JessicaSN

JessicaSN

Emergency

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All Content by JessicaSN

  1. Blood draws/SL on kids < 5 yo

    JessicaSN posted a topic in Emergency

    I think I am pretty good at drawing blood and starting lines on adults and young kids but I'm not so good yet with the little ones. There are 3 main problems: 1. Their veins are so tiny! I always go...

  2. What was the MOST ridiculous thing a patient came to the ER for?

    JessicaSN replied to JUSTYSMOM's topic in Emergency

    A guy came in last night because he ate a piece of moldy bread. Wasn't having any symptoms, just "wanted to get checked out".

  3. Nurses,what is the highest BP you've ever seen recorded on a pt.?

    JessicaSN replied to nobody067's topic in General Nursing

    Oh, by the way, the ER physician did not believe MULTIPLE registered nurses who re-checked the manual blood pressure. We used different size cuffs, both arms, etc and the physician still wanted...

  4. Nurses,what is the highest BP you've ever seen recorded on a pt.?

    JessicaSN replied to nobody067's topic in General Nursing

    I work in the ER. An older lady came in complaining of nausea, headache, and upper back pain. She had not had her Clonidine (0.2mg TID) in over a week, along with her other daily meds. Her blood...

  5. What was the MOST ridiculous thing a patient came to the ER for?

    JessicaSN replied to JUSTYSMOM's topic in Emergency

    A young woman, 7 months pregnant, came into the ER because the skin on her breasts itched due to NORMAL swelling/growth from pregnancy. AAAAAAAND what are we supposed to do about

  6. It's Not MY Responsibility to Get YOU Home...

    JessicaSN replied to Music in My Heart's topic in Emergency

    Our ER has a 2 hour wait time after someone is discharge before we will CONSIDER calling a taxi for them if the bus is not running. And am I a big ole meanie if I say I kind of enjoy telling the...

  7. What certifications do you have???

    JessicaSN replied to godbless-yute's topic in Emergency

    Yes, the CCRN is for ICU nurses. I think studying for the test and eventually passing would be beneficial for ER nurses though. It is a goal of mine to pass the test

  8. What certifications do you have???

    JessicaSN replied to godbless-yute's topic in Emergency

    I'm assuming you already have your ACLS certification. TNCC - Trauma Nursing Core Course CPEN - Certified Pediatric Emergeny Nurse CCRN - Critical Care Registered Nurse

  9. Measuring Weight/height in ED routinely

    JessicaSN replied to reholi4's topic in Emergency

    Part of our triage is getting a height and weight on everyone. I weigh all children; I don't trust the parents to know how much their kid weighs. We get estimates from the

  10. I want you to help me, but you will do it my way.....

    JessicaSN replied to Daisy Doodle's topic in Emergency

    If someone refuses the gown or blood work I flat out ask them, "Why don't you want to put on a gown? Why don't you want blood work/an IV?" Sometimes it's because they don't want to be cold (so I get...

  11. Gastric Lavage - What size tube?

    JessicaSN posted a topic in Emergency

    We don't do gastric lavage very often in my ER, but the doc wanted it done on a young lady recently (swallowed multiple types of meds 30 minutes before arrival). We tried out the "garden hose" tubes...

  12. Things you would like the ICU to understand

    JessicaSN replied to I_LOVE_TRAUMA's topic in Emergency

    There is no way this *hasn't* been said in this thread, but it bears repeating: We don't get any kicks out of calling report before/during/after shift change. When a patient is assigned a bed is...

  13. My Aching Feet

    JessicaSN replied to RN <><'s topic in Emergency

    I don't have much foot or leg pain after working (thank goodness) but I can definitely tell the difference between the nights I wear my compression socks and when I don't. My feet feel much heavier...

  14. Most embarrassing mistake you've ever made

    JessicaSN replied to sunnycalifRN's topic in General Nursing

    Emergency RN: Oh, they got you good :) I have made many embarrassing mistakes during the whole 1.5 years I've been a nurse. I guess the funniest one was I had just come back from taking a lunch and I...

  15. A question for all you ER nurses....

    JessicaSN replied to TigerGalLE's topic in General Nursing

    In my ER there is a designated person who is the "scribe" on every shift. It is written on a dry erase board that also shows who has what rooms. I am scribe a lot because I apparently do a good job...

  16. many drugs one syringe

    JessicaSN replied to NewNurseAlert's topic in General Nursing

    We have an online system called Micromedix that will allow a nurse to enter multiple medicines and see if they are IV compatible. There are only 2 that I regularly mix: Dilaudid and Phenergan. It...

  17. MD likes to make you feel stupid

    JessicaSN replied to chenoaspirit's topic in General Nursing

    If you still choose to see this doctor as your PCP, I would definitely not bring up work related matters at your appointment. What goes on at work should be dealt with at

  18. Aspirate for IM deltoid injection

    JessicaSN replied to twinjeep97's topic in General Students

    After you dart the needle into the deltoid muscle, you should pull back a little on the plunger (or aspirate) to see if the needed is in a vein. You can tell because blood will flow into the syringe....

  19. Is it ok to call CNA's nurses?

    JessicaSN replied to jean36's topic in General Nursing

    Following your logic, it wouldn't be a big deal to call a teacher's aid a teacher, or a car mechanic an engineer, or a physician's assistant a physician, and so on and so on. I think it's pretty...

  20. I feel so stupid. What should I have done?

    JessicaSN replied to arelle68's topic in General Nursing

    You did the right thing. How does the son expect you to "know" about a UTI? If someone cannot tell you where it hurts, and it isn't causing a fever (yet), it's not like you're psychic. Severe UTI's in...

  21. How fast do you push metopropolol

    JessicaSN replied to Guest219794's topic in Emergency

    Isn't this kind of risky? If this is your first time pushing it on a patient, how do you know how they'll tolerate it? I pretty much push everything

  22. If they can ask for it..they aren't too sedated...

    JessicaSN replied to faline1973's topic in General Nursing

    Wow. I thought our job was to put "SAFETY FIRST". There would be no way in hell I'm going to dump water into someone's mouth so they can choke down 2 Percocets. Was she already too high to physically...

  23. Possibly switching from IMC or a step-down Crit Care unit to ED

    JessicaSN replied to sunshine88's topic in Emergency

    This was directed to someone else but I have some experience with this. My hospital is right in the middle of 2 great children's hospitals (one being Cincinnati Children's) and people still bring in...

  24. Ohio online license renewal

    JessicaSN replied to Salesman217's topic in Ohio Nursing

    Yes, it was in that letter. I renewed mine about a month ago and had to dig out my letter from the backseat of my

  25. Off The Wall: Nurses & Sticks

    JessicaSN replied to is5512's topic in General Nursing

    In nursing school I was pretty afraid of needles. My heart would start beating faster and my hands would shake a little if I were holding one (wouldn't you have loved to be one of my clinical...