nurse2033 MSN, RN

ER, ICU

Member

All Content by nurse2033

  1. nurse2033

    Pregnant ER nurse

    Just keep an eye out for toxic patients. Occasionally EMS brings in someone covered in chemicals that haven't been properly identified or decontaminated. Once we had a helpful firefighter bring in the...
  2. nurse2033

    Never enough-vent

    Don't kill yourself to make everyone happy. Patient safety first, family ass-kissing way down the list. Just tell them that you have heard them but you have other things to do
  3. nurse2033

    We may need fewer nurses in the hospital...

    Are you French? A few years ago I took an American tourist off a plane with a broken hip. He fell in Paris. The ambulance took 40 minutes to reach him. He didn't get any pain meds until he had been on...
  4. nurse2033

    We may need fewer nurses in the hospital...

    I think prevention is a pipe dream that will take generations to make any progress. The people I see in my community are just trying to get by. Getting them to change their eating or exercise habits...
  5. nurse2033

    Unemployed and Pregnant...

    You'll be fine, your brain didn't fall out. You will feel rusty for a day or so, as long as you go back to what you know. If you enter a new area you will be all thumbs no matter when you start. Keep...
  6. nurse2033

    Men in Nursing Calendar

    Sorry but no calendar of guys is going to interest me in anything. However it is a fun idea if you avoid the beefcake shots. Maybe some profits could go to a good cause. Good
  7. nurse2033

    This is for all you Trauma/ER-ED Nurses

    I've been a medic and nurse for a long time. The best thing you can do is a scene size up which catalogs the number and severity of injuries, and any special needs such as extrication. This can make a...
  8. nurse2033

    What do you do when you don't know the answer

    The Google! I say I don't know but will try to find
  9. nurse2033

    nitro drips

    If the patient didn't have a problem, then there wasn't a problem. I would be very cautious letting such a patient out of bed, but if you assess their ability to ambulate then I would have done the...
  10. nurse2033

    Refusing an assignment ?

    I agree that until you have taken report you cannot be responsible for patient care. If you feel your assignment is undoable you can refuse it. You might lose your job but better than your
  11. I don't have any direct experience but I would say try again. Have you been in critical care those ten years? I think that might have more impact. Your past will require explanation but is...
  12. nurse2033

    Anti-Intellectualism/Autonomy in nursing

    I would have done the same things as you. Patient safety is first. If you know, from years of education and experience, that giving a bleeding patient a bolus is the right thing to do, then do it. Of...
  13. nurse2033

    LTC misfortune

    Stop worrying about your license. Your former employer would have nothing to gain by pursuing that, and as another poster pointed out, if you were on orientation then your preceptor is responsible for...
  14. nurse2033

    Please help me, I'm in trouble.

    Get a lawyer, whatever it takes, this is your career. You made some minor mistakes, not career ending gigantic lapes of judgement. Good
  15. nurse2033

    Nursing insturctor terrifying students

    The teacher needs to be "weeded out". That kind of Cro-Magnon thinking has no place in high school education. Use your power as a parent to push for
  16. Cloth tape, tie a clove hitch around the tube, then secure behind their head. It won't slip if you pull the clove hitch tight enough to bit into the plastic a little
  17. nurse2033

    Treating pain in ER

    Unfortunately, the bad apples ruin it for everyone. The seekers, liars, and manipulators jade ER staff. Doctors get seriously ticked when they find out they've been played, so sometimes they take the...
  18. nurse2033

    Dealing with maternal death

    That whole situation is awful but sometimes patients die despite our best efforts. Stop beating yourself up. It sounds like you did everything you could in that situation. There is nothing wrong with...
  19. nurse2033

    Sign on bonuses

    The posters are right, they need someone, but you can't know if that is because no one stays there. High turnover could lead to bonuses and someplace you are now stuck. I would be sure to talk to some...
  20. nurse2033

    How much morphine is too much??

    I had to laugh, God if you could get away with
  21. nurse2033

    How much morphine is too much??

    If the MS wasn't working did you consider dilaudid or fentanyl? They are both much stronger and don't require as much, and don't have the hemodynamic issues. Once his anxiety was relieved (i.e. under...
  22. nurse2033

    How do you like Tricare?

    Thanks for the
  23. nurse2033

    Can I get some advice?

    ER tech would be a great step. You will see the work flow, the patients, and the nursing
  24. nurse2033

    Informed consent dilemma

    This is why some hospitals do not allow family members to translate, and I agree. This is a perfect
  25. nurse2033

    COR status-when to determine

    It stands for Cardiac Or Respiratory zero, or COR