered the kinds of patients we get in this ER then...

Have I missed something??? No one has suggested that the state board of nurses be notified?? Sounds like NOW would be a good time. Just venting.

I am a charge nurse in a large innercity hospital and I agree that you should volunteer for anything. By the by, the ER is a great place to practice your IV starts. You will have literally hundreds of opportunities. Way back when I was in nursing ...

Actually the most current info from the ENA is no gastric lavage. They state that the risks outweigh the benifits. Our large innercity ER no longer lavages based on this and American Medical Assn recommendations which are similar.

Help with my daughter's school project - questions for nurses My daughter is in a focused high school that directs all of her studies toward her future career. She wants to be a Pediatric Nurse. One of the projects she has been given is to ask nu...

HAVE USED THEM FOR YEARS, WOULDN' LIVE WITHOUT THEM. i FIND THEM VERY SUCCESSFUL. GREAT ADVICE NOT DO DO IT ALONE. ALWAYS USE A FIREPROOF TOWEL OVER THE HEAD AND CUT A BASEBALL SIZED HOLE IN THE CENTER FOR THE EAR AND THE CANDLE TO PROTRUDE. I FI...

Isn't it true!!!! And in our ER I find that it is usually the family causing all the problems and at the expense of the patient and his/her care. The family is complaining about how long everything takes, because they have things to do in the morni...

You'll have no problem getting a job in any city you desire when you graduate. Almost all hospitals offer relocation packages with their contracts. They often do the interview over the phone for out of towners and then FedEx the Package with the co...

Anyone out there ever had the need to give multiple units in an emergency situation where the time for each unit to infuse was less than 15 minutes. I need to know where to find written rules for transfusions in emergent situations. Any ideas?

I can't tell you guys how valuable all the replies have been. I envy you and your stamina. If you guys are not young and vital you must be young at heart to live daily in those stressful trauma hospital ERs. Maybe someday I will join you, cause yo...

Actually there is no real way to learn nursing basics over the internet, because you will need hands on practice and immediate feedback for many issues. One option might be the path, which is long, that a friend of mine took for similar reasons...

Gosh, Thanks for all the great responses!!! My daughter reads these often. I think nursing is great in that it draws so many returning adults back to a second, third, or fourth career. Our diverse backgrounds are astounding. I myself worked as a ...

Thanks for the reply. I work in a non-Trauma hospital and we rarely have the need to transfuse so quickly. We have the "luxury" of waiting to watch for transfusion reactions with each unit given to the patient. I knew that it was possible to give ...

Chad, I am a nurse in Texas, USA and I work the night shift in an innercity Emergency Room. I was lucky enough to have great mentors through nursing school and when I entered the nursing field. I would be honored to pass on this good fortune. ...